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. 2010 Oct;100(10):1946-52.
doi: 10.2105/AJPH.2009.163147. Epub 2010 Jan 14.

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

Sean Esteban McCabe  1 , Wendy B Bostwick, Tonda L Hughes, Brady T West, Carol J Boyd
Affiliations

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

Sean Esteban McCabe et al. Am J Public Health. 2010 Oct.

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.

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