Evidence map›Paper›PMID 33290517›Full record

ArticleAlcohol and alcoholism (Oxford, Oxfordshire)2021

Differential Alcohol Use Disparities by Sexual Identity and Behavior Among High School Students.

Gregory Phillips Ii, Xinzi Wang, Megan M Ruprecht, Dylan Felt, David McCuskey, Reno Stephens, Esrea Perez-Bill, Lauren B Beach

Open access · greenAbstract read
In one paragraph

Article in Alcohol and alcoholism (Oxford, Oxfordshire), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 79% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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

8 authors at 1 institution in 1 country.

Gregory Phillips IiDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625 N Michigan Ave, Suite 1400, Chicago, IL 60611, USA.
Xinzi WangDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625 N Michigan Ave, Suite 1400, Chicago, IL 60611, USA.
Megan M RuprechtDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625 N Michigan Ave, Suite 1400, Chicago, IL 60611, USA.
Dylan FeltDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625 N Michigan Ave, Suite 1400, Chicago, IL 60611, USA.
David McCuskeyDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625 N Michigan Ave, Suite 1400, Chicago, IL 60611, USA.
Reno StephensDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625 N Michigan Ave, Suite 1400, Chicago, IL 60611, USA.
Esrea Perez-BillDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625 N Michigan Ave, Suite 1400, Chicago, IL 60611, USA.
Lauren B BeachDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625 N Michigan Ave, Suite 1400, Chicago, IL 60611, USA.
Northwestern University · US

Funding

Supporting COVID-19 prevention and testing for marginalized and minoritized youth and young adultsR01AA024409 · NIAAA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PHILLIPS, GREGORY L. · 2016 to 2021
$2.7M
Third Coast HIV-Related Cardiovascular and Sleep Disorders K12 Career Development ProgramK12HL143959 · NHLBI · UNIVERSITY OF CHICAGO · PI ARDEHALI, HOSSEIN, SCHNEIDER, JOHN · 2018 to 2022
$1.5M
NHLBI NIH HHS K12 HL143959NIAAA NIH HHS R01 AA024409
6 · The paper itself

Abstract

aimsSexual minority youth (SMY) use alcohol at disproportionate rates compared to their heterosexual peers. However, sexual orientation is multidimensional. Analyzing alcohol use disparities only by one dimension of sexual orientation may result in critical disparities being obscured.

methodsData from state and local versions of the Youth Risk Behavior Survey were pooled (2009-2017), resulting in a large, diverse sample (n = 201,671). Multivariable logistic regression models were used to analyze associations between sexual identity/sexual behavior and three alcohol use outcomes among sexually active youth: age at first drink, binge drinking and current drinking.

resultsSMY, when categorized by sexual identity and sexual behavior, reported greater alcohol use than their heterosexual peers, though the magnitude of these disparities varied by subgroup. Both those who identified as bisexual and those who reported sexual behavior with both males and females reported the greatest levels of alcohol use. Decomposition analysis revealed that youth whose reported sexual behavior was not aligned with stereotypical behavioral expectations based on their sexual identity had higher odds of current drinking and drinking before 13 years as compared to other youth.

conclusionsResults highlight the need to incorporate multiple methods of sexual orientation measurement into substance use research. Interventions based solely on identity, rather than both identity and behavior, may not be sufficient; targeted research into the causes of alcohol use disparities is needed, especially for bisexual youth, youth whose sexual behavior and sexual identity are not stereotypically aligned, and youth who report a sexual identity of 'not sure.'

Indexed as

Sexual and Gender MinoritiesSexual BehaviorAdolescentAlcohol DrinkingFemaleHumansMaleSurveys and QuestionnairesUnited States

Identifiers

PMID33290517
PMCPMC8522742
OpenAlexW3111320486

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.