Possible Reasons for Increased Gay Alcohol Abuse

January 4, 2008

The difference in alcoholism rates between gay and non-gay populations has been attributed to a number of environmental factors. One factor is that alcohol serves as a method of coping with internal homophobia. Anderson and Henderson (1985) believe that socio-cultural pressure is the most sound explanation as to why alcoholism rates differ between gay and non-gay populations. Overt societal stigmatization of gay men and lesbians can lead to low self-esteem, anxiety, depression, and powerlessness. As such, alcohol may serve as one way to cope with these negative feelings.

A second reason for increased gay alcohol abuse by gay men and lesbians is the fact that legitimate socialization is often limited to bars or parties serving alcohol. Gay bars promote the use of alcohol in much the same way that nongay bars endorse alcohol use in the heterosexual culture (Israelstam & Lambert, 1984). The major difference between the two, however, is that heterosexuals have a greater range of social outlets from which to choose without fear of recrimination (Colcher, 1982; Finnegan & McNally, 1987).

A third reason that may explain the higher incidence rate is that gay alcohol abuse may help the individual during the “coming out” process (Nardi, 1982). As the individual straggles with the decision to “tell or not to tell”, an increasing amount of stress can occur. Using alcohol provides one way to relieve such stress. Alcohol can also be used to help people lower their inhibitions as a way to engage in same-sex sexual activities they may not feel comfortable performing if they are sober (Israelstam & Lambert, 1984). Making the decision to “come out” requires an acknowledgment to oneself, to other gay people, and then to everyone else that you are gay or lesbian (Anderson & Henderson, 1984). As such, “coming out” represents an on-going, gradual process of acknowledging one’s sexuality over time. It is important to remember that gay men and lesbians must make a choice about whether to “come out” every time they meet someone new. The process of “coming out” to nongay people may be the most difficult for gay men and lesbians who enter gay alcoholism treatment. It is important to respect a person’s decision if they choose not to “come out” in treatment because of legitimate fears of oppression or possible retaliation (Anderson & Henderson, 1985).

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