Gender Identity, Minority Stress, and Substance Use Among Lesbians
This study explored three research questions. The first asked if there were a relationship between lesbian gender identity and lifetime illicit substance use and alcohol dependence symptoms. Logistic regression models were used to test models predicting lifetime illicit substance use and lifetime alcohol dependence symptoms. Multiple regression was used to test models predicting heterosexist events and internalized homophobia and past-year illicit substance use and alcohol dependence symptoms. Results of the logistic regression analysis indicate that women who described themselves as butch were significantly less likely than women who described themselves as androgynous to report lifetime use of stimulants and club drugs while women who described themselves as femme were significantly more likely than women who described themselves as androgynous to report lifetime use of cocaine. Results of the multiple regression analysis indicated that gender identity was not significantly related to heterosexist events or internalized homophobia. However, heterosexist events was significantly related to past-year illicit substance use and alcohol dependence symptoms, and internalized homophobia was significantly related to past-year alcohol dependence symptoms. Limitations of the study and implications for future research are discussed.
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Data and Methods
Research Questions Hypotheses and Analyses
Crosstabulations of Demographic Variables and Gender Identity
00 CO CN 00 to OJ 30 and younger 51 and older ADJUSTED ODDS RATIOS alcohol dependence symptoms analysis Androgynous identity androgynous women butch and femme butch identity butch women CHLEW respondents club drugs CN 00 CO CN oo CO CN 00 cocaine or crack compared to women correlated with lifetime dependent variable events and internalized explained variance Femme identity femme women GENDER IDENTITY Androgynous hallucinogens hashish heterosexist events identity and minority injection drugs internalized homophobia scale last 12 months lesbian communities lesbians lifetime illicit substance logistic regression lower likelihood minority stress missing values negatively correlated NSDUH respondents OJ oo OLS regression models oo CO CN oo to OJ past-year alcohol dependence past-year illicit drug past-year illicit substance RATIOS FOR LIFETIME related to past-year relationship between gender report experiencing report lifetime respondents who reported significant predictor significantly related transgender transsexuals White women women who describe women who identified