Evidence map›Paper›PMID 30735084›Full record

ArticleLGBT health

Differences in Substance Use Disparities Across Age Groups in a National Cross-Sectional Survey of Lesbian, Gay, and Bisexual Adults.

Megan S Schuler, Bradley D Stein, Rebecca L Collins

Open access · greenAbstract read
In one paragraph

Article in LGBT health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
13.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 88 citations in OpenAlex.

  1. Does gender expression matter in tailoring anti-smoking messages for sexual and gender minority young adults?Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Trial
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  5. When and for whom is enacted stigma associated with alcohol and cannabis use at the event level among sexual and gender minority older adults?Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025
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  9. Evaluating the Determinants of Substance Use in LGBTQIA+ Adolescents: A Scoping Review.International journal of environmental research and public health · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Megan S Schuler1 RAND Corporation, Boston, Massachusetts.
Bradley D Stein2 RAND Corporation, Pittsburgh, Pennsylvania.
Rebecca L Collins3 RAND Corporation, Santa Monica, California.
RAND Corporation · US

Funding

Impact of a Discrimination & Stigma Reduction Initiative on MI Treatment Seeking & OutcomesR01MH104381 · NIMH · RAND CORPORATION · PI COLLINS, REBECCA L · 2015 to 2018
$2.3M
NIMH NIH HHS R01 MH104381
6 · The paper itself

Abstract

purposeLesbian, gay, and bisexual (LGB) adults have elevated rates of substance use (SU) relative to heterosexual adults, yet the extent to which these disparities vary across age groups is unknown. Using national survey data, we test for age group differences in lifetime and recent SU disparities among LGB adults.

methodsUsing data on 67,354 adults (including 4868 LGB adults) from the 2015 and 2016 National Survey on Drug Use and Health (NSDUH), we examined LGB disparities in lifetime and recent use of cigarettes, marijuana, and illicit drugs. Analyses were stratified by age groups (18-25, 26-34, and 35-49 years) and compared lesbian/gay (L/G) and bisexual adults, respectively, with heterosexual adults of the same gender and age group.

resultsAmong L/G women, disparities (relative to same-age heterosexual women) were significantly larger in the youngest age group compared with the older age groups for numerous measures of lifetime and recent SU. Conversely, among bisexual men and bisexual women, multiple SU disparities (relative to heterosexual adults of the same age and gender) were significantly smaller among the youngest age group compared with the oldest age group.

conclusionContrary to hypotheses of decreased minority stress among more recent generations of LGB individuals, we found that SU disparities were not systematically smaller in younger age groups. Rather, disparities exhibited distinct trends across age groups. As NSDUH data are cross-sectional, differences by age group may reflect the influence of both age-varying developmental factors as well as time-varying social and contextual factors.

Indexed as

Health Status DisparitiesAdolescentAdultAge FactorsCase-Control StudiesCigarette SmokingCross-Sectional StudiesFemaleHealth SurveysHeterosexualityHumansMaleMarijuana UseMiddle AgedSex FactorsSexual and Gender Minoritiesand bisexualdisparitiesgaylesbianLGBsexual minoritiessubstance use

Identifiers

PMID30735084
PMCPMC6434594
OpenAlexW2914304582

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.