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INTRODUCTION
Lesbian, gay, bisexual and transgender (LGBT) youth are more likely than
their heterosexual peers to engage in alcohol use (Almeida et al., 2009). In
fact, Reed, Prado, Matsumoto, and Amaro (2010) found that approximately
85% of self-identifying lesbian, gay, and bisexual (LGB) students reported
alcohol use within the past month and that 81% of LGB students have had
at least one incident of heavy episodic drinking (HED) per week in the past
month. Given that 37% to 50% of college students in national surveys report
participating in HED within the past 2 weeks (Johnston, OMalley, Bachman,
& Schulenberg, 2011; National Institute on Alcohol Abuse and Alcoholism
Address correspondence to Michael B. Madson, The University of Southern Mississippi,
Department of Psychology, 118 College Drive #5025, Hattiesburg, MS 39406-5025, USA. E-mail:
michael.madson@usm.edu
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[NIAAA], 2012), these findings would put the LGB student populations consumption of alcohol at a higher rate than the general college population.
These findings are consistent with other studies of drinking for LGB students
(Spinardi-Pirozzi, 2008). Ridner, Frost, and LaJoie (2006) found that significantly more LGB students reported being drinkers than their heterosexual
peers (81% vs. 64%). Interesting differences have also been found among
lesbian and gay students. Gay male students, for example, tend to be more
likely than lesbians to engage in HED (Eisenberg & Wechsler, 2003). This
finding is consistent with gay males and lesbians in the general population
(Amadio, Adam, & Buletza, 2008) and is consistent with the gender differences found in national surveys of college students (Johnston et al., 2011).
However, many of these studies are limited in their availability of comparisons between LGBT and heterosexual students (Eisenberg & Wechsler,
2003). Considering that college students tend to use alcohol more than their
noncollege peers (Johnston et al., 2011) and that more LGB students report
drinking alcohol (Reed et al., 2010; Ridner et al., 2006), it is a logical conclusion that sexual minority college students are an at-risk group for alcohol
problems within an at-risk group (college students). Unfortunately, there is
a paucity of research that has thoroughly examined the factors related to alcohol use among LGBT college students. More information is needed about
factors related to HED among LGBT college students, such as drinking motives and how students reduce the harm associated with drinking. In fact,
Reed and colleagues (2010) called for more research exploring mechanisms
that increase alcohol use and consequences among LGB students. Thus,
the purpose of this study is to investigate the relationships among drinking
motives, negative alcohol-related consequences, and use of protective behavioral strategiesaimed at reducing harm among college drinkersin a
national sample of LGBT college students.
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consequences (Hingson, Zha, & Weitzman, 2009); that is, the more students
engage in HED, the more likely they are to experience alcohol-related negative consequences. These negative consequences may range from minor
inconveniences, such as having a hangover, missing class, or getting behind in coursework (Park & Grant, 2005) to more serious consequences,
such as legal troubles, physical injuries, unwanted sexual experiences, and
death (Hingson et al., 2009; NIAAA, 2012). Boyd, McCabe, and dArcy (2004)
showed that LGB students reported more alcohol-related consequences than
heterosexual students. Furthermore, alcohol consumption on college campuses has secondhand consequences, such as disrupted sleep, assaults, and
damaged property, which negatively affect students who abstain from drinking (Wechsler et al., 2002). The severity and pervasiveness of these problems
make it important for researchers to find viable methods that can be used by
students to minimize negative consequences when consuming alcohol.
Drinking Motives
Drinking motives are an important factor in understanding what may drive
people to consume alcohol (Maclean & Lecci, 2000). It is postulated that
certain motives drive the consumption of alcohol by individuals to achieve
a certain goal or state (Ham, Zamboanga, Bacon, & Garcia, 2009). Motives
are a catalyst for alcohol consumption and may act as a pathway for more
global factors (e.g., depression, anxiety, stress; Cooper, 1994). Within the
realm of alcohol motives, there are four types including enhancement (to
make me feel better), social (to make social gatherings more fun), coping
(to ease distress), and conformity (to fit in; Cooper, 1994). Enhancement and
social motives act via positive reinforcement, using alcohol to increase enjoyment or improve affect, whereas coping and conformity serve as negative
reinforcement, using alcohol to avoid negative effects or social chastisement
(Ham et al., 2009). Reed and colleagues (2010) hypothesized that alcohol
use might be higher among LGBT students as a result of the harassment,
fear for safety, and to reduce stress. In other words, LGBT students may use
alcohol to cope with these negative situations in their environment.
