A number of social and cultural factors predict increased alcohol use, including discrimination and its related stigma. The role of discrimination and stress in health-related risk behaviors, including alcohol use, is well established (Dawson et al. 2005; Hatzenbuehler 2009; Paradies 2006). The stress and coping framework frequently is applied to explain the influence of discrimination and stigma on health (Krieger 1999; Pascoe and Smart Richman 2009; Walters et al. 2002). This long-held theory posits that people consume alcohol to cope with the stress of their daily lives, including work-related stressors and racial and ethnic discrimination (Conger 1956).
