The relationship between discrimination and substance use disorders among lesbian, gay, and bisexual adults in the United States.
OBJECTIVE
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.
McCabe
Sean Esteban
SE
CorrespSubstance Abuse Research Center and the Institute for Research on Women and Gender, University of Michigan, Ann Arbor, MI 48105, USA. plius@umich.edu
Bostwick
Wendy B
WB
Hughes
Tonda L
TL
West
Brady T
BT
Boyd
Carol J
CJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D001727:Bisexuality; D005260:Female; D018452:Homosexuality, Female; D018451:Homosexuality, Male; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D011287:Prejudice; D015995:Prevalence; D019966:Substance-Related Disorders / Q000453:epidemiology*; D014481:United States; D055815:Young Adult