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Influence of gender, sexual orientation, and need on treatment utilization for substance use and mental disorders: findings from the California Quality of Life Survey.
BMC Psychiatry. 2009 Aug 14; 9:52.BP

Abstract

BACKGROUND

Prior research has shown a higher prevalence of substance use and mental disorders among sexual minorities, however, the influence of sexual orientation on treatment seeking has not been widely studied. We use a model of help-seeking for vulnerable populations to investigate factors related to treatment for alcohol or drug use disorders and mental health disorders, focusing on the contributions of gender, sexual orientation, and need.

METHODS

Survey data were obtained from a population-based probability sample of California residents that oversampled for sexual minorities. Logistic regression was used to model the enabling, predisposing, and need-related factors associated with past-year mental health or substance abuse treatment utilization among adults aged 18-64 (N = 2,074).

RESULTS

Compared with individuals without a diagnosed disorder, those with any disorder were more likely to receive treatment. After controlling for both presence of disorder and other factors, lesbians and bisexual women were most likely to receive treatment and heterosexual men were the least likely. Moreover, a considerable proportion of sexual orientation minorities without any diagnosable disorder, particularly lesbians and bisexual women, also reported receiving treatment.

CONCLUSION

The study highlights the need to better understand the factors beyond meeting diagnostic criteria that underlie treatment utilization among sexual minorities. Future research should also aim to ascertain the effects of treatment provided to sexual minorities with and without diagnosable disorders, including the possibility that the provision of such treatment may reduce the likelihood of their progression to greater severity of distress, disorders, or impairments in functioning.

Authors+Show Affiliations

Center for Research, Education, Training and Strategic Communications on Minority Health Disparities, University of California, Los Angeles, USA. grella@ucla.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

19682355

Citation

Grella, Christine E., et al. "Influence of Gender, Sexual Orientation, and Need On Treatment Utilization for Substance Use and Mental Disorders: Findings From the California Quality of Life Survey." BMC Psychiatry, vol. 9, 2009, p. 52.
Grella CE, Greenwell L, Mays VM, et al. Influence of gender, sexual orientation, and need on treatment utilization for substance use and mental disorders: findings from the California Quality of Life Survey. BMC Psychiatry. 2009;9:52.
Grella, C. E., Greenwell, L., Mays, V. M., & Cochran, S. D. (2009). Influence of gender, sexual orientation, and need on treatment utilization for substance use and mental disorders: findings from the California Quality of Life Survey. BMC Psychiatry, 9, 52. https://doi.org/10.1186/1471-244X-9-52
Grella CE, et al. Influence of Gender, Sexual Orientation, and Need On Treatment Utilization for Substance Use and Mental Disorders: Findings From the California Quality of Life Survey. BMC Psychiatry. 2009 Aug 14;9:52. PubMed PMID: 19682355.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of gender, sexual orientation, and need on treatment utilization for substance use and mental disorders: findings from the California Quality of Life Survey. AU - Grella,Christine E, AU - Greenwell,Lisa, AU - Mays,Vickie M, AU - Cochran,Susan D, Y1 - 2009/08/14/ PY - 2009/03/13/received PY - 2009/08/14/accepted PY - 2009/8/18/entrez PY - 2009/8/18/pubmed PY - 2009/9/16/medline SP - 52 EP - 52 JF - BMC psychiatry JO - BMC Psychiatry VL - 9 N2 - BACKGROUND: Prior research has shown a higher prevalence of substance use and mental disorders among sexual minorities, however, the influence of sexual orientation on treatment seeking has not been widely studied. We use a model of help-seeking for vulnerable populations to investigate factors related to treatment for alcohol or drug use disorders and mental health disorders, focusing on the contributions of gender, sexual orientation, and need. METHODS: Survey data were obtained from a population-based probability sample of California residents that oversampled for sexual minorities. Logistic regression was used to model the enabling, predisposing, and need-related factors associated with past-year mental health or substance abuse treatment utilization among adults aged 18-64 (N = 2,074). RESULTS: Compared with individuals without a diagnosed disorder, those with any disorder were more likely to receive treatment. After controlling for both presence of disorder and other factors, lesbians and bisexual women were most likely to receive treatment and heterosexual men were the least likely. Moreover, a considerable proportion of sexual orientation minorities without any diagnosable disorder, particularly lesbians and bisexual women, also reported receiving treatment. CONCLUSION: The study highlights the need to better understand the factors beyond meeting diagnostic criteria that underlie treatment utilization among sexual minorities. Future research should also aim to ascertain the effects of treatment provided to sexual minorities with and without diagnosable disorders, including the possibility that the provision of such treatment may reduce the likelihood of their progression to greater severity of distress, disorders, or impairments in functioning. SN - 1471-244X UR - https://www.unboundmedicine.com/medline/citation/19682355/Influence_of_gender_sexual_orientation_and_need_on_treatment_utilization_for_substance_use_and_mental_disorders:_findings_from_the_California_Quality_of_Life_Survey_ L2 - https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-9-52 DB - PRIME DP - Unbound Medicine ER -