Grant, Stewart, and Mohr (2009) suggested that coping motives could be
more accurately divided into two separate variables: coping with depression
and coping with anxiety. Coping with depression and coping with anxiety
are associated with different alcohol use patterns (Grant et al., 2009). To
accommodate these differences, coping motives that are divided into two
separate variables more accurately capture idiosyncrasies of alcohol motives.
Taken together, alcohol motives are important because they affect alcohol
consumption and related behaviors, such as strategies to reduce harm when
drinking. Although alcohol motives are predictors of alcohol consumption,
we found no studies have looked at these five drinking motives within the
LGBT student population. Given that understanding what motivates LGBT
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R. C. Ebersole et al.
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METHOD
Participants and Procedure
Participants were 143 traditional age (1825) self-identified LGBT college
students at 4-year universities in the United States. This sample provides
adequate power given that smallmedium indirect effects (.06) of PBS as
a mediator were found in previous research (Martens, Martin et al., 2008).
Thus, a sample of 132 would be needed to detect a smallmedium effect
size, .12, with a desired power of .95. Participants were recruited via a
nation-wide online LGBT-related message board that directed them to the
questionnaire via the website Survey Monkey. As recruitment was through
a message board we are unable to estimate a response rate, however, 433
individuals began the survey, and 184 completed the survey. Of the 184
participants who completed the survey 41 were dropped for not meeting
eligibility requirements (1825, drank in the past 30 days). After reading
and electronically signing an informed consent, participants completed the
online questionnaires. Participation was contingent on the participant being
traditional college age (between age 1825) and having reported drinking
alcohol within the past month. The mean age of participants was 21.08 (SD
= 1.72), and there were 11 (7.7%) freshman, 20 (13.9%) sophomores, 34
(23.8%) juniors, and 78 (54.6%) seniors. The majority of participants were
male (n = 112, 78.0%) with 27 (18.9%) females, 3 (2.1%) transgender femaleto-males, and one transgender male-to-female. There were 92 (64.3%) participants who reported being gay, 17 (11.9%) lesbian, 31 (21.7%) bisexual
and 2 (1.3%) indicating other as their sexual orientation. The majority of
participants were White non-Hispanic (n = 125, 87.4%), with 5 (3.4%) participants self-identifying as Hispanic, 3 (2.1%) as African American, 4 (2.7%)
as Asian, 2 (1.3%) as Native American, and 6 (4.1%) as Other. Among the
participants, 80 (55.9%) reported being open to everyone about their sexual
orientation, 14 (9.9%) reported not being open to anyone about their sexual
orientation, 44 (30.9%) reported being open about their sexual orientation
only to members of their family, and 4 (2.9%) reported being open about
their sexual orientation only to their friends.
Measures
Daily Drinking Questionnaire. The Daily Drinking Questionnaire
(DDQ) was used to measure alcohol consumption as it asks participants
to estimate the typical number of alcoholic drinks they consumed each day
of the week (Collins, Parks, & Marlatt, 1985). These drinks were summed
to produce a total number of drinks during a typical week (Lewis, Rees,
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& Lee 2009). Participants were classified as infrequent drinkers (fewer than
3 drinks per week), moderate drinkers (411 drinks per week), and highvolume drinkers (12 or more drinks per week) using the guidelines outlined
by Collins and colleagues (1985). Collins and colleagues established the
validity of the DDQ by finding a moderate correlation with the Drinking
Practices Questionnaire. Internal consistency in this study was .64.
Protection Behavioral Strategies Scale. Use of PBS was measured by the
15-item Protection Behavioral Strategies Scale (PBSS; Martens et al., 2005).
Participants indicate the extent to which they use a particular strategy such
as use a designated driver, avoid shots of liquor, and avoid drinking
games when drinking using a Likert-type scale ranging from 1 (never) to
6 (always). A total score ranges from 15 to 90 with higher scores indicating
more use of PBS. Internal consistency estimates for the PBSS have range from
.67 to .81 (Martens et al., 2005), and the PBSS has an inverse relationship
with alcohol consumption and negative consequences supporting its validity
with college students (Martens et al., 2005; Martens et al., 2007). The internal
consistency estimate for this sample was .86.
