{"id":"https://openalex.org/W4390664644","doi":"https://doi.org/10.1177/29767342231222246","title":"Distal and Proximal Minority Stressors on Patterns of Tobacco and Cannabis Use Among Young Bisexual Women","display_name":"Distal and Proximal Minority Stressors on Patterns of Tobacco and Cannabis Use Among Young Bisexual Women","publication_year":2024,"publication_date":"2024-01-07","ids":{"openalex":"https://openalex.org/W4390664644","doi":"https://doi.org/10.1177/29767342231222246","pmid":"https://pubmed.ncbi.nlm.nih.gov/38258836","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11209863"},"language":"en","primary_location":{"id":"doi:10.1177/29767342231222246","doi":"https://doi.org/10.1177/29767342231222246","is_oa":false,"landing_page_url":"https://doi.org/10.1177/29767342231222246","pdf_url":null,"source":{"id":"https://openalex.org/S4390573798","display_name":"Substance Use &amp Addiction Journal","issn_l":"2976-7342","issn":["2976-7342","2976-7350"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","medline","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Substance Use & Addiction Journal","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11209863/pdf/nihms-2001283.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5024215619","display_name":"Sarah J. Ehlke","orcid":"https://orcid.org/0000-0001-7288-2418","observed_orcids":["https://orcid.org/0000-0001-7288-2418"]},"institutions":[{"id":"https://openalex.org/I81365321","display_name":"Old Dominion University","ror":"https://ror.org/04zjtrb98","country_code":"US","type":"education","lineage":["https://openalex.org/I81365321"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sarah J. Ehlke","raw_affiliation_strings":["Department of Psychology, Old Dominion University, Norfolk, VA, USA","Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA"],"raw_orcid":"https://orcid.org/0000-0001-7288-2418","affiliations":[{"raw_affiliation_string":"Department of Psychology, Old Dominion University, Norfolk, VA, USA","institution_ids":["https://openalex.org/I81365321"]},{"raw_affiliation_string":"Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093055429","display_name":"Samantha A. Fitzer","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I81365321","display_name":"Old Dominion University","ror":"https://ror.org/04zjtrb98","country_code":"US","type":"education","lineage":["https://openalex.org/I81365321"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Samantha A. Fitzer","raw_affiliation_strings":["Department of Psychology, Old Dominion University, Norfolk, VA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology, Old Dominion University, Norfolk, VA, USA","institution_ids":["https://openalex.org/I81365321"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019898148","display_name":"Amy L. Stamates","orcid":"https://orcid.org/0000-0002-6759-1242","observed_orcids":["https://orcid.org/0000-0002-6759-1242"]},"institutions":[{"id":"https://openalex.org/I17626003","display_name":"University of Rhode Island","ror":"https://ror.org/013ckk937","country_code":"US","type":"education","lineage":["https://openalex.org/I17626003"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amy L. Stamates","raw_affiliation_strings":["Department of Psychology, University of Rhode Island, Kingston, RI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology, University of Rhode Island, Kingston, RI, USA","institution_ids":["https://openalex.org/I17626003"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040974772","display_name":"Michelle L. Kelley","orcid":"https://orcid.org/0000-0003-3643-0419","observed_orcids":["https://orcid.org/0000-0003-3643-0419"]},"institutions":[{"id":"https://openalex.org/I81365321","display_name":"Old Dominion University","ror":"https://ror.org/04zjtrb98","country_code":"US","type":"education","lineage":["https://openalex.org/I81365321"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michelle L. Kelley","raw_affiliation_strings":["Department of Psychology, Old Dominion University, Norfolk, VA, USA","Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology, Old Dominion University, Norfolk, VA, USA","institution_ids":["https://openalex.org/I81365321"]},{"raw_affiliation_string":"Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5024215619"],"corresponding_institution_ids":["https://openalex.org/I81365321"],"apc_list":null,"apc_paid":null,"fwci":1.8913,"has_fulltext":true,"cited_by_count":4,"citation_normalized_percentile":{"value":0.84065661,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"45","issue":"3","first_page":"390","last_page":"396"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10060","display_name":"Smoking