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How Coping Motives Moderate the Association Between Minority Stress and Alcohol Use Among Sexually Minoritized Adolescents
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DOI：10.1037/sgd0000835.png)
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Abstract
En 中文
Research is mixed regarding whether stressors related to one's minoritized sexual orientation (i.e., sexual orientation [SO] victimization, outness, and internalized stigma) contribute to higher alcohol use among sexually minoritized adolescents. The extent to which sexually minoritized adolescents use alcohol to cope (i.e., coping motives) may influence these associations. This study examined whether coping motives moderated the association between minority stressors and past-month alcohol use and heavy episodic drinking. Data were from the 2022 LGBTQ National Teen Survey, a national cross-sectional study of sexually and gender-minoritized adolescents (N = 3,971, M-age = 16.18, SD = 1.41). We used negative binomial regression to examine the association between minority stressors and past-month alcohol use and heavy episodic drinking and estimated marginal effects to interpret interaction terms. SO victimization, outness, and internalized stigma were associated with a higher incidence of past-month alcohol use and heavy episodic drinking. After controlling for coping motives, SO victimization and internalized stigma were no longer significant. Coping motives moderated the association between internalized stigma and past-month alcohol use such that when coping motives were low, higher rates of internalized stigma were associated with a higher probability of the incidence of past-month alcohol use. Results indicated that outness was associated with a higher incidence rate of recent alcohol use and heavy episodic drinking, even after controlling for coping motives. Findings have implications for treatment approaches for sexually minoritized adolescents' alcohol use. Longitudinal research is needed to further examine the role of coping motives in sexually minoritized adolescents' alcohol use.
Keywords:
sexually minoritized adolescents
heavy episodic drinking
alcohol use
minority stress
alcohol use motives
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