title: Sexual orientation disparities in psychiatric and drug use disorders among a nationally representative sample of women with alcohol use disorders.
abstract: OBJECTIVE
  Sexual minority women (SMW) are at greater risk for alcohol use disorders (AUDs) compared to heterosexual women. However, there is a dearth of research on sexual orientation disparities in co-occurring disorders among women with AUDs. We examined disparities in lifetime co-occurring psychiatric and drug use disorders among a nationally representative sample of women with lifetime AUDs.
  
  
  METHODS
  Data were analyzed from the 2004-2005 (Wave 2) of the National Epidemiological Survey on Alcohol and Related Conditions (NESARC), which was collected in structured diagnostic face-to-face interviews. Adult women with AUDs (N=4342) were included in the analyses and approximately 191 of those women self-identified as SMW. Lifetime alcohol and drug use disorders and psychiatric disorders were assessed using DSM-IV criteria. We conducted multivariate logistic regression analyses to compare SMW and heterosexual women with lifetime AUDs on lifetime psychiatric disorders and drug use disorders, while adjusting for sociodemographic variables.
  
  
  RESULTS
  While accounting for several covariates, SMW with lifetime AUDs were more likely than heterosexual women with lifetime AUDs to have lifetime psychiatric disorders (e.g., mood, anxiety, panic disorders) and drug use disorders (e.g., prescription drugs, cannabis use disorders).
  
  
  CONCLUSIONS
  Sexual minority women with lifetime alcohol use disorders are at heightened risk for co-occurring psychiatric and drug use disorders than heterosexual women with lifetime alcohol use disorders. The findings warrant the need for more research and empirically based interventions for the comprehensive treatment and prevention of alcohol use disorders among sexual minority women.
authors.affiliation: Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, School of Public Health, Brown University, Box G-S121-4, Providence RI 02912, USA. Electronic address: ethan_mereish@brown.edu.
authors.forename: Ethan H
authors.initials: EH
authors.lastname: Mereish
authors.affiliation: Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, School of Public Health, Brown University, Box G-S121-4, Providence RI 02912, USA.
authors.forename: Ji Hyun
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, RI, USA.
authors.forename: Kristi E
authors.initials: KE
authors.lastname: Gamarel
authors.affiliation: Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Little Rock, AR, USA.
authors.forename: Nickolas D
authors.initials: ND
authors.lastname: Zaller
authors.affiliation: Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, School of Public Health, Brown University, Box G-S121-4, Providence RI 02912, USA.
authors.forename: Don
authors.initials: D
authors.lastname: Operario
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019973:Alcohol-Related Disorders / Q000453:epidemiology; D001727:Bisexuality / Q000706:statistics & numerical data*; D015897:Comorbidity; D005260:Female; D018452:Homosexuality, Female / Q000706:statistics & numerical data*; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Alcohol use disorders; Bisexual; Co-occurring disorders; Lesbian; Sexual minority women; Sexual orientation disparities