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Discrimination, Mental Health, and Substance Use Disorders Among Sexual Minority Populations.
LGBT Health. 2016 08; 3(4):258-65.LH

Abstract

PURPOSE

Sexual minority (lesbian, gay, bisexual) populations have a higher prevalence of mental health and substance use disorders compared to their heterosexual counterparts. Such disparities have been attributed, in part, to minority stressors, including distal stressors such as discrimination. However, few studies have examined associations between discrimination, mental health, and substance use disorders by gender among sexual minority populations.

METHODS

We analyzed data from 577 adult men and women who self-identified as lesbian, gay, or bisexual and participated in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Six questions assessed discrimination due to sexual orientation. Weighted multivariable logistic regression examined associations between experiences of sexual orientation discrimination and both mental health and substance use disorders. Analyses were conducted separately for sexual minority men and women, adjusting for sociodemographic covariates.

RESULTS

Sexual minority men who ever experienced discrimination (57.4%) reported higher odds of any lifetime drug use disorder and cannabis use disorder compared to sexual minority men who never experienced discrimination. Sexual minority women who ever experienced discrimination (42.9%) reported higher odds of any lifetime mood disorder and any lifetime anxiety disorder compared to sexual minority women who never experienced discrimination.

CONCLUSION

The findings suggest that discrimination is differentially associated with internalizing (mental health) and externalizing (substance use) disorders for sexual minority men and women. These findings indicate a need to consider how homophobia and heteronormative discrimination may contribute to distinct health outcomes for lesbian and bisexual women compared with gay and bisexual men.

Authors+Show Affiliations

1 Brown University School of Public Health , Providence, Rhode Island.2 Department of Psychiatry and Human Behavior, The Warren Alpert Medical School, Brown University , Providence, Rhode Island.3 National Institute on Alcohol Abuse and Alcoholism , Rockville, Maryland.4 Fay W. Boozman College of Public Health, University of Arkansas , Little Rock, Arkansas.1 Brown University School of Public Health , Providence, Rhode Island.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27383512

Citation

Lee, Ji Hyun, et al. "Discrimination, Mental Health, and Substance Use Disorders Among Sexual Minority Populations." LGBT Health, vol. 3, no. 4, 2016, pp. 258-65.
Lee JH, Gamarel KE, Bryant KJ, et al. Discrimination, Mental Health, and Substance Use Disorders Among Sexual Minority Populations. LGBT Health. 2016;3(4):258-65.
Lee, J. H., Gamarel, K. E., Bryant, K. J., Zaller, N. D., & Operario, D. (2016). Discrimination, Mental Health, and Substance Use Disorders Among Sexual Minority Populations. LGBT Health, 3(4), 258-65. https://doi.org/10.1089/lgbt.2015.0135
Lee JH, et al. Discrimination, Mental Health, and Substance Use Disorders Among Sexual Minority Populations. LGBT Health. 2016;3(4):258-65. PubMed PMID: 27383512.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Discrimination, Mental Health, and Substance Use Disorders Among Sexual Minority Populations. AU - Lee,Ji Hyun, AU - Gamarel,Kristi E, AU - Bryant,Kendall J, AU - Zaller,Nickolas D, AU - Operario,Don, Y1 - 2016/07/06/ PY - 2016/7/8/entrez PY - 2016/7/8/pubmed PY - 2018/2/8/medline KW - discrimination KW - gender KW - mental health KW - sexual minorities KW - substance use. SP - 258 EP - 65 JF - LGBT health JO - LGBT Health VL - 3 IS - 4 N2 - PURPOSE: Sexual minority (lesbian, gay, bisexual) populations have a higher prevalence of mental health and substance use disorders compared to their heterosexual counterparts. Such disparities have been attributed, in part, to minority stressors, including distal stressors such as discrimination. However, few studies have examined associations between discrimination, mental health, and substance use disorders by gender among sexual minority populations. METHODS: We analyzed data from 577 adult men and women who self-identified as lesbian, gay, or bisexual and participated in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Six questions assessed discrimination due to sexual orientation. Weighted multivariable logistic regression examined associations between experiences of sexual orientation discrimination and both mental health and substance use disorders. Analyses were conducted separately for sexual minority men and women, adjusting for sociodemographic covariates. RESULTS: Sexual minority men who ever experienced discrimination (57.4%) reported higher odds of any lifetime drug use disorder and cannabis use disorder compared to sexual minority men who never experienced discrimination. Sexual minority women who ever experienced discrimination (42.9%) reported higher odds of any lifetime mood disorder and any lifetime anxiety disorder compared to sexual minority women who never experienced discrimination. CONCLUSION: The findings suggest that discrimination is differentially associated with internalizing (mental health) and externalizing (substance use) disorders for sexual minority men and women. These findings indicate a need to consider how homophobia and heteronormative discrimination may contribute to distinct health outcomes for lesbian and bisexual women compared with gay and bisexual men. SN - 2325-8306 UR - https://www.unboundmedicine.com/medline/citation/27383512/Discrimination_Mental_Health_and_Substance_Use_Disorders_Among_Sexual_Minority_Populations_ L2 - https://www.liebertpub.com/doi/10.1089/lgbt.2015.0135?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -