Sexual orientation, treatment utilization, and barriers for alcohol related problems: Findings from a nationally representative sample

Allen, Junior Lloyd; Mowbray, Orion

doi:10.1016/j.drugalcdep.2016.02.025

Cited by 73 publications

(62 citation statements)

References 49 publications

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“…A meta-analysis of 18 school-based surveys reported that US SM youth had nearly three times the odds of any substance use relative to heterosexual youth, smoking rates 2–3 times higher those of heterosexuals and approximately 1.5 times the odds of marijuana use (Marshal et al, 2008). These disparities persist in adulthood: in national surveys in the US and Canada, SM adults report more alcohol use and heavy episodic drinking (HED) than heterosexual adults (Allen and Mowbray, 2016; McCabe et al, 2009; Pakula et al, 2016), and national surveys in the US and Australia have found SM adults to have significantly elevated marijuana use (Demant et al, 2017; McCabe et al, 2009). Similarly, national surveys find SM youth and adults have elevated cigarette smoking rates and higher odds of moderate or heavy smoking, especially women (Cochran et al, 2013; Corliss et al, 2014; Gonzales et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…Disparities also have been consistently observed with regard to SUDs: a recent study of the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) found that SM adults have nearly twice the odds of any past-year SUD relative to heterosexuals (Kerridge et al, 2017). SMs are more likely to have an alcohol use disorder (AUD) and experience greater AUD severity (Allen and Mowbray, 2016; Amadio, 2006; McCabe et al, 2009). Notably, while heterosexual women have significantly lower rates of substance use than heterosexual men, SM women have similar or higher rates of substance use behaviors and disorders compared to SM men (Demant et al, 2017; Kerridge et al, 2017; McCabe et al, 2013; Operario et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Disparities in substance use behaviors and disorders among adult sexual minorities by age, gender, and sexual identity

Schuler

Exten

Evans-Polce

et al. 2018

Drug and Alcohol Dependence

173

121

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Background: Sexual minorities (SMs) experience elevated rates of substance use behaviors and disorders relative to heterosexuals; minority stress is theorized to contribute to these disparities. As SMs are not a homogenous group, analyses that aggregate SMs across sexual identity, age, or gender obscure important variation among this population. To date, age- and gender-specific disparities have not been rigorously examined using a large national sample. Methods: Using data on 67,354 adults (ages 18–49) from the 2015 and 2016 National Survey of Drug Use and Health we examined age- and gender-specific disparities in smoking, heavy episodic drinking, marijuana use, illicit drug use, and alcohol/substance use disorder. Age groups were ages 18–25, 26–34, and 35–49. Using logistic regression, we estimated age- and gender-specific odds ratios for gay/lesbian and bisexual individuals, relative to heterosexuals; analyses adjusted for demographic characteristics. Results: Bisexual women had significantly elevated odds of all outcomes at all ages, relative to heterosexual women. Gay/lesbian individuals had significantly elevated odds for nearly all outcomes compared to same-gender heterosexuals at ages 18–25, but not consistently at older ages. For bisexual men, significant disparities compared to heterosexual men were only observed at ages 35–49 for marijuana use and alcohol/substance use disorder. Conclusions: We find notable within-group differences regarding SM disparities. While disparities were most pronounced in young adulthood for gay/lesbian individuals and mid-adulthood for bisexual men, bisexual women uniquely experienced disparities across all ages. Minority stress experiences may vary with respect to gender, age/cohort, and sexual identity, resulting in differential risk for substance use.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Disparities in substance use behaviors and disorders among adult sexual minorities by age, gender, and sexual identity

Schuler

Exten

Evans-Polce

et al. 2018

Drug and Alcohol Dependence

173

121

View full text Add to dashboard Cite

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“…Negative experiences of treatment reported by participants reflected themes reported in the research literature. These included insufficient management of issues (particularly in relation to GPs and mental health providers not acknowledging problematic drinking); insufficient provider training in LBQ issues; inadequate attention to the complex inter‐relationship between alcohol and mental health; heteronormative assumptions; experience of discrimination and negative attitudes; and discomfort disclosing sexual identity 2,3,19–24,27,31–33 …”

