Sexual minority women's perceptions of sober curiosity: Lessons learned from a US pilot study

Introduction: Sexual minority women (SMW) are more likely than heterosexual women to meet criteria for hazardous drinking (HD). Sober curiosity, which centres on non-pathologising approaches such as mindfulness and support for questioning norms that encourage heavy/hazardous alcohol use, may be a particularly salient non-stigmatising option for SMW to reduce alcohol consumption. However, SMW's perceptions of sober curiosity as a strategy for changing drinking behaviours have not been explored. Methods: We conducted in-depth individual interviews with a purposive sample of 17 SMW from the United States who self-reported moderate to heavy alcohol consumption or a desire to reduce their drinking. Questions explored the socio-cultural contexts of SMW's drinking, their desire to examine and/or to reduce their drinking and perceived supports and barriers for doing so. Results: SMW described heavy drinking norms, the centrality of alcohol in social spaces and events (both queer and non-queer) and alcohol use as a way to reduce stress, as factors that contribute to HD. Although some participants had mixed opinions about the term ‘sober curiosity’, they described feeling motivated to evaluate their alcohol consumption. Barriers to reducing alcohol use included fear of social rejection and loss of social connections. Discussion and Conclusion: Overall, findings suggest sexual identity-specific online support and resources reflecting the sober curious philosophy have the potential to be useful for SMW seeking to reduce alcohol consumption. Key facilitators may include access to opportunities for connection in alcohol-free settings, social support and educational resources regarding alcohol and its impact on health.