Pathways to Hazardous Drinking Among Racially and Socioeconomically Diverse Lesbian Women: Sexual Minority Stress, Rumination, Social Isolation, and Drinking to Cope
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Lesbian women engage in more hazardous drinking than heterosexual women yet we know relatively little about what explains this disparity. In the present study, race, socioeconomic status (SES), minority stress, general psychological processes, and distress were examined as pathways to hazardous drinking among young (18–35 years) Black and non-Hispanic White lesbian women. We used the psychological mediation framework adaptation of minority stress theory and the reserve capacity model as theoretical underpinnings of the conceptual model in the current study. Self-identified lesbian participants ( N = 867) completed a onetime online survey that assessed race, SES, perceived sexual minority discrimination, proximal minority stress (concealment, internalized homophobia, lack of connection to lesbian community), rumination, social isolation, psychological distress, drinking to cope, and hazardous drinking. Cross-sectional results demonstrated that being Black was associated with hazardous drinking via sequential mediators of rumination, psychological distress, and drinking to cope. SES was associated with hazardous drinking via sequential mediators of sexual minority discrimination, proximal minority stress, rumination, social isolation, psychological distress, and drinking to cope. Understanding these pathways can aid researchers and clinicians studying and working with lesbians who are at risk for hazardous drinking.
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Minority stress adaptations can become chronic coping tendencies that manifest in emotional and behavioral avoidance (e.g., rumination, hazardous alcohol use) and maladaptive emotional processes (e.g., lack of emotion awareness) that predict depression and anxiety.
“Although these responses are initially learned through ongoing exposure to invalidating environments (Cardona et al., 2021), they can become chronic, ingrained coping tendencies that manifest in insalubrious outcomes, such as emotional and behavioral avoidance (e.g., rumination; hazardous alcohol use; Lewis et al., 2016; Szymanski et al., 2014) and the experience of maladaptive emotional processes”
From Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China (2024) · cites this paper as Lewis et al., 2016
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- Authors
- Lewis, R. J., Mason, T. B., Winstead, B. A., Gaskins, M., & Irons, L. B.
- Affiliations
- Old Dominion University (US)
- Department of Psychology, Old Dominion University, Norfolk, VA, USA
- Corresponding author
- Lewis, Robin J.
- Venue
- Psychology of Women Quarterly
- Publisher
- SAGE Publications
- Published
- 2016-09-24
- Volume
- 40
- Issue
- 4
- Pages
- 564-581
- ISSN
- 0361-6843 (ISSN-L)
- 1471-6402
- PMC
- PMC5270712
- OpenAlex
- W2513843917
- Cited by
- 66
- References
- 87
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 4 · 2023: 8 · 2022: 5 · 2021: 10 · 2020: 12 · 2019: 6 · 2018: 7 · 2017: 5
- FWCI
- 9.42
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychology of Women Quarterly (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R15AA020424)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- hazardous drinking, lesbians, Black women, racial disparities, socioeconomic status, minority stress, rumination, social isolation, psychological distress, drinking to cope, internalized homophobia, concealment, lesbian community, young women
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