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Sexual minority status, illicit drug use, and depressive symptoms

Bibliographic Data

ID12973246
AuthorsJonathan K Noel (0000-0002-4047-1785, Johnson & Wales University, corresponding author), Stephanie E Tudela (Johnson & Wales University), Samantha R Rosenthal (0000-0001-6719-1700, Johnson & Wales University)
Year2023
Volume21
Issue3
Pages490-506
Publication date2023-03-16
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of LGBT Youth (JOURNAL)
Journal identifiersISSN: 1936-1653 • E-ISSN: 1936-1661
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/19361653.2023.2187918
PMID38798775
OpenAlexW4327573057
LanguageEN
Citations received1
References cited50

Youth who are lesbian, gay, bisexual, and who identify with other sexual orientations (LGB+) are at higher risk for illicit drug use and have higher rates of mental illness. The current study examined the prevalence of illicit drug use among LGB+ persons and assessed the moderating effect of mental illness. Cross-sectional data from the 2015, 2017, and 2019 Youth Risk Behavioral Surveillance System were aggregated. The outcome was any reported use of cocaine, inhalants, heroin, methamphetamines, ecstasy, or hallucinogens. The primary exposure was self-reported sexual orientation category (i.e., heterosexual, gay/lesbian, bisexual, not sure). Self-reported depressive symptoms were tested as a moderator. Logistic regression models assessed main and interactive effects. Gay or lesbian students [AOR=1.87 95%CI: 1.45,2.43], bisexual students [AOR=2.07 95%CI: 1.77,2.42], and those unsure of their sexual orientation [AOR=1.99 95%CI: 1.65,2.39] had increased odds of illicit drug use. Odds were higher among LGB+ youth who did not have depressive symptoms (p<0.001). Odds of illicit substance use was significantly greater in youth identifying as gay and lesbian, bisexual, and students who were not sure about their sexual orientation and among LGB+ youth without depressive symptoms. Targeted, but non-stigmatizing, prevention programs are needed

Anxiety · Depressive symptoms · Drug · Homosexuality · Illicit drug · Minority stress · Psychiatry · Sexual minority · Sexual orientation · Substance use · Clinical Psychology · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Reproductive Health and Technologies · Sexuality, Behavior, and Technology · Social Psychology

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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