A Scoping Review of Alcohol, Tobacco, and Other Drug Use Treatment Interventions for Sexual and Gender Minority Populations

Overview

Journal J Subst Abuse Treat

Specialty Psychiatry

Date 2021 Jun 27

PMID 34175174

Citations 25

Authors

Jeremy D Kidd

Margaret M Paschen-Wolff

Amy A Mericle

Billy A Caceres

Laurie A Drabble

Tonda L Hughes

Affiliations

Soon will be listed here.

Abstract

Background: Alcohol, tobacco, and other drug use are among the most prevalent and important health disparities affecting sexual and gender minority (SGM; e.g., lesbian, gay, bisexual, transgender) populations. Although numerous government agencies and health experts have called for substance use intervention studies to address these disparities, such studies continue to be relatively rare.

Method: We conducted a scoping review of prevention and drug treatment intervention studies for alcohol, tobacco, and other drug use that were conducted with SGM adults. We searched three databases to identify pertinent English-language, peer-reviewed articles published between 1985 and 2019.

Results: Our search yielded 71 articles. The majority focused on sexual minority men and studied individual or group psychotherapies for alcohol, tobacco, or methamphetamine use.

Conclusion: Our findings highlight the need for intervention research focused on sexual minority women and gender minority individuals and on cannabis and opioid use. There is also a need for more research that evaluates dyadic, population-level, and medication interventions.

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References

Morgenstern J, Bux Jr D, Parsons J, Hagman B, Wainberg M, Irwin T . Randomized trial to reduce club drug use and HIV risk behaviors among men who have sex with men. J Consult Clin Psychol. 2009; 77(4):645-56. PMC: 2758623. DOI: 10.1037/a0015588. View

Millar B, Wang K, Pachankis J . The moderating role of internalized homonegativity on the efficacy of LGB-affirmative psychotherapy: Results from a randomized controlled trial with young adult gay and bisexual men. J Consult Clin Psychol. 2016; 84(7):565-70. PMC: 4919208. DOI: 10.1037/ccp0000113. View

Lombardi E . Substance use treatment experiences of transgender/transsexual men and women. J LGBT Health Res. 2009; 3(2):37-47. DOI: 10.1300/J463v03n02_05. View

Carrico A, Gomez W, Siever M, Discepola M, Dilworth S, Moskowitz J . Pilot randomized controlled trial of an integrative intervention with methamphetamine-using men who have sex with men. Arch Sex Behav. 2015; 44(7):1861-7. PMC: 4560962. DOI: 10.1007/s10508-015-0505-5. View

Lee J, Matthews A, McCullen C, Melvin C . Promotion of tobacco use cessation for lesbian, gay, bisexual, and transgender people: a systematic review. Am J Prev Med. 2014; 47(6):823-31. PMC: 4255587. DOI: 10.1016/j.amepre.2014.07.051. View

Smith N, Hart T, Kidwai A, Vernon J, Blais M, Adam B . Results of a Pilot Study to Ameliorate Psychological and Behavioral Outcomes of Minority Stress Among Young Gay and Bisexual Men. Behav Ther. 2017; 48(5):664-677. DOI: 10.1016/j.beth.2017.03.005. View

Schuler M, Dick A, Stein B . Sexual minority disparities in opioid misuse, perceived heroin risk and heroin access among a national sample of US adults. Drug Alcohol Depend. 2019; 201:78-84. PMC: 6612451. DOI: 10.1016/j.drugalcdep.2019.04.014. View

Roberts B . HIV antibody testing methods: 1985-1988. J Insur Med. 1995; 26(1):13-4. View

Philbin M, Mauro P, Greene E, Martins S . State-level marijuana policies and marijuana use and marijuana use disorder among a nationally representative sample of adults in the United States, 2015-2017: Sexual identity and gender matter. Drug Alcohol Depend. 2019; 204:107506. PMC: 6878202. DOI: 10.1016/j.drugalcdep.2019.06.009. View

10.

Restar A, Jin H, Ogunbajo A, Goedel W, Millett G, Sherwood J . Prevalence and Risk Factors of Nonmedical Prescription Opioid Use Among Transgender Girls and Young Women. JAMA Netw Open. 2020; 3(3):e201015. PMC: 7076341. DOI: 10.1001/jamanetworkopen.2020.1015. View

11.

McCabe S, Hughes T, West B, Veliz P, Boyd C . DSM-5 Alcohol Use Disorder Severity as a Function of Sexual Orientation Discrimination: A National Study. Alcohol Clin Exp Res. 2019; 43(3):497-508. PMC: 6397073. DOI: 10.1111/acer.13960. View

12.

Lyons T, Shannon K, Pierre L, Small W, Krusi A, Kerr T . A qualitative study of transgender individuals' experiences in residential addiction treatment settings: stigma and inclusivity. Subst Abuse Treat Prev Policy. 2015; 10:17. PMC: 4432520. DOI: 10.1186/s13011-015-0015-4. View

13.

Berger I, Mooney-Somers J . Smoking Cessation Programs for Lesbian, Gay, Bisexual, Transgender, and Intersex People: A Content-Based Systematic Review. Nicotine Tob Res. 2016; 19(12):1408-1417. DOI: 10.1093/ntr/ntw216. View

14.

Paul J, Barrett D, Crosby G, Stall R . Longitudinal changes in alcohol and drug use among men seen at a gay-specific substance abuse treatment agency. J Stud Alcohol. 1996; 57(5):475-85. DOI: 10.15288/jsa.1996.57.475. View

15.

Shoptaw S, Reback C, Larkins S, Wang P, Rotheram-Fuller E, Dang J . Outcomes using two tailored behavioral treatments for substance abuse in urban gay and bisexual men. J Subst Abuse Treat. 2008; 35(3):285-93. DOI: 10.1016/j.jsat.2007.11.004. View

16.

Mullens A, Fischer J, Stewart M, Kenny K, Garvey S, Debattista J . Comparison of Government and Non-Government Alcohol and Other Drug (AOD) Treatment Service Delivery for the Lesbian, Gay, Bisexual, and Transgender (LGBT) Community. Subst Use Misuse. 2017; 52(8):1027-1038. DOI: 10.1080/10826084.2016.1271430. View

17.

Darrow W, Biersteker S . Short-term impact evaluation of a social marketing campaign to prevent syphilis among men who have sex with men. Am J Public Health. 2008; 98(2):337-43. PMC: 2376895. DOI: 10.2105/AJPH.2006.109413. View

18.

Cochran B, Peavy K, Robohm J . Do specialized services exist for LGBT individuals seeking treatment for substance misuse? A study of available treatment programs. Subst Use Misuse. 2007; 42(1):161-76. DOI: 10.1080/10826080601094207. View

19.

Vogel E, Thrul J, Humfleet G, Delucchi K, Ramo D . Smoking cessation intervention trial outcomes for sexual and gender minority young adults. Health Psychol. 2018; 38(1):12-20. PMC: 6415665. DOI: 10.1037/hea0000698. View

20.

Meyer I . Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003; 129(5):674-697. PMC: 2072932. DOI: 10.1037/0033-2909.129.5.674. View