Author(s): McCabe SE, Bostwick WB, Hughes TL, West BT, Boyd CJ, McCabe SE, Bostwick WB, Hughes TL, West BT, Boyd CJ
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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.
This article was published in Am J Public Health
and referenced in Journal of AIDS & Clinical Research