ABSTRACTProblematic substance use (SU) is a significant issue among LGBTQ+ individuals, but rates of treatment/help-seeking in this population remain low.This review aimed to investigate literature about intersectional stigma of SU and LGBTQ+ identity and its impact on SU help-seeking behaviours in the U.S.Eligible studies from eight-database were included if peer-reviewed, in English, from the U.
S., published between 2000 and 2022, focused on SU, stigma, SU help-seeking behaviours, among LGBTQ+ adults.Of 458 search results, 50 underwent full-text review, 12 were included in the final sample.Minority Stress Theory emerged as a relevant theoretical framework.
Findings revealed that read more increased SU as a coping strategy was associated with minority stress.Intersectional stigma negatively impacted SU treatment experience among LGBTQ+ individuals, leading to avoidance of help-seeking or poor treatment outcomes.Patterns of SU and impact of stigma among LGBTQ+ individuals differ, wherein bisexual and transgender individuals reported significantly more treatment barriers and unique stressors.LGBTQ+ individuals reported earlier age of SU onset and were more likely to encounter opportunities for SU.
This review highlights the impact of intersectional stigma on SU help-seeking behaviour equi-jec 6 among LGBTQ+ individuals in the U.S.Recommendations are provided for future clinical practice, research, and policy to better support LGBTQ+ individuals.