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The relationship between discrimination and substance use disorders among lesbian, gay, and bisexual adults in the United States

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  • McCabe, S.E.
  • Bostwick, W.B.
  • Hughes, T.L.
  • West, B.T.
  • Boyd, C.J.

Abstract

Objectives. We examined the associations between 3 types of discrimination (sexual orientation, race, and gender) and substance use disorders in a large national sample in the United States that included 577 lesbian, gay, and bisexual (LGB) adults. Methods. Data were collected from wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions, which used structured diagnostic face-to-face interviews. Results. More than two thirds of LGB adults reported at least 1 type of discrimination in their lifetimes. Multivariate analyses indicated that the odds of past-year substance use disorders were nearly 4 times greater among LGB adults who reported all 3 types of discrimination prior to the past year than for LGB adults who did not report discrimination (adjusted odds ratio = 3.85; 95% confidence interval = 1.71, 8.66). Conclusions. Health professionals should consider the role multiple types of discrimination plays in the development and treatment of substance use disorders among LGB adults.

Suggested Citation

  • McCabe, S.E. & Bostwick, W.B. & Hughes, T.L. & West, B.T. & Boyd, C.J., 2010. "The relationship between discrimination and substance use disorders among lesbian, gay, and bisexual adults in the United States," American Journal of Public Health, American Public Health Association, vol. 100(10), pages 1946-1952.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.163147_3
    DOI: 10.2105/AJPH.2009.163147
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    1. Rodman E. Turpin & Natasha D. Williams & Ellesse-Roselee L. Akré & Bradley O. Boekeloo & Jessica N. Fish, 2022. "Trends in Health Care Access/Experiences: Differential Gains across Sexuality and Sex Intersections before and after Marriage Equality," IJERPH, MDPI, vol. 19(9), pages 1-11, April.
    2. Teresa Perry, 2023. "Did the 2016 election cause changes in substance use? An intersectional approach," Economics and Politics, Wiley Blackwell, vol. 35(3), pages 1020-1069, November.
    3. Shuai Chen & Jan C. Ours, 2018. "Subjective Well-being and Partnership Dynamics: Are Same-Sex Relationships Different?," Demography, Springer;Population Association of America (PAA), vol. 55(6), pages 2299-2320, December.
    4. Huang-Chi Lin & Yi-Lung Chen & Nai-Ying Ko & Yu-Ping Chang & Wei-Hsin Lu & Cheng-Fang Yen, 2021. "Perception of Attitudes of the General Population toward Homosexuality in Taiwan: Roles of Demographic Factors, Mental Health, and Social Debates on Legalizing Same-Sex Marriage," IJERPH, MDPI, vol. 18(5), pages 1-10, March.
    5. Concetta P Pelullo & Gabriella Di Giuseppe & Italo F Angelillo, 2013. "Frequency of Discrimination, Harassment, and Violence in Lesbian, Gay Men, and Bisexual in Italy," PLOS ONE, Public Library of Science, vol. 8(8), pages 1-1, August.
    6. Nicole P. Yuan & Bonnie M. Duran & Karina L. Walters & Cynthia R. Pearson & Tessa A. Evans-Campbell, 2014. "Alcohol Misuse and Associations with Childhood Maltreatment and Out-of-Home Placement among Urban Two-Spirit American Indian and Alaska Native People," IJERPH, MDPI, vol. 11(10), pages 1-19, October.
    7. Gilbert, Paul A. & Zemore, Sarah E., 2016. "Discrimination and drinking: A systematic review of the evidence," Social Science & Medicine, Elsevier, vol. 161(C), pages 178-194.
    8. Kendric Coleman, 2016. "The Difference Safe Spaces Make," SAGE Open, , vol. 6(2), pages 21582440166, May.
    9. Nai-Ying Ko & I-Hsuan Lin & Yu-Te Huang & Mu-Hong Chen & Wei-Hsin Lu & Cheng-Fang Yen, 2020. "Associations of Perceived Socially Unfavorable Attitudes toward Homosexuality and Same-Sex Marriage with Suicidal Ideation in Taiwanese People before and after Same-Sex Marriage Referendums," IJERPH, MDPI, vol. 17(3), pages 1-15, February.