Rutgers Alcohol Problem Index). The Rutgers Alcohol Problem Index
(RAPI) is a 23-item measure designed to assess negative alcohol-related consequences. Participants rate how often they have experienced a specific
negative consequence such as neglected your responsibilities, and missed
a day, or part of a day, of school or work within the past year using a
5-point Likert-type scale ranging from 0 (never) to 4 (more than 10 times)
(Martens et al., 2007). A total score ranges from 0 to 92 with higher scores
indicating more negative consequences. The RAPI has been shown to be
reliable (1 week testretest, r = .89) (Neal, Corbin, & Fromme, 2006) and
with LGB students ( = .93; Reed et al., 2010). The RAPI has been shown
to be a valid measure with college students through expected correlations
with alcohol the Young Adult Alcohol Consequences Questionnaire (r =
.78) (Neal et al., 2006).The internal consistency estimate for this sample was
.90.
Modified Drinking Motives Questionnaire. Drinking motives were assessed using the 28-item Modified Drinking Motives Questionnaire (MDMQ;
Grant et al., 2007). Participants indicate how often they consume alcohol for
a particular reason (e.g., makes me feel good, to fit in, to forget your worries)
using a 5-point Likert-type scale ranging from 1 (almost/never or never) to
5 (almost always/always). The measure involves five motive subscales: social (makes me/gatherings more fun), enhancement (makes me feel good),
conformity (to fit in), coping for depression, and coping for anxiety. The
MDMQ has been shown to be a reliable ( = .66, social to .91, coping with
depression). Validity of the MDMQ for use with college students has been
established through expected correlations with alcohol consumption (r =
.23, coping-depression to. 32, conformity) and negative consequences (r =
.18, social to .34, coping-depression) (Grant et al., 2007). The alpha for this
343
sample was .92. The internal consistency for the subscales were .67 (social
motives), .93 (coping with depression motives), .78 (coping with anxiety
motives), .82 (enhancement motives), and .77 (conformity motives).
RESULTS
Participants reported an average of 12.42 drinks per week (SD = 10.0). According to DDQ classification (Collins et al., 1985), 23 (16%) participants were
classified as light drinkers, 58 (40.5%) participants were moderate drinkers,
and 62 (43.3%) were considered heavy drinkers. The least endorsed PBS
were avoid taking shots of liquor, stop drinking at a predetermined time,
avoid mixing different types of liquor, and put extra ice in your drink,
with 40 (27.9%), 41 (28.7%), 41 (28.7%), and 43 (30.1%) respondents answering never, respectively. The most endorsed PBS were avoid getting in
a car with someone who has been drinking, always know what youve
been drinking, and avoid mixing alcohol with prescription drugs, with
94 (65.7%), 95 (66.4%), and 95 (66.4%) participants, respectively, indicating
that they always utilize these PBS. The most commonly reported negative
consequences were caused shame or embarrassment to someone and neglected your responsibilities, with 52 (36.3%) participants reporting experiencing these problems or consequences at least once. Additionally, at least
47 (32.8%) participants indicated that they went to work or school drunk or
high at least once or more.
Means, standard deviations, and intercorrelations (Pearsons r) are presented in Table 1. A mediation analysis, as suggested by Preacher and Hayes
(2004), was performed to investigate the extent to which PBS mediated the
relationship between specific alcohol motives and drinking related negative consequences among LGBT college students. In sum, a total of five
TABLE 1 Intercorrelations of Measures
M
1.
2.
3.
4.
5.
SD
PBSS
69.47 15.28
DDQ
12.42 10.01 .25
RAPI
8.10 10.17 .41 .50
MDMQ-Social
10.22 3.95 .04
.18
.10
MDMQ-Coping
4.96 3.78 .18
Anxiety
.17
6. MDMQ-Coping
4.20 6.44 .20
Depression
7. MDMQ-Enhancement 8.88 4.78 .24 .32
8. MDMQ-Conformity
1.52 2.41 .01 .02
.12
.27
.46
.41
.23
.56
.42
.18
.47
.47
.50 .47
.53 .28 .31
PBSS = Protection Behavioral Strategies Scale; DDQ = Daily Drinking Questionnaire; RAPI = Rutgers
Alcohol Problem Index; MDMQ = Modified Drinking Motives Questionnaire.
p < .05, p < .01.
