Cannabis use among sexual minority adults: insights from recent U.S. nationally representative data

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-09-13 DOI:10.1016/j.addbeh.2025.108495

Weisiyu Abraham Qin , Kit K. Elam , Alyssa M. Lederer , Dong-Chul Seo

{"title":"Cannabis use among sexual minority adults: insights from recent U.S. nationally representative data","authors":"Weisiyu Abraham Qin , Kit K. Elam , Alyssa M. Lederer , Dong-Chul Seo","doi":"10.1016/j.addbeh.2025.108495","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Cannabis use among sexual minority (SM) populations, particularly through vaping (CV) and non-vaping (NVC) modes, has become increasingly relevant amid shifting legal and cultural norms. However, limited research has examined how these modalities relate to multidimensional aspects of sexual orientation. This study addresses this gap by exploring the associations between sexual identity, sexual attraction, and identity–attraction concordance or discordance with past 30-day CV and NVC among U.S. adults aged 18–64.</div></div><div><h3>Methods</h3><div>This study analyzed data from 2022 National Survey on Drug Use and Health (NSDUH), a nationally representative dataset (N = 40,030). Weighted multivariable logistic regression models were employed to examine the associations between cannabis use modalities and each facet of sexual orientation, adjusting for demographic variables and other substance use behaviors as covariates.</div></div><div><h3>Results</h3><div>Among women, bisexual identity was linked to the highest odds of CV (adjusted odds ratio [aOR] = 2.57, 95 % confidence interval [CI] = 2.00–3.30) and NVC (aOR = 2.57, 95 % CI = 2.11–3.12). Women with same-sex or both-sex attraction demonstrated higher odds of both CV and NVC, and heterosexual-discordant women were also at increased risk. Among men, however, cannabis use disparities were more consistently linked to NVC.</div></div><div><h3>Conclusions</h3><div>The findings underscore the multifaceted nature of sexual orientation, highlighting distinct gender-specific and modality-dependent disparities in cannabis use among SM population. Recognizing and addressing these complexities can inform culturally attuned prevention and intervention efforts that account for unique stressors within these communities, reducing substance use–related harms and advancing health equity.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108495"},"PeriodicalIF":3.6000,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Addictive behaviors","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0306460325002564","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

Cannabis use among sexual minority (SM) populations, particularly through vaping (CV) and non-vaping (NVC) modes, has become increasingly relevant amid shifting legal and cultural norms. However, limited research has examined how these modalities relate to multidimensional aspects of sexual orientation. This study addresses this gap by exploring the associations between sexual identity, sexual attraction, and identity–attraction concordance or discordance with past 30-day CV and NVC among U.S. adults aged 18–64.

Methods

This study analyzed data from 2022 National Survey on Drug Use and Health (NSDUH), a nationally representative dataset (N = 40,030). Weighted multivariable logistic regression models were employed to examine the associations between cannabis use modalities and each facet of sexual orientation, adjusting for demographic variables and other substance use behaviors as covariates.

Results

Among women, bisexual identity was linked to the highest odds of CV (adjusted odds ratio [aOR] = 2.57, 95 % confidence interval [CI] = 2.00–3.30) and NVC (aOR = 2.57, 95 % CI = 2.11–3.12). Women with same-sex or both-sex attraction demonstrated higher odds of both CV and NVC, and heterosexual-discordant women were also at increased risk. Among men, however, cannabis use disparities were more consistently linked to NVC.

Conclusions

The findings underscore the multifaceted nature of sexual orientation, highlighting distinct gender-specific and modality-dependent disparities in cannabis use among SM population. Recognizing and addressing these complexities can inform culturally attuned prevention and intervention efforts that account for unique stressors within these communities, reducing substance use–related harms and advancing health equity.

查看原文本刊更多论文

性少数群体成年人的大麻使用：来自最近美国全国代表性数据的见解。

导读：随着法律和文化规范的变化，性少数群体（SM）使用大麻，特别是通过电子烟（CV）和非电子烟（NVC）模式使用大麻，已变得越来越重要。然而，有限的研究调查了这些模式如何与性取向的多维方面联系起来。本研究通过在18-64岁的美国成年人中探索过去30天CV和NVC与性别认同、性吸引和身份-吸引力一致性或不一致性之间的关系来解决这一差距。方法：本研究分析了2022年全国药物使用与健康调查（NSDUH）的数据，这是一个具有全国代表性的数据集（N = 4030）。采用加权多变量逻辑回归模型来检验大麻使用方式与性取向各方面之间的关系，并将人口统计学变量和其他物质使用行为作为协变量进行调整。结果：在女性中，双性恋身份与CV（校正优势比[aOR] = 2.57, 95%可信区间[CI] = 2.00-3.30）和NVC （aOR = 2.57, 95%可信区间[CI] = 2.11-3.12）的最高几率相关。有同性或两性吸引的女性患CV和NVC的几率更高，异性恋不和谐的女性患CV和NVC的风险也更高。然而，在男性中，大麻使用的差异更一致地与NVC有关。结论：研究结果强调了性取向的多面性，突出了SM人群中大麻使用的明显性别特异性和模式依赖性差异。认识和解决这些复杂性可以为符合文化的预防和干预工作提供信息，这些工作可以解释这些社区内独特的压力源，减少与药物使用有关的危害并促进卫生公平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

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.