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Alcohol interventions for LGBTQ+ adults: A systematic review
Elena D Dimova1, Lawrie Elliott1, Jamie Frankis1
1Glasgow Caledonian University, Glasgow, UK.
Drug and Alcohol Review
|August 1, 2021
Summary
This review found that alcohol interventions for gender and sexual minority populations are more effective when theoretically informed and tailored. More research is needed for sexual minority women and trans* individuals.
Area of Science:
- Public Health
- Psychology
- Sociology
Background:
- Gender and sexual minority (LGBTQ+) populations exhibit higher rates of excessive alcohol consumption compared to heterosexual and cisgender individuals.
- Existing reviews often focus on specific LGBTQ+ subgroups, lacking theoretical grounding and tailored intervention strategies.
Purpose of the Study:
- To systematically review the effectiveness of alcohol interventions for LGBTQ+ populations.
- To identify theoretical underpinnings and tailoring strategies in existing alcohol interventions for diverse gender and sexual minorities.
Main Methods:
- Systematic review following PRISMA guidelines.
- Quality assessment using the Effective Public Health Practice Project (EPHPP) tool.
- Inclusion of 25 published studies on alcohol interventions for LGBTQ+ people.
Main Results:
- The majority of studies (20/25) focused on men who have sex with men; few included sexual minority women (2/25) or trans* individuals (3/25).
- Motivational Interviewing and Cognitive Behavioural Therapy were common intervention approaches.
- Nineteen of the 25 studies reported a significant reduction in alcohol consumption.
Conclusions:
- Effective alcohol interventions for LGBTQ+ individuals require theoretical grounding and adaptation to specific subgroups.
- There is a need for interventions specifically targeting sexual minority women and trans* populations.
- Findings inform professionals on tailoring interventions based on the centrality of gender and/or sexuality to alcohol use.
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