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R. C. Ebersole et al.
.65***
Negative
Consequences
PBS
-.45*
-.23***
.55***
Negative
Consequences
FIGURE 1 Mediation analysis of protective behavioral strategies (PBS), coping with depression, and negative consequences.
Enhancement
.91***
345
Negave
Consequences
PBS
-.75**
-.22***
Enhancement
Enhancement
.74***
Negative
Consequences
DISCUSSION
We sought to examine the role PBS play in reducing negative consequences
associated with alcohol motives among LGBT college students. We found
that PBS partially mediated the relationship between coping with depression
motives and negative consequences. This finding is divergent from previous
research among the general college student population in which PBS partially
mediated the relationship between positively reinforcing drinking motives
and negative consequences but not negatively reinforcing drinking motives
and negative consequences (Martens et al., 2007). This result is surprising
because many PBS items (e.g., leaving a party at a specified time, using
a designated driver) are oriented toward drinking in a social atmosphere
(Martens, Martin et al., 2008). One explanation for this finding is that many
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R. C. Ebersole et al.
347
Our finding that PBS was not a statistically significant mediator with
the other positively reinforcing motive (social) is inconsistent with previous
findings. Unlike many college students who link alcohol consumption and
increased sociability, LGBT students may experience increased stress and depression in social drinking environments on campus, especially for students
who are not open about their sexual orientation or in campus environments
that are not supportive of LGBT students (Reed et al., 2010). Thus, these students may withdraw from social situations and prefer to drink in isolation.
Labrie, Kenny, and Lac (2010) found that students with stronger social health
were more likely to implement PBS. Thus, PBS might not be as effective for
individuals with weaker social motives. Our finding that PBS did not mediate
the coping with anxiety drinking motive and negative consequences is consistent with previous research. Anxiety has been shown to be a protective
factor related to lower amounts of alcohol consumption. For LGBT students,
especially those on unwelcoming campuses, there are safety concerns that
may influence their drinking patterns. Reed and colleagues (2010) found that
LGB students felt less safe on campus and experienced more threats and victimization, thus, they may avoid situations (e.g., parties) where HED is more
likely to occur. Similarly, LGB students may not have a strong motivation to
conform to the majority culture of an unwelcoming campus and thus feel no
need to drink to conform.
Clinical Implications
Based on our results, it appears that PBS can be effective for reducing negative drinking consequences in the LGBT population. This is particularly useful in light of this populations increased risk for substance abuse (Almeida
et al., 2009; Reed et al., 2010). Perhaps more importantly, it highlights the
significance of educating LGBT students on constructive coping mechanisms
for affective disorders as well as their motives and expectations for drinking alcohol. To that end, this study also provides support for a possible
solution: PBS. Thus, PBS use and motives should be integrated into traditional prevention and intervention efforts for LGBT students. Clinicians may
reach out to campus LGBT communities to provide targeted prevention efforts highlighting the importance of drinking motives and PBS use. These
efforts can also advocate students supporting PBS use with their peers. With
targeted prevention efforts for LGBT students clinicians may better account
for contextual issues (e.g., victimization, unwelcoming environment) related
to alcohol use that may not be addressed in general university prevention
efforts.
Clinicians might benefit from recognizing that LGBT students may not
cope with stressors in ways similar to other students, especially stressors related to their sexual orientation. For instance, LGBT students may not receive
social support to help them cope more effectively with discrimination and
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R. C. Ebersole et al.
349
use. Specifically, to incorporate the extent to which students sexual orientation or gender identity may influence their drinking behaviors. Future studies
should address where students are in their identity development as well as
their acculturation into the general college student population. That is, perhaps students developmental position with their sexual or gender identity
(i.e., how comfortable or settled they are with their identity) might affect their
drinking motives. Furthermore, how well are students acculturated with their
general student population (using factors such as how well LGBT students
are accepted or welcomed) likely would also affect their drinking behaviors.
Future research also should attempt to recruit larger transgender samples to
provide baseline data on this group. Researchers should be diligent to oversample transgender individuals to gather sufficient transgender sample sizes.
