Minority Stress and the Development of Problem Alcohol Use Among Sexual Minority Youth: A Scoping Review Synthesizing Multidisciplinary Mechanisms of Risk.

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Title: Minority Stress and the Development of Problem Alcohol Use Among Sexual Minority Youth: A Scoping Review Synthesizing Multidisciplinary Mechanisms of Risk.
Authors: McCabe, Connor J.1 cmccabe@uw.edu
Source: Journal of Child & Adolescent Substance Use. Mar/Apr2025, Vol. 30 Issue 2, p35-51. 17p.
Subject Terms: *Developmental psychology, *Adolescence, Alcoholism risk factors, Risk assessment, Research funding, Psychology of LGBTQ+ people, Minority stress, Systematic reviews, Alcohol-induced disorders, Pathological psychology
Abstract: Beginning in adolescence, lesbian, gay, and bisexual (LGB) individuals exhibit higher levels of problem alcohol use relative to heterosexual populations. Based in minority stress theory, psychological mediation frameworks of LGB psychopathology typically serve as explanatory models of these disparities, suggesting that LGB identity-related stressors lead to social and affect-related mechanisms that proximally influence alcohol use disorder risk. While stress and its psychological consequences are considered universal risk factors, minority stress research has yet to be synthesized with theory and evidence from general adolescent studies of alcohol use. This is needed to translate and refine minority stress theory to the developmental context of emerging use, and to determine plausible targets for prevention and early intervention of alcohol-related health risk. Here, I compare theories from LGB and general youth populations articulating psychological mechanisms linking stress with the development of problem drinking behaviors. I then review studies examining these mechanisms in the prediction of LGB alcohol behaviors in youth. Finally, incorporating multidisciplinary findings, I highlight understudied areas of inquiry in a developmental pathway model of sexual minority alcohol use and disorder that may guide future alcohol research involving LGB youth. This review demonstrated that while studies have focused primarily on negative affect-based mechanisms of alcohol risk, few have examined stress-related changes in positive affect, social contexts, and interactions among these pathways. Studies addressing a confluence of these mechanisms of risk over time are critically needed to better inform etiology, prevention, and intervention of problem alcohol use among younger LGB populations. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Child & Adolescent Substance Use is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Minority Stress and the Development of Problem Alcohol Use Among Sexual Minority Youth: A Scoping Review Synthesizing Multidisciplinary Mechanisms of Risk.
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  Data: <searchLink fieldCode="AR" term="%22McCabe%2C+Connor+J%2E%22">McCabe, Connor J.</searchLink><relatesTo>1</relatesTo><i> cmccabe@uw.edu</i>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Child+%26+Adolescent+Substance+Use%22">Journal of Child & Adolescent Substance Use</searchLink>. Mar/Apr2025, Vol. 30 Issue 2, p35-51. 17p.
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  Data: *<searchLink fieldCode="DE" term="%22Developmental+psychology%22">Developmental psychology</searchLink><br />*<searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Alcoholism+risk+factors%22">Alcoholism risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+LGBTQ%2B+people%22">Psychology of LGBTQ+ people</searchLink><br /><searchLink fieldCode="DE" term="%22Minority+stress%22">Minority stress</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Alcohol-induced+disorders%22">Alcohol-induced disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Pathological+psychology%22">Pathological psychology</searchLink>
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  Label: Abstract
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  Data: Beginning in adolescence, lesbian, gay, and bisexual (LGB) individuals exhibit higher levels of problem alcohol use relative to heterosexual populations. Based in minority stress theory, psychological mediation frameworks of LGB psychopathology typically serve as explanatory models of these disparities, suggesting that LGB identity-related stressors lead to social and affect-related mechanisms that proximally influence alcohol use disorder risk. While stress and its psychological consequences are considered universal risk factors, minority stress research has yet to be synthesized with theory and evidence from general adolescent studies of alcohol use. This is needed to translate and refine minority stress theory to the developmental context of emerging use, and to determine plausible targets for prevention and early intervention of alcohol-related health risk. Here, I compare theories from LGB and general youth populations articulating psychological mechanisms linking stress with the development of problem drinking behaviors. I then review studies examining these mechanisms in the prediction of LGB alcohol behaviors in youth. Finally, incorporating multidisciplinary findings, I highlight understudied areas of inquiry in a developmental pathway model of sexual minority alcohol use and disorder that may guide future alcohol research involving LGB youth. This review demonstrated that while studies have focused primarily on negative affect-based mechanisms of alcohol risk, few have examined stress-related changes in positive affect, social contexts, and interactions among these pathways. Studies addressing a confluence of these mechanisms of risk over time are critically needed to better inform etiology, prevention, and intervention of problem alcohol use among younger LGB populations. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Child & Adolescent Substance Use is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/1067828X.2024.2445566
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      – Code: eng
        Text: English
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      – SubjectFull: Developmental psychology
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Alcoholism risk factors
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Psychology of LGBTQ+ people
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      – SubjectFull: Minority stress
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: Alcohol-induced disorders
        Type: general
      – SubjectFull: Pathological psychology
        Type: general
    Titles:
      – TitleFull: Minority Stress and the Development of Problem Alcohol Use Among Sexual Minority Youth: A Scoping Review Synthesizing Multidisciplinary Mechanisms of Risk.
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              M: 03
              Text: Mar/Apr2025
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              Y: 2025
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