Sexual orientation and sex-related substance use: The unexplored role of bisexuality.
Bisexual
Risky sexual behaviors
Sexual minorities
Sexual orientation
Substance use
Journal
Behaviour research and therapy
ISSN: 1873-622X
Titre abrégé: Behav Res Ther
Pays: England
ID NLM: 0372477
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
14
09
2018
revised:
15
12
2018
accepted:
20
12
2018
pubmed:
31
12
2018
medline:
15
4
2020
entrez:
31
12
2018
Statut:
ppublish
Résumé
Using alcohol and drugs in sexual contexts is associated with negative health consequences, including increased risk for HIV/STIs, sexual victimization, unplanned pregnancies, and overdose. Evidence suggests millions of adults regularly use alcohol in sexual contexts, thus increasing their risk for these consequences. However, no nationally representative estimates exist for rates of regular alcohol and/or drug use in sexual contexts. Additionally, previous studies suggest sexual minority individuals are more likely to use substances in sexual contexts than heterosexuals; however, none of these studies examined for multiple dimensions or subgroups of sexual orientation. Thus, using two distinct datasets-one large, nationally representative sample (N = 17,491) and an Internet-collected convenience sample (N = 1001)-we explored the associations between sexual orientation (dimensions and subgroups) and rates of regular sex-related alcohol and/or drug use in American adults. Results showed that sexual minority individuals were significantly more likely to report regularly using substances in sexual contexts compared to heterosexuals; however, results varied based on dimension of sexual orientation and by sex. Across both samples, bisexual individuals exhibited the highest rates of regular sex-related substance use. Findings suggest that sexual minorities, and bisexual individuals in particular, may be at increased risk for regular sex-related substance use and its associated negative health consequences. Future research should include nuanced and multidimensional assessments of sexual orientation to investigate sex-related alcohol and/or drug use and its associated risks, as well as examine the potential direct and indirect pathways by which these disparities may be conferred.
Identifiants
pubmed: 30594299
pii: S0005-7967(18)30214-6
doi: 10.1016/j.brat.2018.12.012
pmc: PMC6409130
mid: NIHMS1517476
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
55-63Subventions
Organisme : NIAAA NIH HHS
ID : K23 AA023753
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01 AA023163
Pays : United States
Informations de copyright
Copyright © 2018 Elsevier Ltd. All rights reserved.
Références
Am J Public Health. 2012 Jun;102(6):1168-76
pubmed: 22021322
Am J Public Health. 2010 Oct;100(10):1953-60
pubmed: 20516373
Psychol Violence. 2016 Apr;6(2):271-279
pubmed: 27213101
Drug Alcohol Depend. 2017 May 1;174:39-46
pubmed: 28301821
AIDS Behav. 2016 Apr;20(4):763-7
pubmed: 26459334
Am J Public Health. 2009 Oct;99 Suppl 2:S432-8
pubmed: 19372522
Psychol Addict Behav. 2012 Jun;26(2):265-78
pubmed: 22061339
Subst Use Misuse. 2018 Jun 7;53(7):1146-1157
pubmed: 29278972
