{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T15:08:01Z","timestamp":1775747281404,"version":"3.50.1"},"reference-count":82,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,3,22]],"date-time":"2022-03-22T00:00:00Z","timestamp":1647907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["K01AA028239"],"award-info":[{"award-number":["K01AA028239"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["K23AA028296"],"award-info":[{"award-number":["K23AA028296"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["R01AA013328\u201015"],"award-info":[{"award-number":["R01AA013328\u201015"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K23DA043418"],"award-info":[{"award-number":["K23DA043418"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcoholism Clin &amp;amp; Exp Res"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Sexual minority women (SMW) report higher rates of heavy episodic drinking (HED) and adverse alcohol\u2010related outcomes, including poor mental health, than heterosexual women. These disparities indicate a greater need for behavioral and mental health treatment for SMW. This study examined associations among alcohol outcomes, behavioral and mental health help\u2010seeking, and treatment satisfaction among SMW by age, sexual identity, race\/ethnicity, and income.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants included a community sample of 695 SMW (<jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub>\u00a0=\u00a040.0, SD\u00a0=\u00a014.1; 74.1% lesbian, 25.9% bisexual; 37.6% White, 35.8% Black, 23.2% Latinx; 26.3% annual income $14,999 or less). We used bivariate analyses to characterize the sample's demographic characteristics and multivariable logistic regression analyses to examine associations among variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>SMW subgroups based on age, race\/ethnicity, and annual income differed in alcohol outcomes (i.e., HED,<jats:italic>DSM<\/jats:italic>\u2010<jats:italic>IV<\/jats:italic>alcohol dependence, alcohol\u2010related problem consequences, alcohol problem recognition, and motivation to reduce drinking); help\u2010seeking; and treatment satisfaction. SMW who engaged in help\u2010seeking for alcohol\u2010related concerns were more likely than those who did not to meet criteria for<jats:italic>DSM<\/jats:italic>\u2010<jats:italic>IV<\/jats:italic>alcohol dependence (adjusted odds ratio [aOR]\u00a0=\u00a07.13; 95% CI\u00a0=\u00a02.77; 18.36), endorse alcohol\u2010related problem consequences (aOR\u00a0=\u00a011.44; 95% CI\u00a0=\u00a03.88; 33.71), recognize problematic drinking (aOR\u00a0=\u00a014.56; 95% CI\u00a0=\u00a03.37; 62.97), and report motivation to reduce drinking (aOR\u00a0=\u00a05.26; 95% CI\u00a0=\u00a01.74; 15.88). SMW\u2019s alcohol outcomes did not differ based on their satisfaction with treatment or with providers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study's findings confirm SMW\u2019s elevated risk for HED and other alcohol\u2010related outcomes and underscore the importance of identity\u2010affirmative and accessible behavioral and mental health treatment for young, Black, and low\u2010income SMW. Clinicians and intervention scientists should develop or enhance existing brief behavioral and mental health treatments for SMW engaging in HED who may not recognize that their drinking is problematic or who are not motivated to reduce drinking.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.14789","type":"journal-article","created":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T04:10:26Z","timestamp":1648008626000},"page":"641-656","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Alcohol use, behavioral and mental health help\u2010seeking, and treatment satisfaction among sexual minority women"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7311-5904","authenticated-orcid":false,"given":"Jillian R.","family":"Scheer","sequence":"first","affiliation":[{"name":"Department of Psychology Syracuse University Syracuse New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abigail W.","family":"Batchelder","sequence":"additional","affiliation":[{"name":"Harvard Medical School Harvard University Boston Massachusetts USA"},{"name":"Behavioral Medicine Program Department of Psychiatry Massachusetts General Hospital Boston Massachusetts USA"},{"name":"The Fenway Institute Fenway Health Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren A.","family":"Bochicchio","sequence":"additional","affiliation":[{"name":"School of Nursing and Department of Psychiatry Columbia University New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy D.","family":"Kidd","sequence":"additional","affiliation":[{"name":"Columbia University Irving Medical Center New York New York USA"},{"name":"New York State Psychiatric Institute New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tonda L.","family":"Hughes","sequence":"additional","affiliation":[{"name":"School of Nursing and Department of Psychiatry Columbia University New York New York USA"},{"name":"Columbia University Irving Medical Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2016.02.025"},{"key":"e_1_2_8_3_1","volume-title":"Diagnostic and statistical manual of mental disorders: DSM\u2010IV","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1300\/J465v28n03_03"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0038680"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2020.0293"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000251"},{"key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/j.2517-6161.1995.tb02031.x","article-title":"Controlling the false discovery rate: a practical and powerful approach to multiple testing","volume":"57","author":"Benjamini Y.","year":"1995","journal-title":"Journal of the Royal Statistical Society"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2017.08.030"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14290"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.7.821"},{"key":"e_1_2_8_12_1","volume-title":"Minority stress and lesbian women","author":"Brooks