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Examining multiple substance use among Lesbian, Gay, and bisexual US adults

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-08-24 DOI:10.1016/j.addbeh.2025.108469

Luis M. Mestre , Maria A. Parker , Juhan Lee , Marney A. White , Krysten W. Bold

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引用次数: 0

Abstract

Introduction

Using two or more substances (

\geq 2

) is a health risk behavior that is more frequent among lesbian, gay, and bisexual (LGB) female adults. Understanding recent trends of using

\geq 2

substances is essential to make decisions about how to mitigate the exacerbated risks among LGB adults. We aim to assess the trends in using multiple substances among LGB US adults by sex.

Methods

We analyzed the National Survey on Drug Use and Health dataset of US adults from 2021 to 2023 (age

\geq 18

; n = 127,645; 1.1 % are lesbian female, 1.6 % gay male, 3.8 % bisexual female and 1.5 % bisexual male adults). We examined use of

\geq 2

substances (of 16 measured) in the past 30 days. The independent variable was sexual identity (self-identity of sexuality). We did linear and quadratic trend tests to estimate differences by sexual identity and sex over time adjusted for other sociodemographic factors.

Results

Both lesbian (

β

= 0.12; p < 0.001) and bisexual (

β

= 0.07; p < 0.001) female adults had an increase in using

\geq 2

substances from 2021 to 2023. Lesbian female adults had the highest increase of using

\geq 2

substances use from 2021 to 2023 (17.3 %; p < 0.001), followed by bisexual female adults (10.6 %; p < 0.001).

Conclusion

Using

\geq 2

substances increased the most among LGB female adults than heterosexual male, heterosexual female and LGB male adults from 2021 to 2023. Providing additional resources to develop effective strategies that address using

\geq 2

substances among LGB female adults may help mitigate their related risks.

查看原文本刊更多论文

调查美国男女同性恋和双性恋成年人的多种物质使用情况

使用两种或两种以上物质（≥2种）是一种健康风险行为，在女同性恋、男同性恋和双性恋（LGB）成年女性中更为常见。了解最近使用≥2种物质的趋势对于决定如何减轻LGB成人中加剧的风险至关重要。我们的目的是评估美国LGB成人按性别使用多种物质的趋势。方法分析美国2021 - 2023年全国药物使用与健康调查数据集（年龄≥18岁；n = 127,645；女同性恋者占1.1%，男同性恋者占1.6%，女双性恋者占3.8%，男双性恋者占1.5%）。我们检查了在过去30天内使用≥2种物质（测量的16种）。自变量是性身份（对性的自我认同）。我们做了线性和二次趋势测试来估计性别认同和性别随时间的差异，并根据其他社会人口因素进行了调整。结果女同性恋（β = 0.12; p < 0.001）和双性恋（β = 0.07; p < 0.001）成年女性在2021 - 2023年间使用≥2种物质的人数均有所增加。从2021年到2023年，女同性恋成年女性使用≥2种物质的增幅最高（17.3%;p < 0.001），其次是双性恋成年女性（10.6%;p < 0.001）。结论从2021年到2023年，LGB女性成年人使用≥2种物质的比例高于异性恋男性、异性恋女性和LGB男性。提供额外的资源来制定有效的策略，解决LGB女性成年人使用≥2种物质的问题，可能有助于减轻相关风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.