Section: Resultsmentioning

confidence: 99%

“…The causal relationship is not definitive but stress and discrimination have been implicated as important predictors of alcohol use among LBQ women 10 and, in one of the few loitudinal studies of LBQ women's health, anxiety was prospectively associated with hazardous alcohol use, and hazardous drinking was prospectively associated with depression 12 . A meta‐analysis conducted by King et al 13 concluded that the risk of lifetime mood disorders, anxiety disorders and substance use disorders were at least 1.5 times higher among LBQ populations compared with heterosexual populations 3,14 . Research suggests that bisexual women experience greater rates of mental health problems compared with lesbian women 15,16 .…”

mentioning

confidence: 99%

“…N ational population and community survey studies consistently demonstrate that lesbian, bisexual and queer (LBQ) women consume alcohol at higher levels and experience higher rates of alcohol dependence than heterosexual women. [1][2][3][4][5][6] However, a growing body of research suggests that the picture is more complex, with rates of drinking and alcohol dependence among LBQ women varying by sexual identity. 1,2,7,8 For example, a national US study found that bisexual women reported higher rates of past-year heavy drinking and alcohol dependence compared with lesbian women.…”

mentioning

confidence: 99%

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Improving alcohol and mental health treatment for lesbian, bisexual and queer women: Identity matters

Pennay

McNair

Hughes

et al. 2018

Australian and New Zealand Journal of Public Health

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Objective: Lesbian, bisexual and queer (LBQ) women experience substantial unmet alcohol and mental health treatment needs. This paper explores the way in which sexual identity shapes experience, and needs, in relation to alcohol and mental health treatment, and presents key messages for improving treatment.Methods: Twenty-five in-depth interviews were undertaken with same-sex attracted Australian women, aged 19-71. Interview transcripts were analysed thematically.Results: Key messages offered by participants focused on language, disclosure and practitioner training. Variation in sexual identity did not alter treatment expectations or needs; however, we noted an important difference with respect to identity salience, with high LBQ identity salience linked with preference for disclosure and acknowledgement of sexual identity in treatment interactions, and low identity salience linked with a preference not to disclose and for sexual identity not to require acknowledgement in treatment.Conclusions: Treatment providers may find it useful to gather information about the centrality of sexual identity to LBQ women as a means of overcoming treatment barriers related to heteronormative conventions and discrimination, language and disclosure.Implications for public health: Treatment providers should adopt more inclusive language, seek information about identity salience and the importance of sexual identity to the current treatment, and regularly pursue LBQ-related professional development upskilling.

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Examining alcohol use disorder treatment utilization in lesbian, gay, and bisexual populations through the Behavioral Model for Vulnerable Populations

Micale,

Brubaker,

Richardson

et al. 2024

J Addict Offender Couns

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There is significant need for alcohol use disorder (AUD) treatment among lesbian, gay, and bisexual (LGB) individuals. Furthermore, utilization among LGB individuals is below indicated treatment need due to interpersonal and structural barriers. A hierarchical logistic regression examined relationships among perceived public, interpersonal, and healthcare discrimination in relation to treatment utilization using secondary data from a subsample of the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions‐III. Findings indicate that increased public and interpersonal discrimination is associated with higher likelihood of healthcare discrimination. Healthcare discrimination predicted higher AUD treatment use. Clinical implications and recommendations for future research are discussed.

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Sexual orientation, treatment utilization, and barriers for alcohol related problems: Findings from a nationally representative sample

Cited by 73 publications

References 49 publications

Disparities in substance use behaviors and disorders among adult sexual minorities by age, gender, and sexual identity

Disparities in substance use behaviors and disorders among adult sexual minorities by age, gender, and sexual identity

Improving alcohol and mental health treatment for lesbian, bisexual and queer women: Identity matters

Examining alcohol use disorder treatment utilization in lesbian, gay, and bisexual populations through the Behavioral Model for Vulnerable Populations

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