ArticleDrug and alcohol dependence reports2023
Structural stigma and alcohol use among sexual and gender minority adults: A systematic review.
Article in Drug and alcohol dependence reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Determinants of Cardiovascular Disease Risk Among LGBTQ+ Populations: A Systematic Review of Empirical Evidence.Nursing open · 2026Pooled it
- Drink more, bet more, spend more: Examining who engages in simultaneous drinking while sports betting and impact on betting behaviour.Journal of behavioral addictions · 2026Article
- Identity among adolescent and young adult cancer survivors: an exploratory qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Spatializing Substance Use and Sexual Behaviors of Queer Men and Non-binary Individuals During COVID-19.AIDS and behavior · 2026Article
- Formative Research to Identify Contributors to Risky Drinking and Adapt an Alcohol Reduction Intervention Among Young Adults Vulnerable to HIV: Qualitative Focus Group Study.JMIR formative research · 2026Article
- Efficacy on the rocks: how hazardous drinking contextualizes the path from internalized heterosexism to antiretroviral adherence via adherence self-efficacy.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2026Article
- Sexual minority populations and disparities in cardiovascular healthcare.European heart journal · 2025Review
- Associations of Sexual Orientation and Sexual Orientation-Related State Policy Environments With Smoking and Lung Cancer Screening Outcomes Among US Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Ethnoracial inequities in social stressors and patterns of alcohol use in a population of United States transgender Veterans.Social science & medicine (1982) · 2025Article
- Toward an understanding of sexual minority women's social stressors and health in post-communist countries in Europe: a scoping review.BMC public health · 2025Article
- An Integrative Model of Alcohol-Facilitated Intimate Partner Aggression Perpetration in Sexual and Gender Diverse Couples.Journal of studies on alcohol and drugs · 2025Article
- Relationships between structural stigma, societal stigma, and minority stress among gender minority people.Scientific reports · 2025Article
- Associations of sexual orientation and state-level antidiscrimination policy protections with alcohol, tobacco, and mental health outcomes in a U.S. sample of adolescents and adults.Social science & medicine (1982) · 2025Article
- Minority stress and the development of problem alcohol use among sexual minority youth: A scoping review synthesizing multidisciplinary mechanisms of risk.Journal of child & adolescent substance abuse · 2025Article
- Levels and outcomes of 12-step participation among sexual and gender minority subgroups.Journal of substance use and addiction treatment · 2024Article
- Substance Use and Discrimination in a Sample of U.S.-Based Latinx Sexual Minority Men and Their Main Partners.Journal of studies on alcohol and drugs · 2024Article
- Associations between structural stigma, drinking to cope, and consequences among sexual minority women as a function of racial and ethnic minority status.Psychology of sexual orientation and gender diversity · 2024Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Background: Sexual and gender minority (SGM) people are more likely than their cisgender, heterosexual counterparts to report negative alcohol-related outcomes. Although the association between individual- and interpersonal-level minority stressors and negative alcohol-related outcomes among SGM people is well-established, structural-level minority stressors are understudied. This systematic review examined structural-level stigma and alcohol-related outcomes among SGM people to inform future research, interventions, and policy. Methods: We used five electronic databases to search for studies published between January 2010 and May 2022 that examined associations between structural stigma and alcohol use among SGM adults in the United States. Peer-reviewed, quantitative studies available in English were included. We conducted quality appraisal using the Joanna Briggs Institute checklist. Results: The final sample included 11 studies. Overall, there was moderate to strong support for a positive association between structural stigma and negative alcohol-related outcomes among SGM people, with differences by gender, sexual identity, race, and ethnicity. All studies used cross-sectional designs, and nearly half utilized non-probability samples. Transgender and nonbinary people, SGM people of color, and sexual identity subgroups beyond gay, lesbian, and heterosexual were underrepresented. Structural stigma was most commonly measured as a state-level index. Alcohol measures were heterogeneous. Multilevel stigma and resiliency factors were understudied. Conclusions: Addressing structural stigma is critical in reducing negative alcohol-related outcomes and inequities among SGM people. Research is needed that includes probability samples, longitudinal designs, and samples that reflect the diversity of SGM people. Future studies should examine the influence of multilevel stigma and resiliency factors on alcohol-related outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.