Mereish Ethan H, Abramson Jessica R, Lee Hyemin, Watson Ryan J
Lavender Lab, Department of Psychology, University of Maryland, College Park, College Park, Maryland, USA.
Department of Human Development and Family Sciences, University of Connecticut, Storrs, Connecticut, USA.
LGBT Health. 2025 Feb-Mar;12(2):125-133. doi: 10.1089/lgbt.2024.0023. Epub 2024 Jul 8.
This study examined the associations between intersectional oppression-based stress and recent alcohol use and hazardous drinking among sexual and gender minority (SGM; e.g., queer or transgender) adolescents who were Black, Indigenous, and People of Color (BIPOC), also known as queer and transgender BIPOC (QTBIPOC) adolescents, and the mediating role of coping motives (i.e., drinking to cope) on these associations. Data were from a subsample of QTBIPOC adolescents who used alcohol in the past year ( = 1365) from a national U.S. sample of SGM adolescents aged 13-18 years. Intersectional oppression-based stressors were associated with greater odds of recent alcohol use and hazardous drinking, as well as greater coping motives. Coping motives mediated the associations between intersectional-based stressors and both recent alcohol use and hazardous drinking among the aggregate sample of QTBIPOC adolescents, as well as among some subgroups of BIPOC adolescents. The results of this study highlight that intersectional oppression-based stressors are prevalent among QTBIPOC adolescents and serve as a risk factor for alcohol use and hazardous drinking. Multilevel interventions are needed to target and dismantle intersectional oppressions to address alcohol inequities impacting QTBIPOC adolescents. Drinking to cope motives mediated the associations between intersectional oppression-based stress and drinking outcomes, underscoring another important mechanism to target within a context of oppression in drinking interventions.
本研究考察了基于交叉压迫的压力与近期饮酒及危险饮酒之间的关联，这些关联存在于黑人、原住民和有色人种（BIPOC）的性少数和性别少数（SGM；例如，酷儿或跨性别者）青少年中，即酷儿和跨性别BIPOC（QTBIPOC）青少年，同时还考察了应对动机（即借酒消愁）在这些关联中所起的中介作用。数据来自于美国全国范围内13至18岁SGM青少年样本中过去一年饮酒的QTBIPOC青少年子样本（ = 1365）。基于交叉压迫的压力源与近期饮酒及危险饮酒的更高几率相关，同时也与更强的应对动机相关。应对动机在QTBIPOC青少年总体样本以及一些BIPOC青少年亚组中，介导了基于交叉压迫的压力源与近期饮酒及危险饮酒之间的关联。本研究结果凸显出，基于交叉压迫的压力源在QTBIPOC青少年中普遍存在，并且是饮酒及危险饮酒的一个风险因素。需要采取多层次干预措施，以针对并消除交叉压迫，从而解决影响QTBIPOC青少年的饮酒不平等问题。借酒消愁的动机介导了基于交叉压迫的压力与饮酒结果之间的关联，这凸显出在饮酒干预的压迫背景下另一个需要针对的重要机制。
