Citation

Liautaud MM, Rendina HJ, Berke DS. Psychol. Trauma 2023; ePub(ePub): ePub.

Copyright

(Copyright © 2023, American Psychological Association)

DOI

10.1037/tra0001577

PMID

37668576

Abstract

OBJECTIVE: Identity-based stress and trauma are key drivers of alcohol use-related health inequities among minoritized people. Research on intersectional experiences of identity-based stress and alcohol use among trauma-exposed minoritized people is scant. This pilot study used a 30-day diary design to examine the effect of identity-based discrimination exposure on alcohol use in a racially diverse sample of trauma-exposed sexual minoritized (SM) adults (N = 47; 63.8% cisgender female; 65.2% Black, Indigenous, and People of Color [BIPOC]).

METHOD: Multilevel logistic regression models were used to evaluate whether days marked by any (vs. no) identity-based discrimination were concurrently or prospectively associated with increased likelihood of reporting a higher (vs. lower) level of drinking-and whether these associations differed by race/ethnicity.

RESULTS: Discrimination was associated with increased likelihood of reporting a higher level of same-day drinking (B = 0.91, p =.03), but did not predict next-day drinking. BIPOC (vs. White) individuals were less likely to report a higher drinking level on or following nondiscrimination days (Bs = -2.18 to -1.52, ps ≤.005), but more likely to do so on or following discrimination days (Bs = 1.13-1.60, ps ≤.03).

CONCLUSIONS: Results suggest that everyday discrimination may create insidious risk for coping-motivated alcohol use among SM BIPOC, a subgroup that otherwise exhibits resilience with respect to drinking. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Language: en