    10. Valenti, Maria & Campetti, Randi & Schoenborn, Nicole & Quinlan, Kristen & Dash, Kim, 2017. "Building evaluation capacity of local substance abuse prevention programs serving LGBQ populations," Evaluation and Program Planning, Elsevier, vol. 63(C), pages 101-108.
    11. Yang, Xueyan & Wang, Sasa & Eklund, Lisa, 2020. "Reacting to social discrimination? Men's individual and social risk behaviors in the context of a male marriage squeeze in rural China," Social Science & Medicine, Elsevier, vol. 246(C).
    12. Delvon T. Mattingly & Andrea R. Titus & Jana L. Hirschtick & Nancy L. Fleischer, 2022. "Sexual Orientation Discrimination and Exclusive, Dual, and Polytobacco Use among Sexual Minority Adults in the United States," IJERPH, MDPI, vol. 19(10), pages 1-13, May.
    13. Yulya Milshteyn, 2022. "Implications of Covid-19 Pandemic on Drug Use and Substance Use Disorders in Sexual Minority Youth Worldwide: A Qualitative Review of the Literature and Future Research Agenda," Eximia Journal, Plus Communication Consulting SRL, vol. 5(1), pages 307-314, July.
    14. I-Hsuan Lin & Nai-Ying Ko & Yu-Te Huang & Mu-Hong Chen & Wei-Hsin Lu & Cheng-Fang Yen, 2019. "Effect of Same-Sex Marriage Referendums on the Suicidal Ideation Rate among Nonheterosexual People in Taiwan," IJERPH, MDPI, vol. 16(18), pages 1-11, September.
    15. Chen, Shuai, 2019. "Marriage, minorities, and mass movements," Other publications TiSEM 9cb1b11d-12e6-46a8-adca-4, Tilburg University, School of Economics and Management.
    16. Everett, Bethany G. & Hatzenbuehler, Mark L. & Hughes, Tonda L., 2016. "The impact of civil union legislation on minority stress, depression, and hazardous drinking in a diverse sample of sexual-minority women: A quasi-natural experiment," Social Science & Medicine, Elsevier, vol. 169(C), pages 180-190.
    17. Richard S. Henry & Paul B. Perrin & Erin R. Smith, 2022. "Religiosity, Religious Fundamentalism, Heterosexism, and Support for Lesbian and Gay Civil Rights: A Moderated Mediation Approach," Social Sciences, MDPI, vol. 11(4), pages 1-17, April.
    18. Joyce Serido & Charles Lawry & Gu Li & Katherine Conger & Stephen Russell, 2014. "The Associations of Financial Stress and Parenting Support Factors with Alcohol Behaviors During Young Adulthood," Journal of Family and Economic Issues, Springer, vol. 35(3), pages 339-350, September.
    19. Billy A Caceres & Abraham Brody & Deborah Chyun, 2016. "Recommendations for cardiovascular disease research with lesbian, gay and bisexual adults," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(23-24), pages 3728-3742, December.
    20. Yoo Mi Jeong & Cindy B Veldhuis & Frances Aranda & Tonda L Hughes, 2016. "Racial/ethnic differences in unmet needs for mental health and substance use treatment in a community‐based sample of sexual minority women," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(23-24), pages 3557-3569, December.
    21. Persson, Tonje J. & Pfaus, James G. & Ryder, Andrew G., 2015. "Explaining mental health disparities for non-monosexual women: Abuse history and risky sex, or the burdens of non-disclosure?," Social Science & Medicine, Elsevier, vol. 128(C), pages 366-373.
    22. Corinne Reczek & Hui Liu & Dustin Brown, 2014. "Cigarette Smoking in Same-Sex and Different-Sex Unions: The Role of Socioeconomic and Psychological Factors," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(4), pages 527-551, August.
    23. Logie, Carmen H. & Newman, Peter A. & Chakrapani, Venkatesan & Shunmugam, Murali, 2012. "Adapting the minority stress model: Associations between gender non-conformity stigma, HIV-related stigma and depression among men who have sex with men in South India," Social Science & Medicine, Elsevier, vol. 74(8), pages 1261-1268.
    24. Engstrom, Curtiss W. & West, Brady T. & Schepis, Ty S. & McCabe, Sean Esteban, 2024. "Does the approach used to measure sexual identity affect estimates of health disparities differently by race? A randomized experiment from the National Survey of Family Growth," Social Science & Medicine, Elsevier, vol. 350(C).

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