Social Network Alcohol Use is Associated With Individual-level Alcohol Use Among Black Sexually Minoritized Men and Gender-expansive People: Findings From the Neighborhoods and Networks (N2) Cohort Study.

Details

• Alternative Title:
  Alcohol, Clinical & Experimental Research, 2025, v. 49, no. 4: Social Network Alcohol Use is Associated With Individual-level Alcohol Use Among Black Sexually Minoritized Men and Gender-expansive People: Findings From the Neighborhoods and Networks (N2) Cohort Study.
• Journal Article:
  Alcohol, Clinical & Experimental Research
• Personal Author:
  Shrader, Cho-Hee ; Duncan, Dustin T. ; Santoro, Anthony ; Geng, Elvin ; Kranzler, Henry R. ; Hasin, Deborah ; Shelley, Donna ; Kutner, Bryan ; Sherman, Scott E. ; Chen, Yen-Tyng ; Durrell, Mainza ; Eavou, Rebecca ; Hillary, Hanson ; Goedel, William ; Schneider, John A. ; Knox, Justin R.
• Description:
  Black sexually minoritized men and gender-expansive people (SGM), including transgender women, have higher levels of alcohol use and experience greater negative consequences from alcohol consumption than the general population. We investigated the role of multilevel factors contributing to alcohol use among these groups.
  
  We analyzed data collected from HIV-negative participants in the Neighborhoods and Network (N2) cohort study in Chicago, IL (N = 138). Participants completed a social network inventory (November 2018-April 2019) and reported alcohol use (frequency, quantity, and frequency of binge drinking) during a quantitative assessment. We used stepwise negative binomial regression to identify associations with social network and individual-level alcohol use while controlling for sociodemographic variables.
  
  Most participants drank alcohol in the past month (68%), with a mean of 2.5 drinks (SD = 1.9) per drinking day. Participants nominated 377 confidants (M
  
   = 2.7), of whom 93% were Black and 78% were friends/family. Among the confidants, 30% drank alcohol at least several times per week. Identifying as Latine (RR = 2.21; 95% CI: 1.44-3.10), having a higher Generalized Anxiety Disorder-7 score (RR = 1.03; 95%CI: 1.00-1.05), living with a problem drinker during one's childhood (RR = 1.80; 95% CI: 1.39-2.34), and having a greater proportion of regular drinkers in one's social network (RR = 1.49; 95% CI: 1.02-2.17) were positively associated with alcohol use.
  
  Black SGM exposed to social network alcohol use during childhood and adulthood reported increased alcohol use. Interventions targeting Black SGM should address social norms around alcohol, intersectional discrimination, and mental health.
• Content Notes:
  Author manuscript
• Subjects:
  • Adolescent
  • Adult
  • Female
  • Humans
  • Male
  • Middle Aged
  • Young Adult
  • Alcohol Drinking
  • Black or African American
  • Cohort Studies
  More +
• Keywords:
  • African Americans
  • alcohol drinking
  • sexual and gender minorities
  • social network analysis
• Source:
  Alcohol, Clinical & Experimental Research, 2025, v. 49, no. 4
• DOI:
  https://doi.org/10.1111/acer.70009
• ISSN:
  2993-7175
• Pubmed ID:
  40146025
• Pubmed Central ID:
  PMC12392086
• Document Type:
  Text
• Funding:
  T32AI114398/National Institute of Allergy and Infectious Diseases/ ; U01PS005122/CC/CDC HHSUnited States/ ; K01 AA028199/AA/NIAAA NIH HHSUnited States/ ; P30MH43520/MH/NIMH NIH HHSUnited States/ ; T32 AI114398/AI/NIAID NIH HHSUnited States/ ; Veterans Integrated Service Network 4, Mental Illness Research, Education and Clinical Center, Crescenz Veterans Affairs Medical Center/ ; U01 PS005122/PS/NCHHSTP CDC HHSUnited States/ ; R01MH112406/MH/NIMH NIH HHSUnited States/ ; R03DA053161/DA/NIDA NIH HHSUnited States/ ; U2CDA050098/DA/NIDA NIH HHSUnited States/ ; K23MH124569/MH/NIMH NIH HHSUnited States/ ; R25DA026401/DA/NIDA NIH HHSUnited States/ ; U2C DA050098/DA/NIDA NIH HHSUnited States/ ; R25 DA026401/DA/NIDA NIH HHSUnited States/ ; R01DA054553/DA/NIDA NIH HHSUnited States/ ; P30 MH043520/MH/NIMH NIH HHSUnited States/ ; T32DA031099/DA/NIDA NIH HHSUnited States/ ; K23 MH124569/MH/NIMH NIH HHSUnited States/ ; P30DA011041/DA/NIDA NIH HHSUnited States/ ; P30 DA011041/DA/NIDA NIH HHSUnited States/ ; R01 DA054553/DA/NIDA NIH HHSUnited States/ ; R03 DA053161/DA/NIDA NIH HHSUnited States/ ; R01 MH112406/MH/NIMH NIH HHSUnited States/ ; R21 DA053156/DA/NIDA NIH HHSUnited States/ ; T32 DA031099/DA/NIDA NIH HHSUnited States/ ; R21DA053156/DA/NIDA NIH HHSUnited States/ ; K01AA028199/AA/NIAAA NIH HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  Chicago
• Pages in Document:
  783-791 (18 pdf pages)
• Volume:
  49
• Issue:
  4
• Download URL:
  https://stacks.cdc.gov/view/cdc/261561/cdc_261561_DS1.pdf
• File Type:
  [PDF - 360.60 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:ef7f10276442cf94adcced42fca5138f4662615bfad2639b84ce783a70724abeecba3e28fc2616f67afb8461c044e155b3cb211ef5d4818a016e735b9668313e