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Elevated risk of substance use disorder and suicidal ideation among Black and Hispanic lesbian, gay, and bisexual adults.
Drug Alcohol Depend. 2021 09 01; 226:108848.DA

Abstract

OBJECTIVE

Black and Hispanic persons who identify as lesbian, gay, or bisexual (LGB) experience health disparities relative to non-Hispanic White and heterosexual groups respectively, including higher rates of suicidal ideation (SI) and substance use disorder (SUD). To elucidate intersectional risk, we used a large national sample to examine rates of SI, SUD, and their co-occurrence (SI + SUD) at the intersection of sexual identity and race/ethnicity.

METHOD

Data were from five years (2015-2019) of the National Survey of Drug Use and Heath (unweighted N = 189,127). Multinomial logistic regressions with persons without SI and SUD as references were stratified by gender and controlled for survey year, age, education, marital status, and income.

RESULTS

Compared to same-race and same-gender heterosexual adults, White, Black, and Hispanic LGB men and women showed higher odds of SI (AOR = 2.86-4.45), SUD (AOR = 1.23-3.01), and SI + SUD (AOR = 2.72-6.85). Compared to same-gender White heterosexual adults, Black and Latinx heterosexual men and women showed lower odds of SI (AORs = .54-.65), SUD (AORs = .52-.78) and SI + SUD (AORs = .41-.57). Compared to same-gender White LGB adults, Black and Hispanic women, but not men, showed lower SI odds (AORs = .58-.72). Compared to same-gender White heterosexual adults, Black and Hispanic LGB men and women showed higher odds of SI (AORs = 1.71-2.51) and SI + SUD (AORs = 1.91-2.97).

CONCLUSIONS

Consistent with research showing effects of multiple minority stress on behavioral health, adults with intersecting racial/ethnic and sexual minority identities showed increased odds of SI, SUD, and SI + SUD relative to Non-Hispanic White heterosexual peers. Black, Hispanic, and White LGB adults may benefit from screening and intervention for SI and SUD.

Authors+Show Affiliations

University of Connecticut School of Medicine, United States. Electronic address: lkelly@uchc.edu.Nova Southeastern University, United States.Brown University School of Public Health, United States; Warren Alpert Medical School of Brown University, United States.

Pub Type(s)

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

Language

eng

PubMed ID

34214885

Citation

Kelly, Lourah M., et al. "Elevated Risk of Substance Use Disorder and Suicidal Ideation Among Black and Hispanic Lesbian, Gay, and Bisexual Adults." Drug and Alcohol Dependence, vol. 226, 2021, p. 108848.
Kelly LM, Shepherd BF, Becker SJ. Elevated risk of substance use disorder and suicidal ideation among Black and Hispanic lesbian, gay, and bisexual adults. Drug Alcohol Depend. 2021;226:108848.
Kelly, L. M., Shepherd, B. F., & Becker, S. J. (2021). Elevated risk of substance use disorder and suicidal ideation among Black and Hispanic lesbian, gay, and bisexual adults. Drug and Alcohol Dependence, 226, 108848. https://doi.org/10.1016/j.drugalcdep.2021.108848
Kelly LM, Shepherd BF, Becker SJ. Elevated Risk of Substance Use Disorder and Suicidal Ideation Among Black and Hispanic Lesbian, Gay, and Bisexual Adults. Drug Alcohol Depend. 2021 09 1;226:108848. PubMed PMID: 34214885.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Elevated risk of substance use disorder and suicidal ideation among Black and Hispanic lesbian, gay, and bisexual adults. AU - Kelly,Lourah M, AU - Shepherd,Benjamin F, AU - Becker,Sara J, Y1 - 2021/06/24/ PY - 2021/02/03/received PY - 2021/05/04/revised PY - 2021/05/13/accepted PY - 2022/09/01/pmc-release PY - 2021/7/3/pubmed PY - 2021/9/29/medline PY - 2021/7/2/entrez KW - Ethnicity KW - Intersectionality KW - Race KW - Sexual identity KW - Substance use disorder KW - Suicidal ideation SP - 108848 EP - 108848 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 226 N2 - OBJECTIVE: Black and Hispanic persons who identify as lesbian, gay, or bisexual (LGB) experience health disparities relative to non-Hispanic White and heterosexual groups respectively, including higher rates of suicidal ideation (SI) and substance use disorder (SUD). To elucidate intersectional risk, we used a large national sample to examine rates of SI, SUD, and their co-occurrence (SI + SUD) at the intersection of sexual identity and race/ethnicity. METHOD: Data were from five years (2015-2019) of the National Survey of Drug Use and Heath (unweighted N = 189,127). Multinomial logistic regressions with persons without SI and SUD as references were stratified by gender and controlled for survey year, age, education, marital status, and income. RESULTS: Compared to same-race and same-gender heterosexual adults, White, Black, and Hispanic LGB men and women showed higher odds of SI (AOR = 2.86-4.45), SUD (AOR = 1.23-3.01), and SI + SUD (AOR = 2.72-6.85). Compared to same-gender White heterosexual adults, Black and Latinx heterosexual men and women showed lower odds of SI (AORs = .54-.65), SUD (AORs = .52-.78) and SI + SUD (AORs = .41-.57). Compared to same-gender White LGB adults, Black and Hispanic women, but not men, showed lower SI odds (AORs = .58-.72). Compared to same-gender White heterosexual adults, Black and Hispanic LGB men and women showed higher odds of SI (AORs = 1.71-2.51) and SI + SUD (AORs = 1.91-2.97). CONCLUSIONS: Consistent with research showing effects of multiple minority stress on behavioral health, adults with intersecting racial/ethnic and sexual minority identities showed increased odds of SI, SUD, and SI + SUD relative to Non-Hispanic White heterosexual peers. Black, Hispanic, and White LGB adults may benefit from screening and intervention for SI and SUD. SN - 1879-0046 UR - https://www.unboundmedicine.com/medline/citation/34214885/Elevated_risk_of_substance_use_disorder_and_suicidal_ideation_among_Black_and_Hispanic_lesbian_gay_and_bisexual_adults_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(21)00343-4 DB - PRIME DP - Unbound Medicine ER -