title: Prevalence, sociodemographic correlates and DSM-5 substance use disorders and other psychiatric disorders among sexual minorities in the United States.
abstract: The purpose of this study was to present current nationally representative data on the prevalences, sociodemographic correlates and risk of DSM-5 substance use disorders and other psychiatric disorders among sexual minorities (SMs) relative to heterosexuals, and among SMs by gender.
  
  
  
  Data were derived from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions-III.
  
  
  
  In the general noninstitutionalized population, 1.5%, 1.3% and 0.5% of individuals self-identified as gay/lesbian, bisexual and not sure sexual orientations. Men were more likely to report gay/lesbian orientation than women (1.8% vs. 1.2%). Women were more likely than men to report bisexual (1.8% vs. 0.8%) and not sure (0.6% vs. 0.4%) sexual orientations. Sociodemographic characteristics varied across sexual orientation and gender. Relative to heterosexuals, disparities in substance use and psychiatric disorders were found across sexual orientations, especially among bisexual women. Greater rates of specific psychiatric disorders were also demonstrated by women reporting bisexual and not sure orientations relative to lesbian women, with fewer differences in rates of psychopathology among SM men.
  
  
  
  Despite growing acceptance of SMs and SM rights over the past decade, substantial mental health disparities exist among these subgroups of the U.S. noninstitutionalized population, especially among bisexual women. More research is needed to understand these mental health disparities, while considering nuances of multiple intersecting minority identities and unique contextual factors.
  
  
  
  underscore the importance of advancing future population-based research that includes detailed information on the health and well-being of SMs in the United States.
authors.affiliation: New York State Psychiatric Institute, 1051 Riverside Drive Unit 123 New York, NY 10032, United States. Electronic address: bradleykerridge@gmail.com.
authors.forename: Bradley T
authors.initials: BT
authors.lastname: Kerridge
authors.affiliation: Epidemiology and Biometry Branch, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 5635 Fishers Lane Rockville, MD 20852, United States.
authors.forename: Roger P
authors.initials: RP
authors.lastname: Pickering
authors.affiliation: Epidemiology and Biometry Branch, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 5635 Fishers Lane Rockville, MD 20852, United States.
authors.forename: Tulshi D
authors.initials: TD
authors.lastname: Saha
authors.affiliation: Epidemiology and Biometry Branch, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 5635 Fishers Lane Rockville, MD 20852, United States.
authors.forename: W June
authors.initials: WJ
authors.lastname: Ruan
authors.affiliation: Epidemiology and Biometry Branch, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 5635 Fishers Lane Rockville, MD 20852, United States.
authors.forename: S Patricia
authors.initials: SP
authors.lastname: Chou
authors.affiliation: Epidemiology and Biometry Branch, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 5635 Fishers Lane Rockville, MD 20852, United States.
authors.forename: Haitao
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Epidemiology and Biometry Branch, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 5635 Fishers Lane Rockville, MD 20852, United States.
authors.forename: Jeesun
authors.initials: J
authors.lastname: Jung
authors.affiliation: New York State Psychiatric Institute, 1051 Riverside Drive Unit 123 New York, NY 10032, United States; College of Physicians and Surgeons, Department of Psychiatry, Columbia University, United States.
authors.forename: Deborah S
authors.initials: DS
authors.lastname: Hasin
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology*; D008875:Middle Aged; D015995:Prevalence; D012106:Research; D012737:Sex Factors; D000072339:Sexual and Gender Minorities / Q000523:psychology / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology*; D014481:United States; D055815:Young Adult
keywords: Bisexual; Disparities; Gay/lesbian; Psychiatric disorders; Sexual minorities; Substance use disorders