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Sexual orientation, substance use behaviors and substance dependence in the United States
dc.contributor.authorMcCabe, Sean Estebanen_US
dc.contributor.authorHughes, Tonda L.en_US
dc.contributor.authorBostwick, Wendy B.en_US
dc.contributor.authorWest, Brady Thomasen_US
dc.contributor.authorBoyd, Carol J.en_US
dc.date.accessioned2010-06-01T18:51:34Z
dc.date.available2010-06-01T18:51:34Z
dc.date.issued2009-08en_US
dc.identifier.citationMcCabe, Sean Esteban; Hughes, Tonda L.; Bostwick, Wendy B.; West, Brady T.; Boyd, Carol J. (2009). "Sexual orientation, substance use behaviors and substance dependence in the United States." Addiction 104(8): 1333-1345. <http://hdl.handle.net/2027.42/72053>en_US
dc.identifier.issn0965-2140en_US
dc.identifier.issn1360-0443en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/72053
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=19438839&dopt=citationen_US
dc.description.abstractAims  To assess past-year prevalence rates of substance use behaviors and substance dependence across three major dimensions of sexual orientation (identity, attraction and behavior) in a large national sample of adult women and men in the United States. Design  Data were collected from structured diagnostic face-to-face interviews using the Alcohol Use Disorder and Associated Disabilities Interview Schedule DSM-IV version IV (AUDADIS-IV). Setting  Prevalence estimates were based on data collected from the 2004–2005 (wave 2) National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Participants  A large national sample of 34 653 adults aged 20 years and older: 52% female, 71% white, 12% Hispanic, 11% African American, 4% Asian and 2% Native American. Findings  Approximately 2% of the population self-identified as lesbian, gay or bisexual; 4% reported at least one life-time same-sex sexual partner and 6% reported same-sex sexual attraction. Although non-heterosexual orientation was generally associated with a higher risk of substance use and substance dependence, the majority of sexual minority respondents did not report substance use or meet criteria for DSM-IV substance dependence. There was considerable variation in substance use outcomes across sexual orientation dimensions; these variations were more pronounced among women than among men. Conclusions  Results support previous research findings of heightened risk of substance use and substance dependence among some sexual minority groups and point to the need for research that examines the reasons for such differences. Results also highlight important gender differences and question previous findings indicating uniformly higher risk for substance dependence among sexual minorities. Risks appear to vary based on gender and how sexual orientation is defined. Findings have implications for more effective prevention and intervention efforts that target subgroups at greatest risk.en_US
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dc.format.extent3109 bytes
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dc.publisherBlackwell Publishing Ltden_US
dc.rightsJournal compilation © 2009 Society for the Study of Addictionen_US
dc.subject.otherSexual Orientationen_US
dc.subject.otherSexual Identityen_US
dc.subject.otherSexual Attractionen_US
dc.subject.otherSexual Behavioren_US
dc.subject.otherEpidemiologyen_US
dc.subject.otherDSM-IV Substance Dependenceen_US
dc.titleSexual orientation, substance use behaviors and substance dependence in the United Statesen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelPsychiatryen_US
dc.subject.hlbsecondlevelPublic Healthen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumSubstance Abuse Research Center, Institute for Research on Women and Gender, University of Michigan, Ann Arbor, MI, USA,en_US
dc.contributor.affiliationumCenter for Statistical Consultation and Research, University of Michigan, Ann Arbor, MI, USA anden_US
dc.contributor.affiliationumSubstance Abuse Research Center, Institute for Research on Women and Gender, School of Nursing, and Department of Women's Studies, University of Michigan, Ann Arbor, MI, USAen_US
dc.contributor.affiliationotherCollege of Nursing, National Center of Excellence in Women's Health, University of Illinois at Chicago, Chicago, IL, USA,en_US
dc.contributor.affiliationotherAdler School of Professional Psychology, Chicago, IL, USA,en_US
dc.identifier.pmid19438839en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/72053/1/j.1360-0443.2009.02596.x.pdf
dc.identifier.doi10.1111/j.1360-0443.2009.02596.xen_US
dc.identifier.sourceAddictionen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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