Psychol Bull. 2003 Sep;129(5):674-697
pubmed: 12956539
Drug Alcohol Depend. 2008 Jan 11;93(1-2):38-42
pubmed: 17928167
Forensic Sci Int. 2017 Jan;270:93-97
pubmed: 27936427
Addict Behav. 2018 Feb;77:172-179
pubmed: 29049894
Health Psychol. 2015 Aug;34(8):829-40
pubmed: 25528179
J Sex Res. 2018 May -Jun;55(4-5):435-456
pubmed: 29099625
Child Abuse Negl. 2001 Apr;25(4):557-84
pubmed: 11370726
J Alcohol Drug Educ. 2009 Aug 1;53(2):nihpa115858
pubmed: 20161574
J Urban Health. 2005 Mar;82(1 Suppl 1):i62-70
pubmed: 15738319
AIDS. 2006 Mar 21;20(5):731-9
pubmed: 16514304
J Stud Alcohol. 2004 Jan;65(1):37-45
pubmed: 15000502
Mol Psychiatry. 2009 Nov;14(11):1051-66
pubmed: 18427559
Am J Public Health. 2009 Jan;99(1):125-32
pubmed: 19008512
Cultur Divers Ethnic Minor Psychol. 2004 Aug;10(3):255-67
pubmed: 15311978
J Stud Alcohol. 2005 Sep;66(5):620-9
pubmed: 16331847
Am J Drug Alcohol Abuse. 2004 May;30(2):369-83
pubmed: 15230081
J Acquir Immune Defic Syndr. 2017 Dec 15;76(5):493-500
pubmed: 28930769
Am J Public Health. 2007 Jun;97(6):1107-12
pubmed: 17463386
Clin Psychol (New York). 2014 Dec;21(4):313-330
pubmed: 25554721
Am J Public Health. 2010 Mar;100(3):468-75
pubmed: 19696380
Am Psychol. 2004 Feb-Mar;59(2):93-104
pubmed: 14992636
Am J Public Health. 2015 Dec;105(12):e1-2
pubmed: 26469665
Arch Sex Behav. 2008 Oct;37(5):748-62
pubmed: 18546069
J Subst Abuse. 2001;13(1-2):185-200
pubmed: 11547619
Am J Public Health. 2015 Jul;105(7):1387-93
pubmed: 25973812
J Homosex. 2009;56(3):273-98
pubmed: 19319738
J Couns Psychol. 2016 Oct;63(5):557-570
pubmed: 27078194
J Stud Alcohol. 2005 Jan;66(1):111-20
pubmed: 15830911
AIDS Behav. 2017 May;21(5):1497-1510
pubmed: 27771818
J Consult Clin Psychol. 2003 Feb;71(1):53-61
pubmed: 12602425
J Stud Alcohol Suppl. 2002 Mar;(14):101-17
pubmed: 12022716
Am J Addict. 2010 Mar-Apr;19(2):119-27
pubmed: 20163383
Am J Public Health. 2015 Dec;105(12):e1
pubmed: 26469654
Addiction. 2009 Aug;104(8):1333-45
pubmed: 19438839
Ann Behav Med. 2017 Apr;51(2):147-158
pubmed: 27502073
Am J Epidemiol. 2000 Mar 1;151(5):516-23
pubmed: 10707921
Cult Health Sex. 2018 Apr;20(4):411-427
pubmed: 28741417
Behav Res Methods. 2016 Mar;48(1):400-7
pubmed: 25761395
J Stud Alcohol Drugs. 2013 Sep;74(5):720-6
pubmed: 23948531
Arch Sex Behav. 2019 Jan;48(1):225-242
pubmed: 29633061
Soc Sci Med. 2014 Feb;103:67-75
pubmed: 24507912
J Pers Soc Psychol. 1995 Nov;69(5):990-1005
pubmed: 7473043
Perspect Psychol Sci. 2011 Jan;6(1):3-5
pubmed: 26162106
AIDS Educ Prev. 2012 Jun;24(3):228-41
pubmed: 22676462
Drug Alcohol Depend. 2014 Aug 1;141:167-70
pubmed: 24950638
Pediatrics. 2003 May;111(5 Pt 2):1136-41
pubmed: 12728126
Am J Epidemiol. 2004 May 15;159(10):1002-12
pubmed: 15128613
Alcohol Alcohol. 2010 Mar-Apr;45(2):159-66
pubmed: 20061510
Trauma Violence Abuse. 2011 Apr;12(2):55-66
pubmed: 21247983
LGBT Health. 2014 Dec;1(4):309-318
pubmed: 25568885
PLoS One. 2016 Oct 26;11(10):e0164430
pubmed: 27783644
AIDS Care. 2004 Nov;16(8):1036-47
pubmed: 15511735
Cult Health Sex. 2014;16(5):488-503
pubmed: 24666221
Sex Transm Infect. 2008 Nov;84(6):509-11
pubmed: 19028957
Clin Psychol Rev. 2011 Feb;31(1):169-77
pubmed: 21074306