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Understanding co-occurring depression symptoms and alcohol use symptoms among cisgender sexual minority women
Journal of Gay & Lesbian Social Services Pub Date : 2021-02-13 , DOI: 10.1080/10538720.2021.1886214
Briana L. McGeough 1 , Adrian Aguilera 2 , Matthew R. Capriotti 3 , Juno Obedin-Maliver 4, 5, 6 , Micah E. Lubensky 5, 7 , Mitchell R. Lunn 5, 6, 8 , Annesa Flentje 5, 7, 9
Affiliation  

Abstract

Sexual minority women (SMW; e.g., lesbian, bisexual) experience depression and alcohol use disorder at approximately twice the rates of heterosexual women. Though discrimination is a common explanation for these disparities, little is known about the mechanisms through which discrimination contributes to these disparities. Past research has found that the strategies that individuals use to regulate their emotions in response to discrimination may influence their depression symptoms and alcohol use symptoms. The current study proposes and validates a model to test whether alcohol use, suppression of emotion expression, and social support explain the relationships between discrimination and depression/alcohol use symptoms of cisgender SMW. A national sample of 1,782 cisgender SMW completed an online survey in 2017 through The PRIDE Study. Structural equation modeling was used to test model hypotheses. Discrimination was associated with lower levels of social support, but discrimination was not associated with higher levels of alcohol use or suppression. Social support, alcohol use, suppression, and discrimination were all significantly associated with depression symptoms. This study makes an important contribution to the literature by evaluating mechanisms that may potentially drive depression and alcohol use symptoms among cisgender SMW, focusing on mechanisms that can be intervened upon using existing evidence-based practices.



中文翻译:

了解顺性别性少数女性同时发生的抑郁症状和酒精使用症状

摘要

性少数女性(SMW;例如,女同性恋、双性恋)患抑郁症和酒精使用障碍的比率大约是异性恋女性的两倍。尽管歧视是对这些差异的常见解释,但人们对歧视导致这些差异的机制知之甚少。过去的研究发现,个人用来调节情绪以应对歧视的策略可能会影响他们的抑郁症状和酒精使用症状。目前的研究提出并验证了一个模型,以测试酒精使用、情绪表达抑制和社会支持是否可以解释歧视与顺性别 SMW 的抑郁/酒精使用症状之间的关系。2017 年,1,782 名顺性别 SMW 的全国样本通过 The PRIDE Study 完成了一项在线调查。结构方程模型用于检验模型假设。歧视与较低水平的社会支持有关,但歧视与较高水平的酒精使用或抑制无关。社会支持、饮酒、压抑和歧视都与抑郁症状显着相关。本研究通过评估可能导致顺性别 SMW 中抑郁和酒精使用症状的机制对文献做出了重要贡献,重点关注可以使用现有循证实践进行干预的机制。和歧视都与抑郁症状显着相关。本研究通过评估可能导致顺性别 SMW 中抑郁和酒精使用症状的机制对文献做出了重要贡献,重点关注可以使用现有循证实践进行干预的机制。和歧视都与抑郁症状显着相关。本研究通过评估可能导致顺性别 SMW 中抑郁和酒精使用症状的机制对文献做出了重要贡献,重点关注可以使用现有循证实践进行干预的机制。

更新日期:2021-02-13
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