Abstract Introduction Research demonstrates that both proximal personal characteristics (e.g., outness, emotion dysregulation) and distal stressors (e.g., heterosexism) may be associated with harmful alcohol use among lesbian, gay, and bisexual (LGB) individuals. No study has systematically examined the factors linking LGB identity outness to harmful alcohol use. The current cross-sectional study bridges this gap by testing a sequential mediation model wherein heterosexist experiences (HE) and emotion dysregulation (ER) were hypothesized to mediate the relationship between outness and alcohol use. Method Participants were 264 LGB emerging adults in the age range of 18-29 years (M/SD = 25.46/2.74; 16.7% lesbian, 23.1% gay, 60.2% bisexual). Result Findings showed that 8.3% scored above a cutoff indicating harmful alcohol use. Findings supported the hypothesized serial mediation linking low levels of outness with harmful alcohol use via HE and ER, with a significant serial indirect effect (B = −.002, CI = −.004 — −.0004) and indirect effects via both HE (B = −.01, CI = −.02 – −.002) and ER (B = −.01, CI = −.02 – −.003). Conclusion Heterosexist experiences and emotion dysregulation are potential links in the association between outness and harmful alcohol use.

中文翻译：

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女同性恋、男同性恋和双性恋新兴成年人的性取向异常、异性恋、情绪失调和酒精使用之间的关系

摘要 介绍 研究表明，近端的个人特征（例如，外向、情绪失调）和远端的压力源（例如，异性恋）都可能与女同性恋、男同性恋和双性恋 (LGB) 个体的有害酒精使用有关。没有研究系统地研究了将 LGB 身份认同与有害酒精使用联系起来的因素。当前的横断面研究通过测试序列中介模型来弥合这一差距，其中假设异性恋经历 (HE) 和情绪失调 (ER) 来调节外出与饮酒之间的关系。方法 参与者是 264 名年龄在 18-29 岁之间的 LGB 新兴成年人（M/SD = 25.46/2.74；16.7% 女同性恋，23.1% 男同性恋，60.2% 双性恋）。结果 结果显示，8.3% 的得分高于表明有害饮酒的临界值。结果支持假设的连续中介，将低水平的外出与通过 HE 和 ER 的有害酒精使用联系起来，具有显着的连续间接效应（B = -.002，CI = -.004 - -.0004）和通过 HE 的间接效应（ B = -.01，CI = -.02 – -.002）和 ER（B = -.01，CI = -.02 – -.003）。结论 异性恋经历和情绪失调是外出与有害饮酒之间关联的潜在联系。