Evidence map›Paper›PMID 34773839›Full record

ArticleChild abuse & neglect2022

Sexual orientation differences in childhood sexual abuse, suicide attempts, and DSM-5 alcohol, tobacco, other drug use, and mental health disorders in the US.

Sean Esteban McCabe, Tonda L Hughes, Sarah Beal, Rebecca J Evans-Polce, Luisa Kcomt, Curtiss Engstrom, Brady T West, Phil Veliz, Kate Leary, Vita V McCabe and 1 more

Open access · greenAbstract read
In one paragraph

Article in Child abuse & neglect, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 35 citations in OpenAlex.

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  7. Sexual identity, child maltreatment, mental health, and substance use among emerging adults aged 18 to 23 years.Canadian journal of public health = Revue canadienne de sante publique · 2025
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  17. Sexual Violence, Posttraumatic Stress, and Heterosexism in Relation to Suicide and Self-Harm Risk in Bisexual + College Students.Archives of suicide research : official journal of the International Academy for Suicide Research
    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

11 authors at 6 institutions in 1 country.

Sean Esteban McCabeCenter for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; Institute for Research on Women and Gender, University of Michigan, 1136 Lane Hall, 204 S. State St., Ann Arbor, MI 48109, USA; Institute for Healthcare Policy and Innovation, University of Michigan, North Campus Research Complex (NCRC), Building 16, 2800 Plymouth Rd., Ann Arbor, MI 48109, USA; Survey Research Center, Institute for Social Research, University of Michigan, 4118 ISR Building, 426 Thompson St., Ann Arbor, MI 48104, USA; Rogel Cancer Center, University of Michigan, CCGC 6-303, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, USA. Electronic address: plius@umich.edu.
Tonda L HughesSchool of Nursing, Columbia University, 560 W. 168th St., New York, NY 10032, USA; Department of Psychiatry, Columbia University, 1051 Riverside Dr., New York, NY 10032, USA. Electronic address: th2696@cumc.columbia.edu.
Sarah BealDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229, USA; Department of Pediatrics, University of Cincinnati College of Medicine, 3230 Eden Ave., Cincinnati, OH 45267, USA. Electronic address: Sarah.Beal@cchmc.org.
Rebecca J Evans-PolceCenter for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA. Electronic address: bjevans@umich.edu.
Luisa KcomtCenter for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; School of Social Work, Wayne State University, 5447 Woodward Avenue, Detroit, MI 48202, USA. Electronic address: kcomt@wayne.edu.
Curtiss EngstromCenter for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; Survey Research Center, Institute for Social Research, University of Michigan, 4118 ISR Building, 426 Thompson St., Ann Arbor, MI 48104, USA. Electronic address: cwengstr@umich.edu.
Brady T WestCenter for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; Institute for Healthcare Policy and Innovation, University of Michigan, North Campus Research Complex (NCRC), Building 16, 2800 Plymouth Rd., Ann Arbor, MI 48109, USA; Survey Research Center, Institute for Social Research, University of Michigan, 4118 ISR Building, 426 Thompson St., Ann Arbor, MI 48104, USA. Electronic address: bwest@umich.edu.
Phil VelizCenter for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; Institute for Research on Women and Gender, University of Michigan, 1136 Lane Hall, 204 S. State St., Ann Arbor, MI 48109, USA; Survey Research Center, Institute for Social Research, University of Michigan, 4118 ISR Building, 426 Thompson St., Ann Arbor, MI 48104, USA. Electronic address: ptveliz@umich.edu.
Kate LearyCenter for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA. Electronic address: kathcleo@umich.edu.
Vita V McCabeCenter for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; Department of Psychiatry, University of Michigan, 1500 E Medical Center Dr., Ann Arbor, MI 48109, USA; Department of Surgery, University of Michigan, 1500 E Medical Center Dr., Ann Arbor, MI 48109, USA. Electronic address: vmccabe@umich.edu.
Carol J BoydCenter for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; Institute for Research on Women and Gender, University of Michigan, 1136 Lane Hall, 204 S. State St., Ann Arbor, MI 48109, USA; Department of Psychiatry, University of Michigan, 1500 E Medical Center Dr., Ann Arbor, MI 48109, USA. Electronic address: caroboyd@umich.edu.
University of Michigan–Ann Arbor · USInstitute for Women's Policy Research · USColumbia University · USMichigan Cancer Research Consortium · USUniversity of Cincinnati Medical Center · USWayne State University · US

