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.
Authors
- Shan Qiao (ORCID: https://orcid.org/0000-0003-1834-1834)
- Wonkyung Chang (ORCID: https://orcid.org/0009-0005-4900-7734)
- Chen Zhang (ORCID: https://orcid.org/0000-0002-8771-561X)
- Yu Liu (ORCID: https://orcid.org/0000-0002-1402-0737)
Institutions
- University of South Carolina (US)
- University of Rochester Medical Center (US)
- University of Rochester (US)
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
Funders
- University of Rochester
- Hillman Foundation
- Rita and Alex Hillman Foundation