Substance use and related problems among U.S. women who identify as mostly heterosexual.
BACKGROUND
We used data from a nationally representative sample to compare substance use outcomes among adult women who identified as mostly heterosexual with those who identified as exclusively (only) heterosexual.


METHODS
We analyzed data from mostly heterosexual women and only heterosexual women in Wave 5 (2001) of the National Study of Health and Life Experiences of Women (weighted n = 1085).


RESULTS
Mostly heterosexual women were significantly more likely than only heterosexual women to report every alcohol-related outcome included in our analyses except lifetime treatment. Odds of lifetime and past-year marijuana and cocaine use showed larger differences, with mostly heterosexual women nearly four times as likely as only heterosexual women to report lifetime cocaine use and five times as likely to report past-year use.


CONCLUSIONS
We recommend that researchers use measures of sexual identity that include more nuanced response options, and that health care providers learn about the existence, large numbers, and risk/protective factors associated with substance use patterns of mostly heterosexual women.
Building Interdisciplinary Research Careers in Women's Health (BIRCWH), University of Illinois at Chicago, College of Nursing (M/C 802), 845 S. Damen Ave Room 1160, IL 60612-7350, Chicago, U.S. thughes@uic.edu.
Tonda L
TL
Hughes
Department of Psychiatry and Behavioral Science, University of North Dakota, School of Medicine & Health Sciences, 501 North Columbia Road Stop 9037, 58202-9037, Grand Forks, ND, U.S. sharon.wilsnack@med.und.edu.
Sharon C
SC
Wilsnack
Department of Psychiatry and Behavioral Science, University of North Dakota, School of Medicine & Health Sciences, 501 North Columbia Road Stop 9037, 58202-9037, Grand Forks, ND, U.S. arlinda.kristjanson@med.und.edu.
Arlinda F
AF
Kristjanson
D000328:Adult; D019973:Alcohol-Related Disorders / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006304:Health Status; D020010:Heterosexuality / Q000523:psychology* / Q000706:statistics & numerical data*; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology*; D014481:United States / Q000453:epidemiology; D016387:Women's Health / Q000706:statistics & numerical data*; D055815:Young Adult