Funding

Impact of supportive policies on minority stress, drinking and health among womenR01AA013328 · NIAAA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI HUGHES, TONDA L, MATTHEWS, ALICIA K · 2002 to 2021
$8.0M
Scientific/Technical CoreP2CHD041028 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Erin Bakshis Ware · 2017 to 2026
$6.5M
Trajectories of Prescription Nonmedical Drug MisuseR01DA031160 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SEAN ESTEBAN MCCABE · 2011 to 2026
$3.7M
Discrimination, Stress and Substance Use Disorder among Sexual Minority Adults: A Secondary Analysis of NESARC-IIIR01DA043696 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BOYD, CAROL J · 2017 to 2019
$1.1M
Sexual Orientation, Discrimination, and Health Disparities in DSM-5 Alcohol Use DisordersR01AA025684 · NIAAA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MCCABE, SEAN ESTEBAN · 2018 to 2020
$855k
Using Administrative and Clinical Data to Detect Drug Use and HIV Risk in Foster CareK01DA041620 · NIDA · CINCINNATI CHILDRENS HOSP MED CTR · PI BEAL, SARAH · 2017 to 2021
$840k
Health, Stress, and Tobacco Use Disparities among Sexual Minority PopulationsR01CA212517 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MCCABE, SEAN ESTEBAN · 2017 to 2019
$721k
E-Cigarette Use and Longitudinal Changes in Cigarette Smoking and HealthR01CA203809 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MCCABE, SEAN ESTEBAN · 2016 to 2018
$652k
Longitudinal Changes in Recovery from Drug Use Disorders: A National StudyR01DA036541 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MCCABE, SEAN ESTEBAN · 2015 to 2017
$647k
NCI NIH HHS R01 CA203809NCI NIH HHS R01 CA212517NIAAA NIH HHS R01 AA013328NIAAA NIH HHS R01 AA025684NICHD NIH HHS P2C HD041028NIDA NIH HHS K01 DA041620NIDA NIH HHS R01 DA031160NIDA NIH HHS R01 DA036541NIDA NIH HHS R01 DA043696
6 · The paper itself

Abstract

backgroundChildhood sexual abuse (CSA) contributes to increased risk of substance use and mental health disorders in the general population.

objectiveTo assess the prevalence and associations of CSA and suicide attempts, substance use, and mental health disorders as a function of sex (female, male) and sexual orientation (lesbian, gay, bisexual, heterosexual-identified with same-sex attraction and/or behavior, heterosexual-identified without same-sex attraction and/or behavior, and unsure). PARTICIPANTS AND

settingData were collected using structured diagnostic face-to-face interviews in a nationally representative sample of 36,309 US adults.

methodsWe used descriptive statistics and logistic regression modeling to analyze data from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III).

resultsChildhood sexual abuse was most prevalent among sexual minorities, especially bisexual females. Nearly one-third of bisexual females (30.6%) reported experiencing two or more types of CSA, p < .001. Among all participants, exposure to one or more types of CSA was associated with greater odds of lifetime suicide attempts, Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) alcohol, tobacco or other drug use disorder, and mental health disorders, after adjusting for other childhood adversity/maltreatment and general life stressors.

conclusionsSexual minority females and males in the US are more likely than their heterosexual counterparts to report CSA. Higher risk of suicide attempts and DSM-5 alcohol, tobacco, other drug use, and mental health disorders in adulthood was directly associated with CSA, particularly among bisexual females. Health professionals working with individuals who have experienced CSA should assess these risks and intervene as needed.

Indexed as

Mental DisordersSex OffensesSubstance-Related DisordersAdultDiagnostic and Statistical Manual of Mental DisordersFemaleHumansMaleMental HealthSexual BehaviorSuicide, AttemptedTobacco ProductsAlcohol use disorderChild sexual abuseMental healthSexual minoritySuicideTobacco use disorder

Identifiers

PMID34773839
PMCPMC9110097
OpenAlexW3213485359

What OpenQuestion holds

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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.