Intersectional associations between minority stressors, resilience and substance misuse in the United States sexual minority populations: a cross-sectional MAIHDA analysis of the generation study

While minority stressors and resilience factors are salient predictors of substance use among SMPs, their effects are consistent across diverse intersectional identities. The application of MAIHDA demonstrates that substance use disparities are better explained by the main effects of demographics and psychosocial experiences than by the unique combination of identities. This highlights the importance of universal interventions in reducing discrimination and enhancing resilience across the entire SMP population.

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Publication Details

Journal
BMJ Open
Published
2025-10-01
DOI
https://doi.org/10.1136/bmjopen-2025-099457
Primary Topic
LGBTQ Health, Identity, and Policy
Type
article
Field-Weighted Citation Impact
0.00

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article

Intersectional associations between minority stressors, resilience and substance misuse in the United States sexual minority populations: a cross-sectional MAIHDA analysis of the generation study

Shan Qiao, Wonkyung Chang, Chen Zhang, Yu Liu
BMJ Open
LGBTQ Health, Identity, and Policy
article

Intersectional associations between minority stressors, resilience and substance misuse in the United States sexual minority populations: a cross-sectional MAIHDA analysis of the generation study

Shan Qiao, Wonkyung Chang, Chen Zhang, Yu Liu
article en

Abstract

While minority stressors and resilience factors are salient predictors of substance use among SMPs, their effects are consistent across diverse intersectional identities. The application of MAIHDA demonstrates that substance use disparities are better explained by the main effects of demographics and psychosocial experiences than by the unique combination of identities. This highlights the importance of universal interventions in reducing discrimination and enhancing resilience across the entire SMP population.

BMJ OpenVol. 15(10)
University of South Carolina (US), University of Rochester Medical Center (US), University of Rochester (US)
University of Rochester, Hillman Foundation, Rita and Alex Hillman Foundation
Openalex Percentile: Top 64%
LGBTQ Health, Identity, and Policy
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Intersectional associations between minority stressors, resilience and substance misuse in the United States sexual minority populations: a cross-sectional MAIHDA analysis of the generation study — Shan Qiao, Wonkyung Chang, et al. · BMJ Open (2025) | TGRS Research Map | TGRS