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Substance use and mental health disorders among heterosexual identified men and women who have same-sex partners or same-sex attraction: results from the national epidemiological survey on alcohol and related conditions.
Arch Sex Behav. 2012 Oct; 41(5):1185-97.AS

Abstract

This study examined sexual orientation discordance, a mismatch between self-reported sexual identity and sexual behavior or sexual attraction, by describing the characteristics, substance use disorders, and mental health risks of heterosexual identified individuals who endorsed this pattern of sexual identification, behavior, and attraction. Using data from the National Epidemiological Survey on Alcohol and Related Conditions (NESARC), we created three groups based on participants' reported sexual identity and either their sexual behavior or sexual attraction: heterosexual concordant, homosexual concordant, and heterosexual discordant. Bivariate models assessed the relationship of discordant status and demographic correlates, lifetime substance use disorders, and mental health diagnoses. Logistic regression models tested associations between both behavior discordance and attraction discordance and the likelihood of having lifetime disorders of substance use, major depression, and generalized anxiety. Results of this study provided evidence of varying levels of substance use and mental health disorder risk by gender, discordance status, and discordance type. Behavioral discordance was associated with increased risk of mental health and substance use disorder among women (compared to heterosexual concordance). Findings among men were less consistent with heightened risk of alcohol and inhalant use only. Attraction discordance was notably different from behavioral discordance. The odds of substance use and mental health disorders were the same or lower compared with both the heterosexual and homosexual concordance groups. Future research should begin to test theoretical explanations for these differences.

Authors+Show Affiliations

School of Social Work, University of Wisconsin-Madison, 1350 University Ave., Madison, WI 53706-1510, USA. gattis@wisc.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

22549338

Citation

Gattis, Maurice N., et al. "Substance Use and Mental Health Disorders Among Heterosexual Identified Men and Women Who Have Same-sex Partners or Same-sex Attraction: Results From the National Epidemiological Survey On Alcohol and Related Conditions." Archives of Sexual Behavior, vol. 41, no. 5, 2012, pp. 1185-97.
Gattis MN, Sacco P, Cunningham-Williams RM. Substance use and mental health disorders among heterosexual identified men and women who have same-sex partners or same-sex attraction: results from the national epidemiological survey on alcohol and related conditions. Arch Sex Behav. 2012;41(5):1185-97.
Gattis, M. N., Sacco, P., & Cunningham-Williams, R. M. (2012). Substance use and mental health disorders among heterosexual identified men and women who have same-sex partners or same-sex attraction: results from the national epidemiological survey on alcohol and related conditions. Archives of Sexual Behavior, 41(5), 1185-97. https://doi.org/10.1007/s10508-012-9910-1
Gattis MN, Sacco P, Cunningham-Williams RM. Substance Use and Mental Health Disorders Among Heterosexual Identified Men and Women Who Have Same-sex Partners or Same-sex Attraction: Results From the National Epidemiological Survey On Alcohol and Related Conditions. Arch Sex Behav. 2012;41(5):1185-97. PubMed PMID: 22549338.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Substance use and mental health disorders among heterosexual identified men and women who have same-sex partners or same-sex attraction: results from the national epidemiological survey on alcohol and related conditions. AU - Gattis,Maurice N, AU - Sacco,Paul, AU - Cunningham-Williams,Renee M, Y1 - 2012/05/02/ PY - 2010/04/02/received PY - 2012/01/04/accepted PY - 2012/01/04/revised PY - 2012/5/3/entrez PY - 2012/5/3/pubmed PY - 2013/4/10/medline SP - 1185 EP - 97 JF - Archives of sexual behavior JO - Arch Sex Behav VL - 41 IS - 5 N2 - This study examined sexual orientation discordance, a mismatch between self-reported sexual identity and sexual behavior or sexual attraction, by describing the characteristics, substance use disorders, and mental health risks of heterosexual identified individuals who endorsed this pattern of sexual identification, behavior, and attraction. Using data from the National Epidemiological Survey on Alcohol and Related Conditions (NESARC), we created three groups based on participants' reported sexual identity and either their sexual behavior or sexual attraction: heterosexual concordant, homosexual concordant, and heterosexual discordant. Bivariate models assessed the relationship of discordant status and demographic correlates, lifetime substance use disorders, and mental health diagnoses. Logistic regression models tested associations between both behavior discordance and attraction discordance and the likelihood of having lifetime disorders of substance use, major depression, and generalized anxiety. Results of this study provided evidence of varying levels of substance use and mental health disorder risk by gender, discordance status, and discordance type. Behavioral discordance was associated with increased risk of mental health and substance use disorder among women (compared to heterosexual concordance). Findings among men were less consistent with heightened risk of alcohol and inhalant use only. Attraction discordance was notably different from behavioral discordance. The odds of substance use and mental health disorders were the same or lower compared with both the heterosexual and homosexual concordance groups. Future research should begin to test theoretical explanations for these differences. SN - 1573-2800 UR - https://www.unboundmedicine.com/medline/citation/22549338/Substance_use_and_mental_health_disorders_among_heterosexual_identified_men_and_women_who_have_same_sex_partners_or_same_sex_attraction:_results_from_the_national_epidemiological_survey_on_alcohol_and_related_conditions_ L2 - https://doi.org/10.1007/s10508-012-9910-1 DB - PRIME DP - Unbound Medicine ER -