Department of Psychology, Old Dominion University.
Psychol Addict Behav. 2022 Mar;36(2):209-219. doi: 10.1037/adb0000754. Epub 2021 May 27.
Bisexual women drink more and have more alcohol consequences than heterosexual and lesbian women. This higher risk may in part be attributable to sexual orientation microaggressions. Drinking to cope motivations and alcohol demand may influence the association between microaggressions and alcohol use. The present study used a daily diary design to examine the association between microaggressions and same-day alcohol use (yes/no, quantity) and consequences, and if drinking to cope and alcohol demand moderate this association among bisexual+ (i.e., bi+) women. Participants were 103 emerging adult bi+ women who completed a baseline assessment, including an alcohol purchase task to measure alcohol demand. Subsequently, participants reported their experiences of microaggressions, alcohol use, and alcohol consequences for 28 days. Multilevel model analyses were conducted. Microaggressions were associated with a higher likelihood to drink and greater same-day alcohol use and consequences. The association between microaggressions and alcohol quantity was stronger for those who had a lower price associated with the highest expenditure (lower P max). For those who would stop drinking at lower price values (lower breakpoint), reported spending less overall on alcohol (lower O max), and had lower P max values, microaggressions were associated with more consequences. For those with higher breakpoint, O max, and P max microaggressions were not associated with consequences. Microaggressions may have a deleterious impact on alcohol use and consequences for bi+ women, particularly for those with lower alcohol demand. Clinicians should encourage bi+ clients to consider how microaggressions influence their drinking and support clients to engage in positive coping skills. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
双性恋女性比异性恋和同性恋女性饮酒更多,且出现更多酒精相关后果。这种更高的风险可能部分归因于性取向微侵犯。为应对压力而饮酒的动机和酒精需求可能会影响微侵犯与酒精使用之间的关联。本研究采用每日日记设计,考察了微侵犯与当天的酒精使用(是/否,量)和后果之间的关联,以及在双性恋+(即 bi+)女性中,应对饮酒和酒精需求是否会调节这种关联。参与者为 103 名处于成年早期的 bi+女性,她们完成了基线评估,包括一项酒精购买任务以衡量酒精需求。随后,参与者在 28 天内报告了他们的微侵犯经历、酒精使用和酒精后果。进行了多层次模型分析。微侵犯与更高的饮酒可能性以及更大的当天酒精使用和后果相关。对于那些与最高支出相关的价格较低(较低的 P max)的人,微侵犯与酒精量的关联更强。对于那些在较低价格值(较低的断点)下会停止饮酒、总体上花费较少(较低的 O max)且 P max 值较低的人,微侵犯与更多后果相关。对于那些具有较高断点、O max 和 P max 的人,微侵犯与后果无关。微侵犯可能对 bi+女性的酒精使用和后果产生有害影响,特别是对那些酒精需求较低的人。临床医生应鼓励 bi+客户考虑微侵犯如何影响他们的饮酒,并支持客户采用积极的应对技巧。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。