title: Substance Use and Sexual Risk Behavior in Sexual Minority Hispanic Adolescents.
abstract: This study examines substance use and sexual risk in sexual minority Hispanic adolescents (SMHAs) relative to their heterosexual counterparts.
  
  
  
  Baseline data (total, n=1,632; SMHA, n=195) from five completed trials of a family-based intervention for Hispanic adolescents were synthesized. SMHA were identified by self-reported anal/vaginal/oral sex with a partner of the same gender (SMHA vs. non-SMHA). Dichotomous outcomes were lifetime and past 90-day cigarette, alcohol and illicit drug use, past 90-day condomless sex, and condom use at last sex. Logistic regression models controlled for sociodemographic and study-level characteristics testing the association between sexual minority status and each outcome.
  
  
  
  SMHA reported significantly more substance use than non-SMHA, including lifetime cigarette and illicit drug use. Adjusted odds of lifetime use for all substances and past 90-day cigarette use (AOR = 3.07; 95% confidence interval: 1.50-6.31) were significantly higher in SMHA.
  
  
  
  SMHA substance use etiology should be explored to inform tailored intervention development.
authors.affiliation: Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida. Electronic address: mocasio@med.miami.edu.
authors.forename: Manuel A
authors.initials: MA
authors.lastname: Ocasio
authors.affiliation: Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Feaster
authors.affiliation: Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Prado
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D000072339:Sexual and Gender Minorities / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology
keywords: Adolescent; Alcohol; Cigarette; Drug; Gay; Hispanic; Latino; Sexual minority; Sexual risk; Substance use