ArticleDrug and alcohol dependence2020
Sexual minority substance use disparities: Bisexual women at elevated risk relative to other sexual minority groups.
Article in Drug and alcohol dependence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers.
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Who cites it
105 citing papers in PubMed, 171 citations in OpenAlex.
- Alcohol and cannabis use and Co-use among U.S. sexual minority young adults: Findings from the 2019-2021 monitoring the future longitudinal panel data.Addictive behaviors reports · 2026Article
- Substance Use Patterns Across the Sexual Identity Spectrum Among U.S. Individuals.The American journal of psychiatry · 2026Article
- Associations between weight concern, bullying, cigarette use, and vaping among heterosexual and sexual minority female adolescents.Public health · 2026Article
- Identifying dominant factors that impact hazardous alcohol use among sexual and gender minority groups.Addictive behaviors reports · 2026Article
- Person-level health factors partially mediate the association between lesbian, gay, or bisexual (LGB) identity, allostatic load, and cancer mortality in NHANES.Cancer causes & control : CCC · 2026Article
- Perceived Availability of Lysergic Acid Diethylamide in the United States from 2015 to 2019.Psychedelic medicine (New Rochelle, N.Y.) · 2026Article
- Sexual minority (LGBQ+) women's experiences of accessing addiction services: a qualitative study.Frontiers in public health · 2026Article
- Substance use patterns among sexual minority women: a mini review.Frontiers in global women's health · 2026Review
- Disproportionate use of polysubstance combinations varies by sexual identity among US adults.PloS one · 2026Article
- Cannabis use among sexual minority adults: insights from recent U.S. nationally representative data.Addictive behaviors · 2026Article
- Daily Sexual Objectification As a Proximal Risk Factor for Craving and Alcohol Use After Sexual Assault: An Ecological Momentary Assessment Study.Journal of studies on alcohol and drugs · 2026Article
- Daily risk factors for using more alcohol and cannabis than intended: An examination of contextual and motivational risk factors among sexual minority women and gender diverse individuals.Annals of LGBTQ public and population health · 2025Article
- Multiple motives for cannabis use: identifying common motive combinations and exploring differences across combinations.Journal of cannabis research · 2025Article
- A Qualitative Investigation of Nicotine and Tobacco use in Young Pregnant and Birthing Sexual Minority People.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Cannabis use, risk of cannabis use disorder, and anxiety and depression among bisexual patients: A comparative study of sex and sexual identity differences in a large health system.Drug and alcohol dependence · 2025Article
- Event-Level Differences in Quantity, Frequency, and Consequences of Cannabis Use by Modes of Use Among Sexual Minority Women and Gender Diverse Individuals.Journal of studies on alcohol and drugs · 2025Article
- Tusi use among the New York City nightclub-attending population.Addiction (Abingdon, England) · 2025Article
- The Association Between Sexual Identity, Depression, and Adolescent Substance Use.Child psychiatry and human development · 2025Article
- Intersectionality in substance use disorders: Examining gender, race/ethnicity, and sexual orientation in the 2021-2022 National Survey on Drug Use and Health.Addictive behaviors reports · 2025Article
- Mental disorders and sexual orientation in college students across 13 countries of differing levels of LGBTQ+ acceptance.Journal of psychiatric research · 2025Article
45 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPrior studies characterizing sexual minority substance use disparities have primarily compared lesbian/gay and bisexual individuals, respectively or in combination, to heterosexual individuals. In light of emerging evidence that bisexual individuals may have particularly elevated substance use risk, we examine differences in recent substance use between bisexual and lesbian/gay individuals using national survey data.
methodsData on 126,463 adults (including 8241 LGB adults) were from the 2015-2017 National Survey on Drug Use and Health. Substance use outcomes included binge drinking, cigarette smoking, cigar smoking, marijuana use, illicit drug use, opioid misuse, alcohol use disorder, nicotine dependence, and substance use disorder. Logistic regression was used to estimate sexual identity- and gender-specific odds ratios, controlling for demographic characteristics. Of particular interest were estimates comparing bisexual and lesbian/gay individuals of the same gender.
resultsBoth male and female sexual minority adults had significantly elevated rates of substance use compared to heterosexual adults. Furthermore, relative to lesbian/gay women, bisexual women had significantly elevated odds of binge drinking (aOR = 1.29), marijuana use (aOR = 1.42), illicit drug use (aOR = 1.55), opioid misuse (aOR = 1.53), and alcohol use disorder (aOR = 1.48). Relative to gay men, bisexual men had significantly elevated cigar use (aOR = 1.64).
conclusionsBisexual women were at significantly greater risk for multiple substance use behaviors relative to lesbian/gay women. We did not observe any substance use behaviors for which bisexual individuals had significantly lower risk than their lesbian/gay peers. These disparities may be explained, in part, by unique risk factors for substance use experienced by bisexual individuals, particularly 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.