Comparing substance use and mental health outcomes among sexual minority and heterosexual women in probability and non-probability samples

Drabble, Laurie A.; Trocki, Karen F.; Korcha, Rachael; Klinger, Jamie L.; Veldhuis, Cindy B.; Hughes, Tonda L.

doi:10.1016/j.drugalcdep.2017.12.036

Cited by 58 publications

(42 citation statements)

References 45 publications

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“…Alcohol abuse in some individuals may be a strategy for coping with social pressure and rejection; this is one of the causes most commonly used to explain the higher consumption and levels of alcohol abuse in homosexual and bisexual participants [61]. We also observed a higher risk of alcohol abuse among homosexual students, a finding that is consistent with those reported in the National Health Interview Survey and in other studies [62][63][64], although in the present study the effect was only maintained in women after adjusting for the remaining variables. One possible explanation for this, suggested by Lyons [65], is that access to some support resources is more limited among gay women than among gay men.…”

Section: Discussionsupporting

confidence: 90%

Population Attributable Fraction of Early Age of Onset of Alcohol Use in Alcohol Abuse and Dependence: A 3-Year Follow-Up Study in University Students

Caamaño-Isorna

Adkins

Alıev

et al. 2020

IJERPH

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Background: we aimed to determine the risk factors and associated population attributable fractions (PAFs) for the age of onset of alcohol use and also to identify protective factors. Methods: we analyzed follow-up data collected between autumn 2011 and spring 2016 (n = 5170) from the first two cohorts (2011, 2012) of the Spit for ScienceTM project. The dependent variables were alcohol abuse and dependence, and the independent variables were age of drinking onset, residence, ethnicity, religiosity, sexual orientation and work status. We determined the odds ratios (OR) using multilevel logistic regression for repeated measures in SPSSv.20. Results: the early onset of alcohol use was associated with an increased risk of alcohol abuse and dependence among females (OR = 14.98; OR = 11.83) and males (OR = 7.41; OR = 6.24). The PAFs for the early onset of alcohol use in alcohol abuse and dependence were respectively 80.9% and 71.7% in females and 71.0% and 63.5% in males. Among females, being white (OR = 1.58; OR = 1.51), living off-campus (OR = 1.73; OR = 2.76) and working full-time (OR = 1.69; OR = 1.78) were also risk factors. Strong religious beliefs were found to protect males from alcohol abuse (OR = 0.58), while same-gender sexual orientation increased the risk among females (OR = 2.09). Conclusion: delaying the age of onset by one year would reduce alcohol abuse among young adults.

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Section: Discussionsupporting

confidence: 90%

Population Attributable Fraction of Early Age of Onset of Alcohol Use in Alcohol Abuse and Dependence: A 3-Year Follow-Up Study in University Students

Caamaño-Isorna

Adkins

Alıev

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…Additionally, most studies used volunteer or convenience samples, which limits generalizability. While convenience sampling can provide in-depth information about a particular group of SGMY [96], these types of studies are subject to selection bias such that SGMY who participate are more likely to be open about and comfortable with their SGMY status [97]. Because of the challenges involved in obtaining representative samples of SGMY, many researchers rely on national probability samples to overcome the limitations of convenience sampling.…”

Section: Discussionmentioning

confidence: 99%

Risk and Protective Factors for Substance Use Among Sexual and Gender Minority Youth: a Scoping Review

et al. 2018

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Purpose of Review: Alcohol and drug use are common among youth. Rates are especially high among sexual and gender minority youth (SGMY; lesbian, gay, bisexual, transgender). We conducted a scoping review of research on risk and protective factors for substance use among SGMY published between 2013–2017. Recent Findings: Ninety-seven studies met our inclusion criteria. Most focused on individual-level minority stress risk factors, particularly stigma. Fewer studies addressed protective factors such as social support or affirming policies, and few focused on gender minority youth (GMY). We identified important, yet understudied differences by race/ethnicity, sex assigned at birth, and sexual orientation. Summary: Findings highlight growing interest in this topic as well as methodological/topical gaps in the literature. Research is needed to examine SGMY substance use in nationally representative samples; expand information about GMY; investigate racial/ethnic and sex/gender differences; improve measurement; and increase translation of findings to support prevention and treatment interventions for this at-risk population.

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“…These studies have provided important information about sexual minority health and health disparities, but they are limited in that they rarely include sexual minority-specific risk factors or large enough samples of sexual minority subgroups to permit comparisons based on age, sex, race/ethnicity or other important characteristics. Researchers [158,159] have begun to advocate for oversampling of sexual minority participants to provide large enough subgroups for such comparisons.…”

Section: Limitations In Research On Aod Use Among Smwmentioning

confidence: 99%

Research on alcohol and other drug (AOD) use among sexual minority women: A global scoping review

et al. 2020

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Until the 1980s, the limited research on alcohol and other drug (AOD) use among sexual minority women (SMW) focused on alcohol and used samples recruited from gay bars, resulting in inflated estimates of hazardous drinking. Over the past several decades the number of AOD studies with SMW has increased dramatically. To characterize this literature, we conducted a scoping review to answer the following questions: What do we know, and what are the gaps in research about AOD use among SMW? We searched multiple electronic databases (Medline [PubMed], CINAHL, PsycInfo, and Web of Science) for peerreviewed research articles about AOD use among adult SMW published between January 1, 2000 and May 31, 2017. After duplicates were removed the search identified 4,204 articles. We reviewed the titles and abstracts and removed articles that did not meet inclusion criteria. We used full-text review of the remaining 229 articles to make a final determination regarding inclusion and we retained 181 articles for review. Although the quantity of AOD research with SMW has grown substantially, the great majority of studies have been conducted in the United States (US) and most focus on hazardous drinking; relatively little research has focused on other drugs. In addition, although there has been marked improvement in theories and methods used in this research, many gaps and limitations remain. Examples are the lack of longitudinal research; reliance on samples that tend to over-represent white, well-educated, and relatively young women; sparse attention to mechanisms underlying the disproportionately high rates of AOD use among SMW; and the absence of intervention research. In general, more high-quality research on SMW's use of AODs is needed, but gaps and limitations are particularly large in non-western countries. Addressing these research gaps and limitations is essential for providing information that can be used to develop more effective prevention and early intervention strategies, as well as for informing policies that can help to reduce risky drinking and drug misuse among SMW.

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Comparing substance use and mental health outcomes among sexual minority and heterosexual women in probability and non-probability samples

Cited by 58 publications

References 45 publications

Population Attributable Fraction of Early Age of Onset of Alcohol Use in Alcohol Abuse and Dependence: A 3-Year Follow-Up Study in University Students

Population Attributable Fraction of Early Age of Onset of Alcohol Use in Alcohol Abuse and Dependence: A 3-Year Follow-Up Study in University Students

Risk and Protective Factors for Substance Use Among Sexual and Gender Minority Youth: a Scoping Review

Research on alcohol and other drug (AOD) use among sexual minority women: A global scoping review

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