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Chunk #81 — Implications for Preventive Interventions with Sexual Minorities — Individual-level Interventions

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How does sexual minority stigma "get under the skin"? A psychological mediation framework.
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In the domain of alcohol use disorders, research has indicated that both sexual minority status (Hatzenbuehler, Corbin, & Fromme, 2008a) and stigma-related stress (Hatzenbuehler, Corbin, & Fromme, 2008b) are associated with the development of positive alcohol expectancies, a risk factor for increased alcohol use (Goldman et al., 1987). Many interventions that manipulate alcohol expectancies predict subsequent reductions in alcohol consumption (Jones et al., 2001), suggesting the importance of including alcohol expectancies as a specific target for interventions with sexual minorities, especially those with greater experiences of stigma-related stress.