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The Association between Hazardous Drinking Indicators and Drinking Problem Concerns among Sexual Minority Women
Margaret M Paschen-Wolff1,2, Jennifer M Putney3, Thomas Corbeil4
1Division on Substance Use Disorders, New York State Psychiatric Institute, New York, NY, USA.
Annals of LGBTQ Public and Population Health
|November 3, 2023
Summary
Sexual minority women (SMW) show high rates of hazardous drinking (HD). The number of HD indicators, not individual ones, best predicted drinking problem concerns in this group.
Area of Science:
- Public Health
- Psychology
- Sociology
Background:
- Sexual minority women (SMW) exhibit elevated hazardous drinking (HD) rates.
- Treatment seeking among SMW often does not align with their needs.
- Perceived severity of alcohol use is frequently underestimated by SMW.
Purpose of the Study:
- To investigate drinking problem concerns among SMW.
- To analyze concerns based on sexual identity and demographics.
- To determine the association between HD indicators and drinking problem concerns.
Main Methods:
- Utilized data from a supplemental sample of SMW in the Chicago Health and Life Experiences of Women (CHLEW) study.
- Employed a validated 13-item Hazardous Drinking Index (HDI) for measurement.
- Applied multivariable logistic regression to analyze past-five-year drinking problem concerns and HD indicators.
Main Results:
- Twelve specific HD indicators were significantly linked to drinking problem concerns.
- Odds ratios ranged from 2.44 for drunk driving to 15.52 for morning drinking.
- The total number of endorsed HD indicators, rather than individual indicators, emerged as a stronger predictor of concerns.
Conclusions:
- The quantity of hazardous drinking indicators is more predictive of drinking problem concerns than specific indicators.
- Early intervention and harm reduction are crucial for SMW.
- Addressing HD indicators can prevent progression to alcohol use disorder in SMW.
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