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Chunk #64 — The Psychological Mediation Framework — Alcohol Use Disorders — Social/interpersonal processes

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How does sexual minority stigma "get under the skin"? A psychological mediation framework.
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Researchers have argued that sexual minorities may have more permissive social norms for the use of alcohol because bars were a place that the community often relied upon for interaction, due to a lack of comfort and safety in heterosexual establishments (Hefferman, 1998). In support of the hypothesis that stigma-related stress may contribute to higher social norms for drinking via engagement in a “bar culture,” one study found that discrimination experiences were associated with the use of bars as a primary social setting (McKirnan & Peterson, 1988), which in turn led to greater alcohol-related problems among sexual minority men (McKirnan & Peterson, 1989).