Differences in substance use between sexual orientations in a multi-country sample: findings from the Global Drug Survey 2015

Daniel Demant · Leanne M. Hides · David John Kavanagh · Katherine Marie White · ADAM R. WINSTOCK · Jason Ferris

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LGBTQ Health, Identity, and Policy Substance Abuse Treatment and Outcomes HIV, Drug Use, Sexual Risk

Abstract

Background: This study examines substance use disparities among homosexual, bisexual and heterosexual adolescents and young adults from nine countries. Methods: Data from 58 963 respondents (aged 16 and 35 years) to the 2015 'Global Drug Survey' were utilized. Rates of lifetime, last-year, last-month use and age of onset of 13 different substances were compared across sexual identity subgroups. Results: Adolescents and young adults with a sexual minority identity generally reported higher rates of substance use and an earlier age of onset compared to their heterosexual counterparts. Differences in substance use were larger among female groups than male groups, and rates of substance use were generally higher among bisexuals than homosexuals of both genders. Conclusion: Higher rates of substance use in bisexuals compared with homosexuals among both genders and larger differences between female groups highlight the importance of differentiating between sexual minority identities in substance use research, and in designing substance misuse interventions for people with a sexual minority identity.

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References

2012The Health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding 2011Handbook of Identity Theory and Research 2008Sexual orientation and adolescent substance use: a meta‐analysis and methodological review*2004Theorizing identity in language and sexuality research 2011Substance use in lesbian, gay, and bisexual populations: An update on empirical research and implications for treatment.2006Prevalence and Stability of Sexual Orientation Components During Adolescence and Young Adulthood 2013Research Funded by the National Institutes of Health on the Health of Lesbian, Gay, Bisexual, and Transgender Populations 2012The Daily Heterosexist Experiences Questionnaire

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2021Widening mental health and substance use inequities among sexual and gender minority populations: Findings from a repeated cross-sectional monitoring survey during the COVID-19 pandemic in Canada 2018Effects of participation in and connectedness to the LGBT community on substance use involvement of sexual minority young people

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