Behavior and Cessation","score":0.0035000001080334187,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10043","display_name":"Substance Abuse Treatment and Outcomes","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/bisexual-women","display_name":"bisexual women","score":0.9890000224113464},{"id":"https://openalex.org/keywords/minority-stress","display_name":"minority stress","score":0.8730000257492065},{"id":"https://openalex.org/keywords/tobacco-use","display_name":"tobacco use","score":0.8690000176429749},{"id":"https://openalex.org/keywords/cannabis-use","display_name":"cannabis use","score":1.0},{"id":"https://openalex.org/keywords/substance-co-use","display_name":"substance co-use","score":0.7440000176429749},{"id":"https://openalex.org/keywords/identity-affirmation","display_name":"identity affirmation","score":0.8809999823570251},{"id":"https://openalex.org/keywords/young-adults","display_name":"young adults","score":0.3140000104904175}],"concepts":[{"id":"https://openalex.org/C125370674","wikidata":"https://www.wikidata.org/wiki/Q1527480","display_name":"Stressor","level":2,"score":0.8062174320220947},{"id":"https://openalex.org/C2778973849","wikidata":"https://www.wikidata.org/wiki/Q589656","display_name":"Sexual minority","level":3,"score":0.6088979840278625},{"id":"https://openalex.org/C2777056318","wikidata":"https://www.wikidata.org/wiki/Q79817","display_name":"Cannabis","level":2,"score":0.5710362792015076},{"id":"https://openalex.org/C3019190695","wikidata":"https://www.wikidata.org/wiki/Q7212330","display_name":"Tobacco use","level":3,"score":0.5679567456245422},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4847673773765564},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3874469995498657},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.36377424001693726},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3261144161224365},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.31132644414901733},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.19384849071502686},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.18786942958831787},{"id":"https://openalex.org/C2777997956","wikidata":"https://www.wikidata.org/wiki/Q17888","display_name":"Sexual orientation","level":2,"score":0.1514378786087036},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.06446978449821472},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000072339","descriptor_name":"Sexual and Gender Minorities","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D000072339","descriptor_name":"Sexual and Gender Minorities","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D000074609","descriptor_name":"Marijuana Use","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001727","descriptor_name":"Bisexuality","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D001727","descriptor_name":"Bisexuality","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D064424","descriptor_name":"Tobacco Use","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1177/29767342231222246","doi":"https://doi.org/10.1177/29767342231222246","is_oa":false,"landing_page_url":"https://doi.org/10.1177/29767342231222246","pdf_url":null,"source":{"id":"https://openalex.org/S4390573798","display_name":"Substance Use &amp Addiction Journal","issn_l":"2976-7342","issn":["2976-7342","2976-7350"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","medline","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Substance Use & Addiction Journal","raw_type":"journal-article"},{"id":"pmid:38258836","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38258836","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Substance use & addiction journal","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11209863","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11209863","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11209863/pdf/nihms-2001283.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Subst Use Addctn J","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:11209863","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11209863","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11209863/pdf/nihms-2001283.