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Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment.
J Subst Abuse Treat. 2015 Nov; 58:78-83.JS

Abstract

OBJECTIVE

Lesbian, gay, and bisexual (LGB) orientation predicts greater substance use, treatment utilization, and poorer mental and physical health, but health needs of LGB individuals in substance abuse treatment remain largely unknown. The purpose of this study was to identify differences in mental and physical health needs of LGB individuals in substance abuse treatment.

METHODS

Substance abuse treatment admissions data from the County of San Francisco were used in this investigation of differences in mental and physical health problems and service utilization between LGB (n=1,441) and heterosexual individuals (n=11,770).

RESULTS

LGB individuals were more likely to have mental health diagnoses (adjORs ranging from 1.86 to 4.00) and current mental health prescription medications (adjORs from 1.79 to 4.99) than heterosexual counterparts. Gay and bisexual men and bisexual women but not lesbian women, were more likely to be receiving mental health treatment. Gay men and bisexual women were more likely than heterosexual counterparts to report physical health problems. Gay and bisexual men and bisexual women but not lesbian women were more likely to be receiving health care. There were no differences between LGB individuals and heterosexual counterparts in the number of emergency room visits or hospital overnight stays.

DISCUSSION

This study found that LGB individuals entering substance abuse treatment have greater mental and physical health needs than heterosexual counterparts. Implications for healthcare integration, research, and practice are discussed.

Authors+Show Affiliations

Department of Community Health Systems, University of California, San Francisco, 2 Koret Way, San Francisco, California, 94143. Electronic address: annesa.flentje@ucsf.edu.Department of Psychology, The University of Montana, 32 Campus Drive Missoula, Montana, 59812.Department of Psychiatry, University of California, San Francisco, 1001 Potrero Avenue, San Francisco, California, 94110; School of Medicine, Drexel University, 3300 Henry Avenue, Philadelphia, Pennsylvania, 19129.Department of Psychiatry, University of California, San Francisco, 1001 Potrero Avenue, San Francisco, California, 94110.

Pub Type(s)

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

Language

eng

PubMed ID

26314505

Citation

Flentje, Annesa, et al. "Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment." Journal of Substance Abuse Treatment, vol. 58, 2015, pp. 78-83.
Flentje A, Livingston NA, Roley J, et al. Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment. J Subst Abuse Treat. 2015;58:78-83.
Flentje, A., Livingston, N. A., Roley, J., & Sorensen, J. L. (2015). Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment. Journal of Substance Abuse Treatment, 58, 78-83. https://doi.org/10.1016/j.jsat.2015.06.022
Flentje A, et al. Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment. J Subst Abuse Treat. 2015;58:78-83. PubMed PMID: 26314505.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment. AU - Flentje,Annesa, AU - Livingston,Nicholas A, AU - Roley,Jason, AU - Sorensen,James L, Y1 - 2015/07/14/ PY - 2015/03/02/received PY - 2015/05/28/revised PY - 2015/06/29/accepted PY - 2015/8/29/entrez PY - 2015/9/1/pubmed PY - 2016/6/28/medline KW - Lesbian, gay, bisexual KW - Mental health disparities KW - Physical health disparities KW - Substance abuse treatment SP - 78 EP - 83 JF - Journal of substance abuse treatment JO - J Subst Abuse Treat VL - 58 N2 - OBJECTIVE: Lesbian, gay, and bisexual (LGB) orientation predicts greater substance use, treatment utilization, and poorer mental and physical health, but health needs of LGB individuals in substance abuse treatment remain largely unknown. The purpose of this study was to identify differences in mental and physical health needs of LGB individuals in substance abuse treatment. METHODS: Substance abuse treatment admissions data from the County of San Francisco were used in this investigation of differences in mental and physical health problems and service utilization between LGB (n=1,441) and heterosexual individuals (n=11,770). RESULTS: LGB individuals were more likely to have mental health diagnoses (adjORs ranging from 1.86 to 4.00) and current mental health prescription medications (adjORs from 1.79 to 4.99) than heterosexual counterparts. Gay and bisexual men and bisexual women but not lesbian women, were more likely to be receiving mental health treatment. Gay men and bisexual women were more likely than heterosexual counterparts to report physical health problems. Gay and bisexual men and bisexual women but not lesbian women were more likely to be receiving health care. There were no differences between LGB individuals and heterosexual counterparts in the number of emergency room visits or hospital overnight stays. DISCUSSION: This study found that LGB individuals entering substance abuse treatment have greater mental and physical health needs than heterosexual counterparts. Implications for healthcare integration, research, and practice are discussed. SN - 1873-6483 UR - https://www.unboundmedicine.com/medline/citation/26314505/Mental_and_Physical_Health_Needs_of_Lesbian_Gay_and_Bisexual_Clients_in_Substance_Abuse_Treatment_ DB - PRIME DP - Unbound Medicine ER -