For example, though this study utilized an LGBT message board, it may be
prudent to also utilize a transgender-specific message board to reach a significant sample size. As sexual orientation and gender identity are discrete
constructs, it might be that there may be differences in alcohol motivations or
behaviors between these two groups. However, to our knowledge, no such
study has investigated these possible differences. Exploring possible reasons
PBS partially mediated the relationship between coping with depression
but not anxiety and negative consequences is also needed. In particular, the
construct anxiety consists of several manifestations (e.g., generalized anxiety,
social anxiety, anxiety sensitivity) that have some similarities and differences
which may affect how one copes. For instance, social anxiety has been suggested to initially serve to as a protective factor in relation to alcohol use
for some but not for others (Labrie, Pedersen, Neighbors, & Hummer, 2008).
Thus, exploring coping with anxiety motives may be too broad to understand
the nuances this drinking motive.
CONCLUSION
The use of protective behavioral strategies among college students is important for reducing the harm associated with increased alcohol consumption
during this period of life. This study contributes further support for the
value of PBS in particular, as they mediate the associations that coping with
depression and enhancement motives have with negative alcohol consequences among LGBT college drinkers. Our results also add support for the
importance of harm reduction approaches that incorporate discussions about
drinking motives and PBS use as they specifically relate to LGBT students.
REFERENCES
Almeida, J., Johnson, R. M., Corliss, H. L., Molnar, B. E., & Azrael, D. (2009). Emotional distress among LGBT youth: The influence of perceived discrimination
350
R. C. Ebersole et al.
351
Ham, L. S., Zamboanga, B. L., Bacon, A. K., & Garcia, T. A. (2009). Drinking motives
as mediators of social anxiety and hazardous drinking among college students.
Cognitive Behaviour Therapy, 38(3), 133145. doi:10.1080/16506070802610889
Hingson, R. W., & Zha, W. (2009). Age of drinking onset, alcohol use disorders,
frequent heavy drinking, and unintentionally injuring oneself and others after
drinking. Pediatrics, 123(6), 14771484. doi:10.1542/peds.2008-2176
Hingson, R., Zha, W., & Weitzman, E. (2009). Magnitude of and trends in
alcohol-related mortality and morbidity among US college students ages 1824,
19982005. Journal of Studies on Alcohol and Drugs, (Suppl 16), 1220.
Johnston, L. D., OMalley, P. M., Bachman, J. G., & Schulenberg, J. E. (2009). Monitoring the future national survey results on drug use, 19752008: Volume II, College
students and adults ages 1945 (NIH Publication No. 097402). Bethesda, MD:
National Institute on Drug Abuse.
Johnston, L. D., OMalley, P. M., Bachman, J. G., & Schulenberg, J. E. (2011). Monitoring the future national survey results on drug use, 19752010. Volume II:
College students and adults ages 1950. Ann Arbor, MI: University of Michigan,
Institute for Social Research.
Kosciw, J. G., Greytak, E. A., Diaz, E. M., & Bartkiewicz, M. J. (2010). The 2009
National School Climate Survey: The experiences of lesbian, gay, bisexual, and
transgender youth in our nations schools. New York, NY: GLSEN.
Kwon, P., & Hugelshofer, D. S. (2012). Lesbian, gay, and bisexual speaker panels
lead to attitude change among heterosexual college students. Journal of Gay &
Lesbian Social Services, 24, 6279. doi:10.1080/10538720.2012.643285
LaBrie, J. W., Kenney, S. R., & Lac, A. (2010). The use of protective behavioral
strategies is related to reduced risk in heavy drinking college students with
poorer mental and physical health. Journal of Drug Education, 40, 361378.
doi:10.2190/DE.40.4.c
LaBrie, J., Pedersen, E. R., Neighbors, C., & Hummer, J. F. (2008). The role of selfconsciousness in the experience of alcohol-related consequences among college
students. Addictive Behaviors, 33(6), 812820. doi:10.1016/j.addbeh.2008.01.002
Lewis, M. A., Rees, M., & Lee, C. M. (2009). Gender-specific normative perceptions of alcohol-related protective behavioral strategies. Psychology of Addictive
Behaviors, 22(5), 539545. doi:10.1037/a0015176
Maclean, M. G., & Lecci, L. (2000). A comparison of models of drinking motives in
a university sample. Psychology of Addictive Behaviors, 14, 8387.
Martens, M. P. (2007). Do protective behavioral strategies mediate the relationship
between drinking motives and alcohol use in college students? Journal of Studies
on Alcohol and Drugs, 68, 106114.
