ArticleLGBT health2019
Latent Classes of Polysubstance Use Among Adolescents in the United States: Intersections of Sexual Identity with Sex, Age, and Race/Ethnicity.
Article in LGBT health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
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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.
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.
Who cites it
25 citing papers in PubMed.
- Patterns in methods, timing, and sequence of nicotine and cannabis co-use among adolescents.Drug and alcohol dependence · 2026Article
- Latent class analysis of sexual behavior patterns and multidimensional health characteristics among Korean adolescents: a cross-sectional study.Child health nursing research · 2026Article
- The role of polysubstance use in the development, maintenance, and treatment of stimulant use disorders.Pharmacological reviews · 2026Review
- Heterogeneity in Nicotine, Tobacco, and Cannabis Use Among U.S. Adolescents and Adults Aged 12-34 Years.American journal of preventive medicine · 2025Article
- Racial/Ethnic Inequities in Polysubstance Use Among Online Help-Seeking Sexual and Gender Minoritized People in San Francisco From 2022 to 2025: Cross-Sectional Study.JMIR public health and surveillance · 2025Article
- Typologies of Maternal Substance Use in Pregnancy: Latent Classes and Sociodemographic Correlates in a U.S. Sample.Journal of studies on alcohol and drugs · 2025Article
- Examining tobacco use at the intersection of gender, sexual orientation, race, and ethnicity using national U.S. data of sexual and gender diverse youth.Addictive behaviors · 2025Article
- 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
- Polysubstance Use among Maryland High School Students: Variations across County-Level School Districts.International journal of environmental research and public health · 2024Article
- Oppression-Based Stress and Alcohol Inequities Among Sexual and Gender Minority People: An Intersectional Multilevel Framework.Alcohol research : current reviews · 2024Review
- 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
- Unpacking disparities in substance-related outcomes among racial, ethnic, sexual, and gender minoritized groups during adolescence and emerging adulthood.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023Review
- Sexual minority youth's mental health and substance use: The roles of victimization, cybervictimization, and non-parental adult support.Current psychology (New Brunswick, N.J.) · 2023Article
- The role of trauma and positive youth development in polysubstance use among rural middle school students: a latent class analysis.BMC public health · 2022Article
- Alcohol use and cannabis use trajectories and sexual/gender minority disparities in young adulthood.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022Article
- A Scoping Review of Gender, Sex and Sexuality Differences in Polysubstance Use in Adolescents and Adults.Alcohol and alcoholism (Oxford, Oxfordshire) · 2022Article
- Pride-based violence, intoxicated sex and poly-drug use: a vocational school-based study of heterosexual and LGBT students in Bangkok.BMC psychiatry · 2022Article
- Alcohol and Cannabis Use Trajectories and Outcomes in a Sample of Hispanic, White, and Asian Sexual and Gender Minority Emerging Adults.International journal of environmental research and public health · 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
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeWe 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.
methodsWe 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.
resultsA 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.
conclusionCompared 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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