Syracuse University, Syracuse, NY, USA.
New York State Psychiatric Institute, New York, NY, USA.
J Interpers Violence. 2023 Jul;38(13-14):8286-8315. doi: 10.1177/08862605231153886. Epub 2023 Feb 26.
Psychosocial stressors (e.g., minority stressors, trauma exposure) profoundly impact sexual minority women's (SMW's) risk of alcohol and other drug (AOD) use. However, research has not examined whether there are distinct typologies (i.e., patterns) of psychosocial stressors and whether these vary based on sociodemographic characteristics or are differentially associated with AOD outcomes (e.g., alcohol dependence) among SMW. This study aimed to identify latent classes of SMW reporting distinct typologies of psychosocial stressors and examine predictors and outcomes of latent classes of psychosocial stressors among SMW. Participants included a community sample of 602 SMW ( = 39.9, = 14.0; 74.0% lesbian; 37.4% White, 36.6% Black, 22.3% Latinx; 26.6% annual income ≤$14,999). Latent class analysis was used to identify typologies of psychosocial stressors. Regression analyses were employed to examine sociodemographic predictors and AOD outcomes of class membership. Three classes of psychosocial stressors emerged. Participants in Class 1 were likely to report relatively low adversity. SMW in Class 2, who reported childhood physical abuse (CPA), severe childhood sexual abuse, and adult physical assault, were vulnerable to discrimination and stigma consciousness. A distinct subgroup of SMW (Class 3) was at heightened risk of CPA, adult sexual assault (ASA), and stigma consciousness. Older SMW, Black SMW, and SMW with lower social support were more likely to be in classes characterized by higher adversity. Older SMW were at disproportionate risk of CPA and ASA. Different combinations of psychosocial stressors were uniquely associated with AOD outcomes. Findings underscore the importance of considering within-group heterogeneity in SMW's differential risk of psychosocial stressors and AOD outcomes. Routine screening of psychosocial stressors across several dimensions, brief interventions targeting AOD outcomes, and policies mitigating structural drivers of SMW's increased risk of trauma and minority stressors may be especially important for older SMW, Black SMW, and SMW who lack social support.
心理社会压力源（例如，少数群体压力源、创伤暴露）深刻影响着性少数女性（SMW）的酒精和其他药物（AOD）使用风险。然而，研究尚未探讨是否存在不同的心理社会压力源的典型类型（即模式），以及这些类型是否因社会人口统计学特征而有所不同，或者是否与 SMW 的 AOD 结果（例如，酒精依赖）存在差异。本研究旨在确定报告不同心理社会压力源典型类型的 SMW 的潜在类别，并探讨 SMW 中潜在的心理社会压力源类别预测因素和结果。参与者包括一个社区样本中的 602 名 SMW（ = 39.9， = 14.0；74.0%是女同性恋者；37.4%是白人，36.6%是黑人，22.3%是拉丁裔；26.6%的年收入≤$14,999）。使用潜在类别分析来确定心理社会压力源的典型类型。回归分析用于检验类别的社会人口统计学预测因素和 AOD 结果。出现了三种心理社会压力源的类别。类别 1 的参与者可能报告相对较少的逆境。报告儿童期身体虐待（CPA）、严重儿童期性虐待和成人身体攻击的 SMW 易受到歧视和耻辱意识的影响。SMW 的一个独特亚组（类别 3）处于更高的 CPA、成人性攻击（ASA）和耻辱意识风险中。年龄较大的 SMW、黑人 SMW 和社会支持较低的 SMW 更有可能处于逆境较高的类别中。年龄较大的 SMW 面临不成比例的 CPA 和 ASA 风险。不同组合的心理社会压力源与 AOD 结果具有独特的相关性。研究结果强调了考虑 SMW 心理社会压力源和 AOD 结果的差异风险的重要性，考虑到群体内的异质性。对几个维度的心理社会压力源进行常规筛查、针对 AOD 结果的简短干预措施，以及减轻 SMW 创伤和少数群体压力源风险增加的结构性驱动因素的政策，可能对年龄较大的 SMW、黑人 SMW 和缺乏社会支持的 SMW 尤为重要。
