Luis M. Mestre , Maria A. Parker , Juhan Lee , Marney A. White , Krysten W. Bold
{"title":"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","authors":"Luis M. Mestre , Maria A. Parker , Juhan Lee , Marney A. White , Krysten W. Bold","doi":"10.1016/j.addbeh.2025.108469","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Using two or more substances (<span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span>) is a health risk behavior that is more frequent among lesbian, gay, and bisexual (LGB) female adults. Understanding recent trends of using <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> 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.</div></div><div><h3>Methods</h3><div>We analyzed the National Survey on Drug Use and Health dataset of US adults from 2021 to 2023 (age <span><math><mrow><mo>≥</mo><mn>18</mn></mrow></math></span>; 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 <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> 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.</div></div><div><h3>Results</h3><div>Both lesbian (<span><math><mrow><mi>β</mi></mrow></math></span> = 0.12; p < 0.001) and bisexual (<span><math><mrow><mi>β</mi></mrow></math></span> = 0.07; p < 0.001) female adults had an increase in using <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> substances from 2021 to 2023. Lesbian female adults had the highest increase of using <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> substances use from 2021 to 2023 (17.3 %; p < 0.001), followed by bisexual female adults (10.6 %; p < 0.001).</div></div><div><h3>Conclusion</h3><div>Using <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> 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 <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> substances among LGB female adults may help mitigate their related risks.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"171 ","pages":"Article 108469"},"PeriodicalIF":3.6000,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Examining multiple substance use among Lesbian, Gay, and bisexual US adults\",\"authors\":\"Luis M. Mestre , Maria A. Parker , Juhan Lee , Marney A. White , Krysten W. Bold\",\"doi\":\"10.1016/j.addbeh.2025.108469\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>Using two or more substances (<span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span>) is a health risk behavior that is more frequent among lesbian, gay, and bisexual (LGB) female adults. Understanding recent trends of using <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> 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.</div></div><div><h3>Methods</h3><div>We analyzed the National Survey on Drug Use and Health dataset of US adults from 2021 to 2023 (age <span><math><mrow><mo>≥</mo><mn>18</mn></mrow></math></span>; 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 <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> 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.</div></div><div><h3>Results</h3><div>Both lesbian (<span><math><mrow><mi>β</mi></mrow></math></span> = 0.12; p < 0.001) and bisexual (<span><math><mrow><mi>β</mi></mrow></math></span> = 0.07; p < 0.001) female adults had an increase in using <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> substances from 2021 to 2023. Lesbian female adults had the highest increase of using <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> substances use from 2021 to 2023 (17.3 %; p < 0.001), followed by bisexual female adults (10.6 %; p < 0.001).</div></div><div><h3>Conclusion</h3><div>Using <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> 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 <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> substances among LGB female adults may help mitigate their related risks.</div></div>\",\"PeriodicalId\":7155,\"journal\":{\"name\":\"Addictive behaviors\",\"volume\":\"171 \",\"pages\":\"Article 108469\"},\"PeriodicalIF\":3.6000,\"publicationDate\":\"2025-08-24\",\"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/S0306460325002308\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Addictive behaviors","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0306460325002308","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Examining multiple substance use among Lesbian, Gay, and bisexual US adults
Introduction
Using two or more substances () is a health risk behavior that is more frequent among lesbian, gay, and bisexual (LGB) female adults. Understanding recent trends of using 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 ; 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 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 ( = 0.12; p < 0.001) and bisexual ( = 0.07; p < 0.001) female adults had an increase in using substances from 2021 to 2023. Lesbian female adults had the highest increase of using substances use from 2021 to 2023 (17.3 %; p < 0.001), followed by bisexual female adults (10.6 %; p < 0.001).
Conclusion
Using 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 substances among LGB female adults may help mitigate their related risks.
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.