NDLI: Sexual Orientation-Based Discrimination, Excessive Alcohol Use, and Substance Use Disorders Among Sexual Minority Adults.

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Sexual Orientation-Based Discrimination, Excessive Alcohol Use, and Substance Use Disorders Among Sexual Minority Adults.

Content Provider	Europe PMC
Author	Slater, Megan E. Godette, Dionne Huang, Boji Ruan, W. June Kerridge, Bradley T.
Copyright Year	2017
Abstract	Abstract Purpose: The purpose of this study was to examine relationships between sexual orientation-based discrimination and excessive alcohol use and substance use disorders and to identify how these relationships differ by sexual identity, sex, race, Hispanic origin, and education among sexual minorities. Methods: We used logistic regression to analyze associations between discrimination and substance use measures among 1351 gay/lesbian, bisexual, or unsure adults from a nationally representative survey. Differential effects by sexual identity, sex, race, Hispanic origin, and education were assessed using interaction models followed by stratified models. Results: Discrimination was associated with increased odds of the following: exceeding weekly drinking limits [adjusted odds ratio (aOR) = 1.52, 95% confidence interval (CI): 1.12–2.08] among bisexuals, any substance use disorder (aOR = 2.04, 95% CI: 1.41–2.95) and nicotine use disorder (aOR = 1.52, 95% CI: 1.08–2.14) among Hispanic sexual minorities, and exceeding weekly drinking limits (aOR = 1.56, 95% CI: 1.08–2.26) among those with a high school degree or less. Conclusion: Sexual orientation-based discrimination was associated with select substance use outcomes, especially among bisexuals, Hispanics, and less educated sexual minority adults, highlighting potential disparities associated with experiencing discrimination.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC5661858&blobtype=pdf
Page Count	8
ISSN	23258292
Volume Number	4
DOI	10.1089/lgbt.2016.0117
PubMed Central reference number	PMC5661858
Issue Number	5
PubMed reference number	28876167
Journal	LGBT Health
e-ISSN	23258306
Language	English
Publisher	Mary Ann Liebert, Inc.
Publisher Date	2017-09-06
Publisher Place	USA
Access Restriction	Open
Rights License	Copyright 2017, Mary Ann Liebert, Inc.
Subject Keyword	epidemiology health disparities minority stress sexual orientation
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health Urology Dermatology Psychiatry and Mental Health Obstetrics and Gynecology

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