ArticleAddiction (Abingdon, England)2017
Concurrent polysubstance use in a longitudinal study of US youth: associations with sexual orientation.
Article in Addiction (Abingdon, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Racism-related experiences and substance use: A systematic and meta-analytic review.Social science & medicine (1982) · 2024Pooled it
- Disproportionate use of polysubstance combinations varies by sexual identity among US adults.PloS one · 2026Article
- Trends in use of tobacco and cannabis across different alcohol consumption levels in the United States, 2010-19.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Article
- Higher prevalence of polysubstance use among older lesbian, and gay US adults.Drug and alcohol dependence reports · 2024Article
- The Association of Stigma, School, and Family Factors with Patterns of Substance Use Among LGBTQ Youth.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Examination of the "model minority" stereotype through ethnicity and sexual orientation heterogeneity among Asian American youth.Journal of adolescence · 2023Article
- High-risk polysubstance use among LGBTQ+ people who use drugs in the United States: An application of syndemic theory.The International journal on drug policy · 2023Article
- Polysubstance use among young adults and differences in negative alcohol-related sexual experiences.Addictive behaviors · 2023Article
- A Scoping Review of Gender, Sex and Sexuality Differences in Polysubstance Use in Adolescents and Adults.Alcohol and alcoholism (Oxford, Oxfordshire) · 2022Article
- Recovery among sexual minorities in the united states population: Prevalence, characteristics, quality of life and functioning compared with heterosexual majority.Drug and alcohol dependence · 2022Article
- Polysubstance use in a community sample of Black cisgender sexual minority men and transgender women in Chicago during initial COVID-19 pandemic peak.Substance abuse treatment, prevention, and policy · 2022Article
- Trends in binge drinking, marijuana use, illicit drug use, and polysubstance use by sexual identity in the United States (2006-2017).Substance abuse · 2022Article
- Trends in sexual orientation disparities in cigarette smoking: Intersections between race/ethnicity and sex.Preventive medicine · 2021Article
- Marijuana Use and Sexual Risk Behavior Among Young Black Men Who Have Sex with Men in California.Journal of racial and ethnic health disparities · 2021Article
- Rates and predictors of Alcoholics Anonymous attendance across sexual orientations.Journal of substance abuse treatment · 2021Article
- Same-day use of cigarettes, alcohol, and cannabis among sexual minority and heterosexual young adult smokers.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021Article
- Differences in substance use by sexual orientation and gender among Jewish young adults in Israel.Israel journal of health policy research · 2020Article
- Individualized approach to primary prevention of substance use disorder: age-related risks.Substance abuse treatment, prevention, and policy · 2020Review
- Stress, Coping, and Context: Examining Substance Use Among LGBTQ Young Adults With Probable Substance Use Disorders.Psychiatric services (Washington, D.C.) · 2020Article
- Research on alcohol and other drug (AOD) use among sexual minority women: A global scoping review.PloS one · 2020Article
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
aimsTo estimate longitudinal associations between self-reported sexual orientation and past-year polysubstance use among youth, and test how gender, age and early onset of tobacco and alcohol use contributed to variation in polysubstance use.
designLongitudinal community-based cohort of US adolescents from the Growing Up Today Study (GUTS 1) (n = 16 873) followed from ages 12-29 years.
settingUnited States of America.
participantsA total of 13 519 individuals (7839 females; 5680 males) who responded to at least one of five self-administered questionnaires from 1999 to 2010. Ninety-three per cent reported their race/ethnicity as non-Hispanic white. MEASUREMENTS: Multivariable repeated measures generalized estimating equations estimated relative risks (RRs) of concurrent polysubstance use (i.e. past 12-month use of three or more substances) comparing sexual orientation minority youth [i.e. mostly heterosexual (MH), bisexual (BI), gay/lesbian (GL)] to their same-gender, completely heterosexual (CH) counterparts. Mediation analyses tested whether early onset of tobacco and/or alcohol use explained relationships between sexual orientation and concurrent polysubstance use.
findingsCompared with their same-gender CH peers, sexual minorities evidenced higher risk for concurrent polysubstance use over all repeated measures [risk ratios (RRs) for sexual minority subgroups: from 1.63-2.91, P-values: <0.001] and for all age groups (RRs: from 1.50-4.04, P-values: < 0.05-< 0.001), except GL males aged 18-20 years. Differences between sexual minorities and CHs were larger among females than males (P-values for sexual orientation × gender interactions were < 0.05 for MHs and BIs), and among younger versus older ages (P-values for sexual orientation × age interactions were < 0.05, except for BI males). Sexual minorities' younger age of smoking and/or drinking initiation contributed to their elevated polysubstance use (% of effect explained was between 9.4-24.3, P-values: 0.04-< 0.001), except among GL males.
conclusionsSexual minority youth in the United States, and in particular younger females, appear to be at disproportionate risk for concurrent past-year polysubstance use. Early onset of smoking and drinking may contribute to elevated risk of polysubstance use among sexual minorities.
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