Martens M. P., Ferrier, A. G., Sheehy, M. J., Corbett, K., Anderson, D. A., & Simmons,
A. (2005). Development of the protective behavioral strategies scale. Journal of
Studies on Alcohol, 66, 698705.
Martens, M. P., Martin, J. L, Hatchett, E. S., Fowler, R. M., Fleming, K. M., Karakashian,
M. A., & Cimini, M. D. (2008). Protective behavioral strategies and the relationship between depressive symptoms and alcohol-related negative consequences
among college students. Journal of Counseling Psychology, 55(4), 535541.
doi:10.1037/a0013588
Martens, M. P., Pedersen, E. R., LaBrie, J. W., Ferrier, A. G., & Cimini, M. D. (2007).
Measuring alcohol-related protective behavioral strategies among college
352
R. C. Ebersole et al.
students: further examination of the protective behavioral strategies scale. Psychology of Addictive Behaviors, 3, 307315. doi:10/1037/0893-164X.21.3.307
Mustanski, B. S., Garofalo, R., & Emerson, E. M. (2010). Mental health disorders,
psychological distress, and suicidality in a diverse sample of lesbian, gay, bisexual, and transgender youths. American Journal of Public Health, 100(12),
24262432.
National Institute on Alcohol Abuse and Alcoholism. (2012). NIH fact sheet:
College drinking. Retrieved from http://pubs.niaaa.nih.gov/publications/
CollegeFactSheet/CollegeFactSheet.pdf
Neal, D. J., Corbin, W. R., & Fromme, K. (2006). Measurement of alcohol-related
consequences among high school and college students: Application of item response models to the Rutgers Alcohol Problem Index. Psychological Assessment,
18, 402414. doi:10.1037/1040-3590.18.4.402
OMalley, P. M., & Johnston, L. D. (2002). Epidemiology of alcohol and other drug
use among American college students. Journal on Studies of Alcohol, (Suppl 4),
2339.
Park, C. L., & Grant, C. (2005). Determinants of positive and negative consequences of alcohol consumption in college students: Alcohol use, gender, and psychological characteristics. Addictive Behaviors, 30, 755765.
doi:10.1016/j.addbeh.2004.08.021
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect
effects in simple mediation models. Behavior Research Methods, Instruments &
Computers, 36(4), 717731.
Ray, A. E., Turrisi, R., Abar, B., & Peters, K. E. (2009). Socialcognitive correlates
of protective drinking behaviors and alcohol-related consequences in college
students. Addictive Behaviors, 34, 911917. doi:10.1016/j.addbeh.2009.05.016
Reed, E., Prado, G., Matsumoto, A., & Amaro, H. (2010). Alcohol and drug use and
related consequences among gay, lesbian and bisexual college students: Role of
experiencing violence, feeling safe on campus, and perceived stress. Addictive
Behaviors, 35, 168171. doi:10.1016/j.addbeh.2009.09.005
Ridner, S. L., Frost, K., & LaJoie, A. S. (2006). Health information and risk
behaviors among lesbian, gay, and bisexual college students. Journal of
the American Academy of Nurse Practitioners, 18, 374378. doi:10.1111/
j.1745-7599.2006.00142.x
Spinardi-Pirozzi, J. (2008). A comparison of drinking behavior between heterosexual
and gay, lesbian and bisexual college students: An examination of prevalence
and contributing factors (Unpublished doctoral dissertation). Pace University,
New York.
Toomey, R. B., Ryan, C., Diaz, R. M., Card, N. A., & Russell, S. T. (2010). Gendernonconforming lesbian, gay, bisexual, and transgender youth: School victimization and young adult psychosocial adjustment. Developmental Psychology,
46(6), 15801589. doi:10.1037/a0020705
Weschler, H., Lee, J. E., Kuo, M., Seibring, M., Nelson, T. F., & Lee, H. (2002). Trends
in college drinking during a period of increased prevention efforts. Journal of
American College Health, 50(5), 203217.
Williams, T., Connolly, J., Pepler, D., & Craig, W. (2005). Peer victimization, social
support, and psychosocial adjustment of sexual minority adolescents. Journal
of Youth and Adolescence, 34(5), 471482. doi:10.1007/s10964-005-7264-x