ArticleAmerican journal of preventive medicine2019
Early Alcohol and Smoking Initiation: A Contributor to Sexual Minority Disparities in Adult Use.
Article in American journal of preventive medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 43 citations in OpenAlex.
- Identifying dominant factors that impact hazardous alcohol use among sexual and gender minority groups.Addictive behaviors reports · 2026Article
- Prevalence of Tobacco and Poly-Tobacco Use as a Function of Sexual Orientation Identity and Sex.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- 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
- Sampling weighting strategies in causal mediation analysis.BMC medical research methodology · 2024Article
- Sexual and Gender Identity Disparities in Nicotine and Tobacco Use Susceptibility and Prevalence: Disaggregating Emerging Identities Among Adolescents From California, USA.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Exploring the Unique Therapeutic Potential of Psychedelics to Reduce Chronic Shame Among Sexual and Gender Minority Adults.Psychedelic medicine (New Rochelle, N.Y.) · 2023Review
- Life course differences in heavy episodic drinking behaviors across age, gender, and sexual identity in the United States.Addictive behaviors reports · 2023Article
- Associations of adult roles and minority stressors with trajectories of alcohol dependence symptoms throughout adulthood among sexual minority women.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023Article
- Sexual Identity Differences in Tobacco (Re)Uptake: Testing Mediation by Internalizing and Externalizing Symptoms.American journal of preventive medicine · 2023Article
- Associations Among Enacted Stigma, Perceived Chances for Success, Life Satisfaction, and Substance Use Among Sexual Minority and Heterosexual Youth.Substance use & misuse · 2023Article
- Changes in sexual identity and substance use during young adulthood.Drug and alcohol dependence · 2022Article
- Sexual Orientation and Age of First Drug Use Among Adults in the United States.Substance use & misuse · 2022Article
- Characterization of adolescent sexual practices.Revista latino-americana de enfermagem · 2022Observational
- Developmental Differences in Sexual Orientation and Gender Identity-Related Substance Use Disparities: Findings From Population-Based Data.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Article
- The Association of Asthma, Sexual Identity, and Inhaled Substance Use among U.S. Adolescents.Annals of the American Thoracic Society · 2021Article
- Sexual minority tobacco use disparities across adolescence and the transition to young adulthood.Drug and alcohol dependence · 2020Article
- Sexual orientation and social network size moderate associations between stigma and problematic alcohol use among male sex workers in the US Northeast: an observational study.Sexual health · 2020Observational
- Prospects for finding the mechanisms of sex differences in addiction with human and model organism genetic analysis.Genes, brain, and behavior · 2020Review
- Article
- Sexual Identity Disclosure and Alcohol Experiences Among LGBTQ+ Adolescents.Behavioral medicine (Washington, D.C.)Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
introductionLesbian, gay, and bisexual adults report higher rates of smoking and alcohol use than heterosexual peers. Prior studies have not examined whether potential disparities in early initiation among lesbian, gay, and bisexual youth may contribute to adult disparities.
methodsData on 126,463 adults (including 8,241 lesbian, gay, and bisexual adults) were from the 2015-2017 National Survey on Drug Use and Health. Rates of reported early alcohol and smoking initiation (before age 15 years) among both lesbian/gay and bisexual adults were examined relative to same-gender heterosexual adults. Mediation analyses were used to assess whether early initiation differences contribute to disparities in adult heavy episodic drinking, alcohol use disorder, current smoking, and nicotine dependence for each subgroup. Analyses were conducted in 2018-2019.
resultsFor both lesbian/gay and bisexual women, early alcohol initiation rates were elevated and explained 21%-38% of their observed disparities in adult heavy episodic drinking and alcohol use disorder. Similarly, early smoking initiation rates were elevated among both lesbian/gay and bisexual women and explained 22%-29% of their disparities in adult smoking and nicotine dependence. By contrast, no evidence was observed that early initiation mediated adult disparities for gay or bisexual men.
conclusionsA significant proportion of alcohol and smoking disparities among lesbian/gay and bisexual women in adulthood appear attributable to early initiation, indicating the need for enhanced early prevention efforts for these groups. Making routine adolescent screening for substance use, brief intervention, and referral to treatment more culturally sensitive to lesbian, gay, and bisexual youth may also be an important step in reducing adult disparities for lesbian, gay, and bisexual women.
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Registered trials
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.