Daily and Momentary Associations Between Gender Minority Stress and Resilience With Alcohol Outcomes

IF 3.6 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Annals of Behavioral Medicine Pub Date : 2024-04-06 DOI:10.1093/abm/kaae015

Sarah S Dermody, Alexandra Uhrig, Jeffrey D Wardell, Carmina Tellez, Tara Raessi, Karla Kovacek, Trevor A Hart, Christian S Hendershot, Alex Abramovich

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Abstract

Background and purpose Minority stressors have been linked with alcohol use among transgender and gender diverse (TGD); however, no ecological momentary assessment studies have examined daily links between minority stress and alcohol use specifically among TGD. This study examined gender minority stressors and resilience as predictors of same-day or momentary alcohol-related outcomes. Feasibility and acceptability of procedures were evaluated. Methods Twenty-five TGD adults (mean age = 32.60, SD = 10.82; 88% White) were recruited Canada-wide and participated remotely. They completed 21 days of ecological momentary assessment with daily morning and random surveys (assessing alcohol outcomes, risk processes, gender minority stressors, resilience), and an exit interview eliciting feedback. Results Gender minority stress had significant and positive within-person relationships with same-day alcohol use (incidence risk ratio (IRR) = 1.12, 95% confidence interval [CI] [1.02, 1.23]), alcohol-related harms (IRR = 1.14, 95% CI [1.02, 1.28]), and coping motives (IRR = 1.06, 95% CI [1.03, 1.08]), as well as momentary (past 30-min) alcohol craving (IRR = 1.32, 95% CI [1.18, 1.47]), coping motives (IRR = 1.35, 95% CI [1.21, 1.51]), and negative affect (IRR = 1.28, 95% CI [1.20, 1.36]). Gender minority stress indirectly predicted same-day drinking via coping motives (ab = 0.04, 95% CI [0.02, 0.08]). Resilience was positively associated with same-day alcohol use (IRR = 1.25, 95% CI [1.03, 1.51]) but not harms. Conclusions TGD adults may use alcohol to cope with gender minority stress, which can increase the risk for alcohol-related harms. Interventions are needed to eliminate gender minority stressors and support adaptive coping strategies.

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性别少数群体的压力和复原力与酒精结果之间的日常和瞬间关联

背景和目的在变性者和性别多元化者（TGD）中，少数群体的压力因素与酗酒有关；但是，还没有生态学瞬间评估研究专门研究少数群体压力与 TGD 酗酒之间的日常联系。本研究将性别少数群体的压力和复原力作为当天或瞬间酒精相关结果的预测因素。研究还对程序的可行性和可接受性进行了评估。方法在加拿大范围内招募了 25 名 TGD 成年人（平均年龄 = 32.60，SD = 10.82；88% 为白人），并让他们远程参与研究。他们完成了为期 21 天的生态瞬间评估，包括每日早晨调查和随机调查（评估酒精结果、风险过程、性别少数压力因素、复原力），以及一次征求反馈意见的退出访谈。结果性别少数群体压力与当日酒精使用量（发生风险比 (IRR) = 1.12，95% 置信区间 [CI] [1.02, 1.23]）、酒精相关伤害（IRR = 1.14，95% 置信区间 [1.02, 1.28]）以及应对动机有明显的正相关关系。28]）、应对动机（IRR = 1.06，95% CI [1.03，1.08]）以及瞬间（过去 30 分钟）酒精渴求（IRR = 1.32，95% CI [1.18，1.47]）、应对动机（IRR = 1.35，95% CI [1.21，1.51]）和负面情绪（IRR = 1.28，95% CI [1.20，1.36]）。性别少数压力通过应对动机间接预测当日饮酒（ab = 0.04，95% CI [0.02，0.08]）。复原力与当日饮酒呈正相关（IRR = 1.25，95% CI [1.03，1.51]），但与危害无关。结论性别少数群体成年人可能会通过饮酒来应对性别少数群体的压力，这可能会增加酒精相关危害的风险。需要采取干预措施来消除性别少数压力并支持适应性应对策略。

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来源期刊

Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

7.00

自引率

5.30%

发文量

期刊介绍： Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .