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Alcohol Use Disorders among Sexual and Gender Minority Populations

Sexual and gender minority populations are at a heightened risk of developing alcohol-related problems, such as alcohol use disorder, compared to their heterosexual, cisgender counterparts. The present chapter presents recent prevalence rates of alcohol use disorder and examines how relations among sexual orientation, gender, and alcohol use are influenced by mechanisms relevant to minority stress theory, the intersectionality framework, and other social factors such as racism, sexism, homophobia, sexual victimization, and stigma. This chapter also explores available intervention and treatment initiatives for alcohol misuse in sexual and gender minority populations, suggesting empirically informed approaches to maximize the effectiveness of tailored programs.