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Sexual orientation and drug use in a longitudinal cohort study of U.S. adolescents.
Addict Behav. 2010 May; 35(5):517-21.AB

Abstract

Adolescents with a minority sexual orientation (e.g., lesbian, gay, and bisexual) are more likely to use substances than their heterosexual peers. This study aimed to increase understanding of the development of drug use in this vulnerable population by: 1) comparing longitudinal patterns of past-year illicit drug use (e.g., marijuana, cocaine, and ecstasy) and misuse of prescription drugs among minority sexual orientation youth relative to heterosexual youth and, 2) examining how sexual orientation sub-group, gender, and age relate to variation in the risk of drug use. Data come from the Growing Up Today Study, a community-based cohort of U.S. adolescents who were assessed three times between 1999 and 2005 with self-administered questionnaires when they ranged in age from 12 to 23 years (N=12,644; 74.9% of the original cohort). Multivariable repeated measures generalized estimating equations using modified Poisson regression were used to estimate relative risks. Participants indicating their sexual orientation was mostly heterosexual, bisexual, or lesbian/gay were more likely than completely heterosexual youth to report past-year illicit drug use and misuse of prescription drugs. Gender was an important modifier; bisexual females were most likely to report drug use. Age was also an important modifier of risk; differences in drug use between minority sexual orientation and heterosexual youth were larger during adolescence (12-17 years) than during emerging adulthood (18-23 years). Research must focus on identifying reasons why minority sexual orientation youth are at disproportionate risk for drug use. Such information is essential for developing interventions that are critically needed to reduce drug use in this population. Efforts need to begin early because large sexual orientation disparities in drug use are evident by adolescence.

Authors+Show Affiliations

Division of Adolescent and Young Adult Medicine, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA. heather.corliss@tch.harvard.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

20061091

Citation

Corliss, Heather L., et al. "Sexual Orientation and Drug Use in a Longitudinal Cohort Study of U.S. Adolescents." Addictive Behaviors, vol. 35, no. 5, 2010, pp. 517-21.
Corliss HL, Rosario M, Wypij D, et al. Sexual orientation and drug use in a longitudinal cohort study of U.S. adolescents. Addict Behav. 2010;35(5):517-21.
Corliss, H. L., Rosario, M., Wypij, D., Wylie, S. A., Frazier, A. L., & Austin, S. B. (2010). Sexual orientation and drug use in a longitudinal cohort study of U.S. adolescents. Addictive Behaviors, 35(5), 517-21. https://doi.org/10.1016/j.addbeh.2009.12.019
Corliss HL, et al. Sexual Orientation and Drug Use in a Longitudinal Cohort Study of U.S. Adolescents. Addict Behav. 2010;35(5):517-21. PubMed PMID: 20061091.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual orientation and drug use in a longitudinal cohort study of U.S. adolescents. AU - Corliss,Heather L, AU - Rosario,Margaret, AU - Wypij,David, AU - Wylie,Sarah A, AU - Frazier,A Lindsay, AU - Austin,S Bryn, Y1 - 2010/01/04/ PY - 2009/06/12/received PY - 2009/11/02/revised PY - 2009/12/21/accepted PY - 2010/1/12/entrez PY - 2010/1/12/pubmed PY - 2011/6/9/medline SP - 517 EP - 21 JF - Addictive behaviors JO - Addict Behav VL - 35 IS - 5 N2 - Adolescents with a minority sexual orientation (e.g., lesbian, gay, and bisexual) are more likely to use substances than their heterosexual peers. This study aimed to increase understanding of the development of drug use in this vulnerable population by: 1) comparing longitudinal patterns of past-year illicit drug use (e.g., marijuana, cocaine, and ecstasy) and misuse of prescription drugs among minority sexual orientation youth relative to heterosexual youth and, 2) examining how sexual orientation sub-group, gender, and age relate to variation in the risk of drug use. Data come from the Growing Up Today Study, a community-based cohort of U.S. adolescents who were assessed three times between 1999 and 2005 with self-administered questionnaires when they ranged in age from 12 to 23 years (N=12,644; 74.9% of the original cohort). Multivariable repeated measures generalized estimating equations using modified Poisson regression were used to estimate relative risks. Participants indicating their sexual orientation was mostly heterosexual, bisexual, or lesbian/gay were more likely than completely heterosexual youth to report past-year illicit drug use and misuse of prescription drugs. Gender was an important modifier; bisexual females were most likely to report drug use. Age was also an important modifier of risk; differences in drug use between minority sexual orientation and heterosexual youth were larger during adolescence (12-17 years) than during emerging adulthood (18-23 years). Research must focus on identifying reasons why minority sexual orientation youth are at disproportionate risk for drug use. Such information is essential for developing interventions that are critically needed to reduce drug use in this population. Efforts need to begin early because large sexual orientation disparities in drug use are evident by adolescence. SN - 1873-6327 UR - https://www.unboundmedicine.com/medline/citation/20061091/Sexual_orientation_and_drug_use_in_a_longitudinal_cohort_study_of_U_S__adolescents_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0306-4603(09)00346-3 DB - PRIME DP - Unbound Medicine ER -