Sexual Orientation Disparities in Longitudinal Alcohol Use Patterns Among Adolescents

Heather L. Corliss · Margaret Rosario · David Wypij · Laurie B. Fisher · Sydney Bryn Austin

173 citations0/0 files storedArchives of Pediatrics and Adolescent Medicine

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LGBTQ Health, Identity, and Policy Substance Abuse Treatment and Outcomes Gender, Sexuality, and Education

Abstract

OBJECTIVE: To compare sexual orientation group differences in the longitudinal development of alcohol use behaviors during adolescence. DESIGN: Community-based prospective cohort study. SETTING: Self-reported questionnaires. PARTICIPANTS: A total of 13,450 Growing Up Today Study participants (79.7% of the original cohort) aged 9 to 14 years at baseline in 1996 were followed up for more than 7 years. Main Exposure Self-reported sexual orientation classified as heterosexual, mostly heterosexual, bisexual, or gay/lesbian. MAIN OUTCOME MEASURES: Age at alcohol use initiation, any past-month drinking, number of alcoholic drinks usually consumed, and number of binge drinking episodes in the past year. RESULTS: Compared with heterosexual participants, youth reporting any minority sexual orientation reported having initiated alcohol use at younger ages. Greater risk of alcohol use was consistently observed for mostly heterosexual males and females and for bisexual females, whereas gay and bisexual males and lesbians reported elevated levels of alcohol use on only some indicators. Gender was an important modifier of alcohol use risk; mostly heterosexual and bisexual females exhibited the highest relative risk. Younger age at alcohol use initiation among participants with minority sexual orientations significantly contributed to their elevated risk of binge drinking. CONCLUSIONS: Our findings suggest that disparities in alcohol use among youth with a minority sexual orientation emerge in early adolescence and persist into young adulthood. Health care providers should be aware that adolescents with a minority sexual orientation are at greater risk of alcohol use.

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References

1995Minority Stress and Mental Health in Gay Men 2008Sexual orientation and adolescent substance use: a meta‐analysis and methodological review*2002Effects of at-school victimization and sexual orientation on lesbian, gay, or bisexual youths’ health risk behavior 1998The Association Between Health Risk Behaviors and Sexual Orientation Among a School-based Sample of Adolescents 2001Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the National Comorbidity Survey 2001Same-Sex Sexual Behavior and Psychiatric Disorders 2000Relation between Psychiatric Syndromes and Behaviorally Defined Sexual Orientation in a Sample of the US Population 2006Prevalence and Stability of Sexual Orientation Components During Adolescence and Young Adulthood

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2009Sexual Orientation Disparities in Purging and Binge Eating From Early to Late Adolescence 2013Exploring Alcohol-Use Behaviors Among Heterosexual and Sexual Minority Adolescents: Intersections With Sex, Age, and Race/Ethnicity 2015Differences in alcohol use and alcohol-related problems between transgender- and nontransgender-identified young adults 2013Trajectories of Depressive Symptoms and Suicidality Among Heterosexual and Sexual Minority Youth

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