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. 2017 Oct 25;8:1881. doi: 10.3389/fpsyg.2017.01881

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Copyright © 2017 Rogers, Seager, Haines, Hahn, Aldao and Ahn.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Proposed model. Path “a” describes the effect of minority stress (X) on the mediator (ER difficulties; M). Path “b” describes the effect of ER difficulties (M) on the outcome variables (Problematic alcohol and substance use; Y). Path “c” describes the direct effect of minority stress (X) on problematic alcohol and substance use (Y). The indirect effect of the whole model is the product of path “a” and path “b” (a^∗b). The moderator (sexual minority status; C), was included as a moderator for the total direct effect, as well as the total indirect effect.