Discrimination and sleep disturbance: how is substance use a mediator for sexual minority men?

IF 0.8 Q4 SOCIAL WORK Journal of Social Work Practice in the Addictions Pub Date : 2022-12-19 DOI:10.1080/1533256X.2022.2159644

J. Gibbs

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Abstract

ABSTRACT Discrimination plays a role in sleep disturbance for sexual minority men (SMM). Coping with discrimination through substance use may impact this relationship. Therefore, the current study aims to understand how substance use may mediate the relationship between microaggressions and sleep. In 2020, 239 SMM were recruited for an online survey. Participants responded to items about sleep disturbance, sexual orientation microaggressions, and recent substance use. Multivariate regressions investigated the association of microaggressions with sleep disturbance, and if substance use mediates this relationship. Microaggressions were associated with both sleep disturbance and substance use. The final model was significant and a Sobel test indicated that substance use partially mediates the relationship between microaggressions and sleep disturbance. These findings build evidence that increased substance use due to discrimination is contributing to increased sleep disturbance. Social workers should prioritize assessing experiences of discrimination to identify risk for substance use and sleep disturbance.

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歧视和睡眠障碍:物质使用如何成为性少数男性的中介?

性别歧视在性少数男性(SMM)睡眠障碍中起着重要作用。通过使用药物来应对歧视可能会影响这种关系。因此，目前的研究旨在了解物质使用如何介导微侵犯和睡眠之间的关系。2020年，239名中小企业主参与了一项在线调查。参与者回答了有关睡眠障碍、性取向、微侵犯和近期药物使用的问题。多变量回归研究了微侵犯与睡眠障碍的关系，以及物质使用是否介导了这种关系。微侵犯与睡眠障碍和物质使用有关。最后的模型是显著的，Sobel检验表明物质使用部分介导了微攻击和睡眠障碍之间的关系。这些发现为歧视导致的药物使用增加导致睡眠障碍增加提供了证据。社会工作者应优先评估歧视经历，以确定物质使用和睡眠障碍的风险。

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来源期刊

Journal of Social Work Practice in the Addictions SOCIAL WORK-

CiteScore

1.50

自引率

12.50%

发文量

期刊介绍： The Journal of Social Work Practice in the Addictions is designed to help social work practitioners stay abreast of the latest developments in the field of addictions. This journal publishes refereed articles on innovative individual, family, group work, and community practice models for treating and preventing substance abuse and other addictions in diverse populations. The journal focuses on research findings, health care, social policies, and program administration directly affecting social work practice in the addictions. The Journal of Social Work Practice in the Addictions has several regular features of interest to social workers in the field of addictions.