ArticleAddiction (Abingdon, England)2020
Functional and structural social support, substance use and sexual orientation from a nationally representative sample of US adults.
Article in Addiction (Abingdon, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed.
- The impact of spiritual well-being and social support on substance use treatment outcomes within a sample of predominantly Black/African American adults.Journal of substance use and addiction treatment · 2024Trial
- Perceived Social Support Moderates the Response to Stress and Alcohol Cues During Early Abstinence From Alcohol.Biological psychiatry global open science · 2026Article
- Substance Use Patterns Across the Sexual Identity Spectrum Among U.S. Individuals.The American journal of psychiatry · 2026Article
- Elevated risk of alcohol use disorder in Japanese men living with HIV: Psychosocial determinants and protective role of sense of coherence.Drug and alcohol dependence reports · 2026Article
- Social media use and health outcomes as moderated by rurality among sexual minority young adults.The American journal on addictions · 2026Article
- Drug use vs. abstinence after incarceration: associations with competing psychosocial needs and their relevance to the importance of treatment.Health & justice · 2026Article
- Digital Contingency Management for Substance Use Disorder Treatment: 12-Month Quasi-Experimental Design.JMIR mental health · 2025Article
- How competing needs after incarceration lead to adverse health outcomes among people who use criminalized drugs.BMC global and public health · 2025Review
- Exploring Social-Ecological Pathways From Sexual Identity to Sleep Among Chinese Women: Structural Equation Modeling Analysis.JMIR public health and surveillance · 2025Article
- Associations Between Having a Spouse/Partner with Alcohol Problems and One's Own Risk of Mental Health and Substance Use Disorders by Sexual Orientation.Substance use & misuse · 2025Article
- Identifying In-the-Moment Reasons for Posttraumatic Stress Disorder-Related Drinking: A Qualitative Investigation.Traumatology · 2024Article
- Coping and Social Support in Relation to Minority Stress and Cigarette Smoking Among Lesbian, Gay, and Bisexual Veterans.Annals of LGBTQ public and population health · 2024Article
- Patient and Physician Perspectives on Discussing Addiction Recovery and Spirituality in the Primary Care Setting.Journal of general internal medicine · 2024Article
- The Impact of Role Models on Sexual Minority Women: A Qualitative Interview Study.Behavioral sciences (Basel, Switzerland) · 2024Article
- Daily associations between resilience factors, substance use, and affect among sexual minority youth.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024Article
- Differences in HIV testing among sexual orientation subgroups in the United States: A national cross-sectional study.Preventive medicine reports · 2023Article
- Social support across eating disorder diagnostic groups: Results from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III).Eating behaviors · 2023Article
- The relationship of alcohol and other drug use during the COVID-19 pandemic among people with or at risk of HIV; A cross-sectional survey of people enrolled in Collaborating Consortium of Cohorts Producing NIDA Opportunities (C3PNO) cohorts.Drug and alcohol dependence · 2022Article
- Excessive Drinking Among Men Who Have Sex With Men Recruited From Web-Based Resources: Cross-sectional Questionnaire Study.JMIR public health and surveillance · 2022Article
- Social Isolation in a Population-Based Sample of Emerging Adults: Who Is on Their Own?Emerging adulthood (Print) · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
BACKGROUND AND
aimsSexual minority (SM) populations experience higher rates of substance use disorder (SUD) associated with increased sexual orientation-related stress. Social support may moderate the impact of stress on SUD among SM adults. This study assessed associations between social support and DSM-5 SUD by sex and sexual minority identity.
designCross-sectional study using data from the 2012-13 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III). SETTING AND
participantsA nationally representative cross-sectional sample of adults (n = 36 309) in the United States. MEASUREMENTS: SUD were defined based on the DSM-5 criteria for alcohol use (AUD), tobacco use (TUD) and drug use (DUD) disorders. Structural social support was measured as the type and frequency of kin and non-kin contact, and functional social support was measured by the Social Provision Scale.
findingsSM adults had higher odds of all SUD compared to heterosexual adults [AUD = 1.535, 95% confidence interval (CI) = 1.782-1.844; TUD = 1.512, 95% CI = 1.234-1.854; DUD = 1.520, 95% CI = 1.139-2.028]; SM women experienced the highest proportion of all SUD (AUD = 27.1%, TUD = 29.1%, DUD = 10.9%). Type of social support was differentially associated with SUD by sex and sexual identity status. Higher social provision was associated with lower rates of AUD [adjusted odds ratio (aOR) = 0.771, 95% CI = 0.705-0.844], TUD (aOR = 0.747, 95% CI = 0.694-0.804] and DUD (aOR = 0.558, 95% CI = 0.490-0.636). Marriage was associated with lower SUD among heterosexual men (AUD, aOR = 0.500, 95% CI = 0.432-0.579; TUD, aOR = 0.603, 95% CI = 0.521-0.699; DUD, aOR = 0.504, 95% CI = 0.369-0.689) and women (AUD, aOR = 0.637, 95% CI = 0.529-0.767; TUD = 0.0.584, 95% CI = 0.507-0.671; DUD, aOR = 0.515, 95% CI = 0.372-0.712). Compared to heterosexual adults, SM women with at least one child under the age of 18 years had higher odds of TUD (aOR = 1.990, 95% CI = 1.325-2.988). SM-related discrimination was not associated with SUD among some SM subgroups, but discrimination among male heterosexually identifying individuals reporting same-sex attraction or behavior was associated AUD (aOR = 4.608, 95% CI = 1.615-13.14).
conclusionsIn the United States there are significant associations between functional support (quality or provision of support) and structural support (type and frequency of social networks) and substance use disorder (SUD) which differ by sex and sexual identity status.
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