ArticlePsychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors2025
When and for whom is enacted stigma associated with alcohol and cannabis use at the event level among sexual and gender minority older adults?
Article in Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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Who cites it
1 citing paper in PubMed.
- Affect, Motives for Cannabis Use, Duration of Intoxication, and Cannabis Consequences: Cannabis Use Problem Severity as a Potential Moderator.Journal of studies on alcohol and drugs · 2026Article
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Authors and funding
4 authors.
Funding
Abstract
objectiveSexual and gender minorities (SGM) are at elevated risk for alcohol and cannabis use disorders compared to cisgender, heterosexual individuals. This has been attributed to the unique stressors that SGM experience (SGM stress); however, recent studies have found mixed evidence for a link between SGM stress and substance use. The present study tests an integrated theoretical model derived from minority stress theory and the multistage model of substance use to explain these mixed findings.
methodWe used data from a 30-day ecological momentary assessment study of substance use among 109 SGM older adults (50+) to examine whether event-level associations between enacted stigma and alcohol and cannabis use, quantity consumed, and consequences are dependent on an individual's typical pattern of substance use (e.g., frequency, coping motives, and substance use disorder symptoms).
resultsFindings indicate that, at the event level, enacted stigma was associated with increased likelihood of alcohol use among those who had a probable alcohol use disorder. Further, SGM with more alcohol use disorder/cannabis use disorder symptoms and who used alcohol to cope were more likely to engage in heavier cannabis use and experienced more alcohol consequences when they experienced enacted stigma. However, several other moderations were not significant, contrary to hypotheses.
conclusionsFindings provide partial support for an integrated theoretical model incorporating minority stress theory and the multistage model of substance use. Findings suggest that alcohol and cannabis use disorder interventions for SGM would benefit from addressing minority stress. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
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