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Subst Use Addctn J","raw_type":"Text"},"sustainable_development_goals":[{"score":0.9391000270843506,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.7578999996185303,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"},{"score":0.6025999784469604,"id":"https://metadata.un.org/sdg/5","display_name":"Gender equality"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G9000907975","display_name":"ADHD and Alcohol Use: A Longitudinal Examination of Dual Processes","funder_award_id":"K01AA029399","funder_id":"https://openalex.org/F4320337330","funder_display_name":"National Institute on Alcohol Abuse and Alcoholism"}],"funders":[{"id":"https://openalex.org/F4320311672","display_name":"Old Dominion University","ror":"https://ror.org/04zjtrb98"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337330","display_name":"National Institute on Alcohol Abuse and Alcoholism","ror":"https://ror.org/02jzrsm59"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4390664644.pdf","grobid_xml":"https://content.openalex.org/works/W4390664644.grobid-xml"},"referenced_works_count":30,"referenced_works":["https://openalex.org/W1774960348","https://openalex.org/W2006351946","https://openalex.org/W2009123353","https://openalex.org/W2029248756","https://openalex.org/W2124065840","https://openalex.org/W2125568653","https://openalex.org/W2326340181","https://openalex.org/W2552933076","https://openalex.org/W2778673806","https://openalex.org/W2795747486","https://openalex.org/W2899556357","https://openalex.org/W2903026708","https://openalex.org/W2905770099","https://openalex.org/W2908025961","https://openalex.org/W2963924054","https://openalex.org/W2969492202","https://openalex.org/W2981973901","https://openalex.org/W2991445545","https://openalex.org/W3002453098","https://openalex.org/W3016025111","https://openalex.org/W3088612850","https://openalex.org/W3099825984","https://openalex.org/W3158131716","https://openalex.org/W3196585361","https://openalex.org/W4205729050","https://openalex.org/W4206867688","https://openalex.org/W4225700042","https://openalex.org/W4294885015","https://openalex.org/W4306407874","https://openalex.org/W4308262301"],"related_works":["https://openalex.org/W4404654853","https://openalex.org/W6898800594","https://openalex.org/W4405740593","https://openalex.org/W4415233929","https://openalex.org/W4306407874","https://openalex.org/W4391289283","https://openalex.org/W7058368157","https://openalex.org/W3168780654","https://openalex.org/W2991445545","https://openalex.org/W2135049311"],"abstract_inverted_index":{"BACKGROUND:":[0],"Bisexual":[1,204],"women":[2,111,177,205],"have":[3,14,38,206],"high":[4,208],"rates":[5,209],"of":[6,24,59,67,70,74,85,125,137,158,182,210,226,236,243],"tobacco":[7,60,118,142,149,163,195,214],"and":[8,61,64,77,82,91,119,122,127,148,150,164,196,215,230],"cannabis":[9,62,120,145,151,165,197,216],"use,":[10,63,141,212],"but":[11],"few":[12],"studies":[13,37],"examined":[15,39,57],"co-use":[16,166,217],"behavior":[17],"in":[18,194],"this":[19],"population.":[20],"Although":[21],"the":[22,65,219,224,234],"role":[23,66,225],"distal":[25,68,126],"minority":[26,41,95,130,186,228],"stressors":[27,42,96],"(eg,":[28,43],"discrimination)":[29],"on":[30,114],"substance":[31,211,244],"use":[32,121,143,146,161,245],"has":[33],"been":[34],"examined,":[35],"fewer":[36],"proximal":[40,83,128,185,227],"negative":[44],"sexual":[45,72],"identity":[46,92],"self-schemas).":[47],"The":[48,154],"current":[49],"study":[50],"was":[51,162],"a":[52,170,184],"secondary":[53],"data":[54],"analysis":[55],"that":[56,175],"patterns":[58],"(instability":[69],"bisexuality,":[71,86,183,237],"irresponsibility":[73],"bisexual":[75,80,98,110,176,248],"people,":[76],"hostility":[78],"toward":[79],"people)":[81],"(illegitimacy":[84],"anticipated":[87],"binegativity,":[88,90],"internalized":[89],"affirmation)":[93],"bisexual-specific":[94,129],"among":[97],"women.":[99,249],"METHODS:":[100],"Participants":[101,132],"were":[102,133,188],"224":[103],"young":[104],"(aged":[105],"18-30":[106],"years":[107],"old)":[108],"self-identified":[109],"who":[112,178],"reported":[113,179],"their":[115],"past":[116,159],"30-day":[117,160],"completed":[123],"measures":[124],"stressors.":[131],"categorized":[134],"into":[135],"one":[136],"4":[138],"patterns:":[139],"no":[140,201],"only,":[144,147],"co-use.":[152],"RESULTS:":[153],"most":[155,220],"common":[156,221],"pattern":[157],"(39.1%).":[167],"Results":[168],"from":[169],"multinomial":[171],"logistic":[172],"regression":[173],"revealed":[174],"higher":[180],"illegitimacy":[181],"stressor,":[187],"significantly":[189],"more":[190],"likely":[191],"to":[192,200],"engage":[193],"co-use,":[198],"relative":[199],"use.":[202],"DISCUSSION:":[203],"particularly":[207],"with":[213],"as":[218],"pattern.":[222],"Incorporating":[223],"stressors,":[229],"specifically,":[231],"beliefs":[232],"about":[233],"legitimacy":[235],"may":[238],"be":[239],"an":[240],"important":[241],"target":[242],"interventions":[246],"for":[247]},"counts_by_year":[{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2024-01-13T00:00:00"}