@article{ref1,
title="Sexual orientation-based discrimination, excessive alcohol use, and substance use disorders among sexual minority adults",
journal="LGBT health",
year="2017",
author="Slater, Megan E. and Godette, Dionne and Huang, Boji and Ruan, W. June and Kerridge, Bradley T.",
volume="4",
number="5",
pages="337-344",
abstract="PURPOSE: The purpose of this study was to examine relationships between sexual orientation-based discrimination and excessive alcohol use and substance use disorders and to identify how these relationships differ by sexual identity, sex, race, Hispanic origin, and education among sexual minorities. <br><br>METHODS: We used logistic regression to analyze associations between discrimination and substance use measures among 1351 gay/lesbian, bisexual, or unsure adults from a nationally representative survey. Differential effects by sexual identity, sex, race, Hispanic origin, and education were assessed using interaction models followed by stratified models. <br><br>RESULTS: Discrimination was associated with increased odds of the following: exceeding weekly drinking limits [adjusted odds ratio (aOR) = 1.52, 95% confidence interval (CI): 1.12-2.08] among bisexuals, any substance use disorder (aOR = 2.04, 95% CI: 1.41-2.95) and nicotine use disorder (aOR = 1.52, 95% CI: 1.08-2.14) among Hispanic sexual minorities, and exceeding weekly drinking limits (aOR = 1.56, 95% CI: 1.08-2.26) among those with a high school degree or less. <br><br>CONCLUSION: Sexual orientation-based discrimination was associated with select substance use outcomes, especially among bisexuals, Hispanics, and less educated sexual minority adults, highlighting potential disparities associated with experiencing discrimination.<p /> <p>Language: en</p>",
language="en",
issn="2325-8292",
doi="10.1089/lgbt.2016.0117",
url="http://dx.doi.org/10.1089/lgbt.2016.0117"
}