V.","year":"1981"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2021.1999123"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/01488376.2019.1710657"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12677"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1300\/J155v09n03_03"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000680"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2012.73.635"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2020.20010005"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/19359705.2017.1418468"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.14041"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwab012"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzp048"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-012-9910-1"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11414-011-9243-1"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13965"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2015.05.006"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2009.60.8.1068"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ALC.0000060878.61384.ED"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-1175"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0229869"},{"key":"e_1_2_8_32_1","first-page":"30","article-title":"Alcohol use among sexual minority women: methods used and lessons learned in the 20\u2010Year Chicago Health and Life Experiences of Women Study","volume":"9","author":"Hughes T.","year":"2021","journal-title":"The International Journal of Alcohol and Drug Research"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.2006.67.579"},{"key":"e_1_2_8_34_1","first-page":"21","volume-title":"Handbook of latent variable and related models","author":"Jamshidian M.","year":"2007"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13477"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2014.08.003"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14082"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2017.12.002"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/10550887.2016.1171670"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13475"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2018.08.032"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000638"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2009.02596.x"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12379"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1037\/vio0000211"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v40.2.08"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.129.5.674"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1982.tb02469.x"},{"key":"e_1_2_8_49_1","volume-title":"Motivational interviewing: helping people change","author":"Miller W.R.","year":"2012"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2004.01.016"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000204"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v40.2.09"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2010.61.12.1223"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2018.0124"},{"key":"e_1_2_8_55_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000508"},{"key":"e_1_2_8_56_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-019-00933-2"},{"key":"e_1_2_8_57_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0088437"},{"key":"e_1_2_8_58_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2014.75.486"},{"key":"e_1_2_8_59_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.21951"},{"key":"e_1_2_8_60_1","doi-asserted-by":"publisher","DOI":"10.1080\/19419899.2019.1690031"},{"key":"e_1_2_8_61_1","article-title":"Toward cognitive\u2013behavioral therapy for sexual minority women: voices from stakeholders and community members","author":"Scheer J.R.","journal-title":"Cognitive and Behavioral Practice"},{"key":"e_1_2_8_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2019.107755"},{"key":"e_1_2_8_63_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201400160"},{"key":"e_1_2_8_64_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2018.0125"},{"key":"e_1_2_8_65_1","doi-asserted-by":"publisher","DOI":"10.1080\/10538720.2021.1976342"},{"key":"e_1_2_8_66_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2015.5677"},{"key":"e_1_2_8_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2016.08.011"},{"key":"e_1_2_8_68_1","doi-asserted-by":"publisher","DOI":"10.1080\/15332640.2018.1433094"},{"key":"e_1_2_8_69_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2006.01391.x"},{"key":"e_1_2_8_70_1","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v40.3.02"},{"key":"e_1_2_8_71_1","doi-asserted-by":"publisher","DOI":"10.1159\/000446822"},{"key":"e_1_2_8_72_1","volume-title":"Drinking levels defined","author":"U.S. Department of Health and Human Services","year":"2015"},{"key":"e_1_2_8_73_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2017.0056"},{"key":"e_1_2_8_74_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202100045"},{"key":"e_1_2_8_75_1","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2020.1775868"},{"key":"e_1_2_8_76_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.74.11.1231"},{"key":"e_1_2_8_77_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2016.05.017"},{"key":"e_1_2_8_78_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2019.3750"},{"key":"e_1_2_8_79_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.12398"},{"key":"e_1_2_8_80_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2010.02954.x"},{"key":"e_1_2_8_81_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.15011"},{"key":"e_1_2_8_82_1","doi-asserted-by":"publisher","DOI":"10.1126\/sciadv.aax4043"},{"key":"e_1_2_8_83_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.14403"}],"container-title":["Alcoholism: Clinical and Experimental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acer.14789","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/acer.14789","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acer.14789","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T21:01:44Z","timestamp":1726866104000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/acer.14789"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,22]]},"references-count":82,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1111\/acer.14789"],"URL":"https:\/\/doi.org\/10.1111\/acer.14789","archive":["Portico"],"relation":{},"ISSN":["0145-6008","1530-0277"],"issn-type":[{"value":"0145-6008","type":"print"},{"value":"1530-0277","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,22]]},"assertion":[{"value":"2021-09-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}