Sexual‐orientation differences in alcohol use trajectories and disorders in emerging adulthood: results from a longitudinal cohort study in the United States

Coulter, Robert W. S.; Jun, Hee-Jin; Calzo, Jerel P.; Truong, Nhan L.; Mair, Christina; Marković, Nina; Charlton, Brittany M.; Silvestre, Anthony J.; Stall, Ron; Corliss, Heather L.

doi:10.1111/add.14251

Cited by 35 publications

(21 citation statements)

References 79 publications

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“…35 Our findings indicate that sexual minority youth at risk for polysubstance use during adolescence need early intervention efforts. Given the prevalence of sexual orientation disparities in substance use disorders in adulthood, [36][37][38] early intervention strategies could assist in altering sexual minority population health disparities later in the life course. Nevertheless, there is a paucity of substance use intervention research for sexual minority youth, 39 and our article echoes prior literature calling for such interventions.…”

Section: Discussionmentioning

confidence: 99%

Latent Classes of Polysubstance Use Among Adolescents in the United States: Intersections of Sexual Identity with Sex, Age, and Race/Ethnicity

et al. 2019

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Purpose: We aimed to estimate latent classes of concurrent polysubstance use and test for sexual orientation differences in latent class memberships with representative data from adolescents living in 19 U.S. states. We also tested whether sex, race/ethnicity, and age moderated the sexual identity differences in polysubstance use class memberships. Methods: We analyzed data from 119,437 adolescents from 19 states who participated in the 2015 Youth Risk Behavior Survey. Latent class analysis characterized polysubstance use patterns based on self-reported frequency of lifetime and past-month use of alcohol (including heavy episodic drinking), tobacco (cigarettes, cigars, and smokeless tobacco), and marijuana. Multinomial logistic regression models tested differences in latent class memberships by sexual identity. Interaction terms tested whether sex, race/ethnicity, and age moderated the sexual identity differences in polysubstance use class memberships. Results: A six-class model of polysubstance use fit the data best and included nonusers (61.5%), experimental users (12.2%), marijuana-alcohol users (14.8%), tobacco-alcohol users (3.8%), medium-frequency three-substance users (3.6%), and high-frequency three-substance users (4.1%). Gay/lesbian-and bisexual-identified adolescents had significantly higher odds than heterosexual-identified adolescents of being in all of the user classes compared with the nonuser class. These sexual identity differences in latent polysubstance use class memberships were generally larger for females than for males, varied occasionally by race/ethnicity, and were sometimes larger for younger ages. Conclusion: Compared with their heterosexual peers, gay/lesbian and bisexual adolescents-especially females-are at heightened risk of engaging in multiple types of polysubstance use. Designing, implementing, and evaluating interventions will likely reduce these sexual orientation disparities.

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Section: Discussionmentioning

confidence: 99%

Latent Classes of Polysubstance Use Among Adolescents in the United States: Intersections of Sexual Identity with Sex, Age, and Race/Ethnicity

et al. 2019

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“…In contrast, an overrepresentation of alcohol and illicit drug use disorders is well documented ( Cochran et al, 2004 ; Corliss et al, 2006 ; The Swedish Public Health Institute, 2014 ; National Board of Health and Welfare, 2016 ). Especially, bi- and homosexual women seem to have a greater relative risk for developing alcohol dependence ( Coulter et al, 2018 ), and it is also reflected in a Swedish register study among same-sex couples ( National Board of Health and Welfare, 2016 ). Research suggests that minority stress within the sexual minority group is associated with disparities in health between heterosexual and non-heterosexual populations ( Blosnich et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

Problematic Gaming and Internet Use but Not Gambling May Be Overrepresented in Sexual Minorities – A Pilot Population Web Survey Study

Broman

Håkansson²

2018

Front. Psychol.

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Background: Substance-related addictive disorders are known to be overrepresented in non-heterosexual individuals, but it is largely unknown whether this is also the case for behavioral addictions such as problem gaming and gambling. This study aimed, in a pilot web survey design, to assess whether problematic gambling, gaming and internet use may be more common in individuals with a non-heterosexual orientation.Methods: An online survey was distributed through media and social media, and answered by 605 individuals (51% women and 11% non-heterosexual). Problem gambling, problem gaming and problematic internet use were measured through structured screening instruments (the CLiP, the GAS and the PRIUSS, respectively).Results: Problem gaming and problematic internet use were significantly more prevalent in non-heterosexual subjects. Instead, problem gambling did not differ between heterosexual and non-heterosexual respondents. Psychological distress and social media use for more than 3 h daily were significantly more common in non-heterosexual respondents. In the overall sample, gaming and gambling were associated statistically.Conclusion: Based on the present pilot online survey, problematic gaming and internet use, but not problem gambling, may be more common in non-heterosexual populations. This area merits more and larger studies, and potentially preventive efforts aimed for non-heterosexual individuals in the population. Possible explanations and study limitations are discussed in the paper.

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“…Evidence suggests there are unique differences in alcohol use between SM subpopulations (e.g. bisexual men and women display different alcohol use patterns to gay men/lesbians ). Public health interventions need to account for such differences to reduce problematic alcohol use amongst these populations.…”

Section: Discussionmentioning

confidence: 99%

Do New Zealand sexual minorities engage in more hazardous drinking than non‐sexual minorities?

Surace

Riordan

Winter

2019

Drug and Alcohol Review

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Introduction and Aims. Research has shown that sexual minorities (SMs) throughout the world display more alcohol use related problems than non-SMs. To date, however, this research has not been replicated in New Zealand. The aim of the current study is to determine whether SMs in New Zealand drink more hazardously than non-SMs. Design and Methods. Secondary data analyses were performed using data from the 2015/16 and 2016/17 New Zealand Health Survey. Results. Using a Bayesian logistic regression model we tested whether SM status predicted hazardous alcohol consumption. We found that SMs were 2.2 times (95% HDI [1.7-2.7]) more likely to drink hazardously than non-SMs, but this effect was largely driven by sexual minority women (SMW). Discussion and Conclusion. New Zealand SMs engaged in more hazardous drinking than non-SMs, an effect driven by SMW. A potential reason for these findings could be that, despite New Zealand's relative acceptance of SMs, structural/social discrimination may persist and have a disproportionate effect on women. More research is needed to determine what factors, such as stigma/discrimination, impact SMs' alcohol use in New Zealand.[Surace A, Riordan BC, Winter T. Do New Zealand sexual minorities engage in more hazardous drinking than non-sexual minorities?. Drug Alcohol Rev 2019;38:519-522]

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Sexual‐orientation differences in alcohol use trajectories and disorders in emerging adulthood: results from a longitudinal cohort study in the United States

Cited by 35 publications

References 79 publications

Latent Classes of Polysubstance Use Among Adolescents in the United States: Intersections of Sexual Identity with Sex, Age, and Race/Ethnicity

Latent Classes of Polysubstance Use Among Adolescents in the United States: Intersections of Sexual Identity with Sex, Age, and Race/Ethnicity

Problematic Gaming and Internet Use but Not Gambling May Be Overrepresented in Sexual Minorities – A Pilot Population Web Survey Study

Do New Zealand sexual minorities engage in more hazardous drinking than non‐sexual minorities?

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