{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Scheer JR"],"funding":["Yale University Women’s Faculty Forum Seed Grant and Yale University’s","NCATS NIH HHS","Yale University Women's Faculty Forum Seed Grant and Yale University's","NIDA NIH HHS","NIAAA NIH HHS","National Institutes of Health","NIGMS NIH HHS","NIH HHS"],"pagination":["832-844"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC11568352"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["58(12)"],"pubmed_abstract":["<h4>Background and purpose</h4>This study aimed to develop and test a novel model integrating social-learning and self-medication frameworks by examining the association between self-efficacy to resist alcohol and other drug (AOD) use and daily AOD use and unhealthy drinking risk among trauma-exposed sexual minority women (SMW) and transgender and gender-diverse (TGD) people. We examined whether minority stressors moderated these associations.<h4>Methods</h4>Data were from 57 trauma-exposed SMW and TGD people who participated in a 14-day daily diary study. Multilevel binary logistic models and ordinal logistic models were employed to examine associations between self-efficacy to resist AOD use and daily AOD use and unhealthy drinking risk at within- and between-person levels. We assessed same- and cross-level interactions between daily self-efficacy to resist AOD use and minority stressors in predicting AOD use and unhealthy drinking risk within the same 24-hour period (i.e., standardized as 6 pm to 6 pm; hereafter referred to as \"same-day\").<h4>Results</h4>Self-efficacy to resist AOD use was associated with lower AOD use and unhealthy drinking risk. Minority stressors were associated with daily AOD use. Among those who experienced higher (vs. lower) average sexual minority stressors over the 2-week daily diary period, higher-than-usual self-efficacy to resist AOD use was less protective in decreasing risk of same-day unhealthy drinking.<h4>Conclusions</h4>Interventions aiming to mitigate AOD use and unhealthy drinking risk by bolstering self-efficacy to resist AOD use should consider the impact of recent cumulative exposure to sexual minority stressors in this population. Further, policy efforts are needed to reduce perpetuation of stigma."],"journal":["Annals of behavioral medicine : a publication of the Society of Behavioral Medicine"],"pubmed_title":["Examining Daily Self-Efficacy, Minority Stressors, and Alcohol and Other Drug Use Among Trauma-Exposed Sexual Minority Women and Transgender and Gender-Diverse People."],"pmcid":["PMC11568352"],"funding_grant_id":["K23 DA043418","F31 AA031428","R25 GM061222","K01 AA028239","R01 AA029989","UL1 TR001863","T32 DA016184","R01 DA057298"],"pubmed_authors":["Helminen EC","Dobani F","Mereish EH","Cascalheira CJ","Scheer JR","Sullivan TP","Behari K","Batchelder AW","Pirog S","Jackson SD","Gilmore AK"],"additional_accession":[]},"is_claimable":false,"name":"Examining Daily Self-Efficacy, Minority Stressors, and Alcohol and Other Drug Use Among Trauma-Exposed Sexual Minority Women and Transgender and Gender-Diverse People.","description":"<h4>Background and purpose</h4>This study aimed to develop and test a novel model integrating social-learning and self-medication frameworks by examining the association between self-efficacy to resist alcohol and other drug (AOD) use and daily AOD use and unhealthy drinking risk among trauma-exposed sexual minority women (SMW) and transgender and gender-diverse (TGD) people. We examined whether minority stressors moderated these associations.<h4>Methods</h4>Data were from 57 trauma-exposed SMW and TGD people who participated in a 14-day daily diary study. Multilevel binary logistic models and ordinal logistic models were employed to examine associations between self-efficacy to resist AOD use and daily AOD use and unhealthy drinking risk at within- and between-person levels. We assessed same- and cross-level interactions between daily self-efficacy to resist AOD use and minority stressors in predicting AOD use and unhealthy drinking risk within the same 24-hour period (i.e., standardized as 6 pm to 6 pm; hereafter referred to as \"same-day\").<h4>Results</h4>Self-efficacy to resist AOD use was associated with lower AOD use and unhealthy drinking risk. Minority stressors were associated with daily AOD use. Among those who experienced higher (vs. lower) average sexual minority stressors over the 2-week daily diary period, higher-than-usual self-efficacy to resist AOD use was less protective in decreasing risk of same-day unhealthy drinking.<h4>Conclusions</h4>Interventions aiming to mitigate AOD use and unhealthy drinking risk by bolstering self-efficacy to resist AOD use should consider the impact of recent cumulative exposure to sexual minority stressors in this population. Further, policy efforts are needed to reduce perpetuation of stigma.","dates":{"release":"2024-01-01T00:00:00Z","publication":"2024 Nov","modification":"2026-06-04T10:10:14.641Z","creation":"2026-05-08T03:10:12.039Z"},"accession":"S-EPMC11568352","cross_references":{"pubmed":["39402938"],"doi":["10.1093/abm/kaae065"]}}