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The Relationship Between Discrimination and Substance Use Disorders Among Lesbian, Gay, and Bisexual Adults in the United States.

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Titre :	The Relationship Between Discrimination and Substance Use Disorders Among Lesbian, Gay, and Bisexual Adults in the United States. (2010)
Auteurs :	Sean ESTEBAN ; Wendy-B BOSTWICK ; Carol-J BOYD ; Tonda-L HUGHES ; Brady-T WEST
Type de document :	Article
Dans :	American journal of public health (vol. 100, n° 10, 2010)
Pagination :	1946-1952
Langues:	Anglais
Mots-clés :	Discrimination ; Homosexualité ; Bisexualité ; Adulte ; Homme ; Amérique ; Amérique du Nord
Résumé :	[BDSP. Notice produite par INIST-CNRS kHsr8R0x. Diffusion soumise à autorisation]. Objectives. We examined the associations between 3 types of discrimination (sexual orientation, race, and gender) and substance use disorders in a large national sample in the United States that included 577 lesbian, gay, and bisexual (LGB) adults. Methods. Data were collected from wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions, which used structured diagnostic face-to-face interviews. Results. More than two thirds of LGB adults reported at least 1 type of discrimination in their lifetimes. Multivariate analyses indicated that the odds of past-year substance use disorders were nearly 4 times greater among LGB adults who reported all 3 types of discrimination prior to the past year than for LGB adults who did not report discrimination (adjusted odds ratio=3.85 ; 95% confidence interval=1.71,8.66). Conclusions. Health professionals should consider the role multiple types of discrimination plays in the development and treatment of substance use disorders among LGB adults.