ArticleAddictive behaviors reports2026
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.
Article in Addictive behaviors reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Sexual minority (SM; e.g., lesbian, gay, bisexual) young adults report elevated substance use, yet few studies examine whether disparities extend to use newly-reported during young adulthood using behaviorally specific measures of daily use and co-use. Methods: We analyzed Monitoring the Future Longitudinal Panel data (2019-2021; Results: Gay males had the highest observed past-30-day alcohol use (80.8%) and binge drinking (42.1%), while bisexual females had significantly higher binge drinking (37.6%), past-30-day cannabis use (47.8%), daily cannabis use (19.2%), and co-use (40.9%) than heterosexual females. Lesbian females and bisexual males showed elevated prevalence, with more limited incidence elevations. Incident-use models showed elevated odds of newly-reported cannabis use and co-use among gay males and bisexual females; bisexual females also showed elevated odds of newly-reported alcohol use and daily cannabis use. Contrasts between SM subgroups were generally nonsignificant. Conclusions: Incident-use disparities among SM young adults, particularly gay males and bisexual females, indicate that elevated substance use is not solely carried forward from adolescence. Young adulthood is therefore an important window for subgroup-specific intervention.
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