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A national longitudinal study of sexual orientation discordance, sexual identity fluidity, and alcohol and other drug use disorder symptoms.

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Title: A national longitudinal study of sexual orientation discordance, sexual identity fluidity, and alcohol and other drug use disorder symptoms.
Authors: McCabe, Sean Esteban (AUTHOR), Dickinson, Kara (AUTHOR), Engstrom, Curtiss W. (AUTHOR), Kcomt, Luisa (AUTHOR), Veliz, Philip T. (AUTHOR), Boyd, Carol J. (AUTHOR), Parra, Luis A. (AUTHOR), Evans-Polce, Rebecca (AUTHOR)
Source: American Journal of Drug & Alcohol Abuse. 2024, Vol. 50 Issue 4, p481-491. 11p.
Subjects: Sexual attraction, Substance-induced disorders, Sexual orientation, Substance abuse, Odds ratio
Abstract: Background: Many national studies fail to account for discordance between sexual orientation dimensions (e.g. a mismatch between sexual identity and sexual attraction) or sexual identity fluidity (e.g. changes in sexual identity over time). Objective: To examine the longitudinal relationships among sexual identity fluidity/stability, sexual orientation discordance/concordance, and alcohol and other drug use disorder symptoms. Methods: The study used nationally representative longitudinal data from Waves 1–5 (2013–2019) of the Population Assessment of Tobacco and Health (PATH) study of US adolescents and adults (N = 24,591). Results: Substance use disorder symptoms were most prevalent (45.8%) among bisexual-stable females relative to all other sexual identity subgroups. The adjusted odds ratios (AORs) of substance use disorder symptoms were significantly higher among bisexual-stable females vs. heterosexual-stable females in all models (AOR range: 1.94–2.32), while no such associations were found for males. Sexual identity-attraction discordant females had significantly greater AORs (17/20 instances) of substance use disorder symptoms compared to concordant females; this finding was not as consistent for males (6/20 instances). Conclusion: Sexual orientation discordance was significantly associated with substance use disorder symptoms, especially among females discordant in their sexual identity and attraction. Bisexual-stable and discordant females are at highest risk of developing symptomatic substance use; it is vital that they receive screening, no matter where they are in their coming out process. This study highlights pitfalls of relying solely on cross-sectional data using a single sexual orientation dimension to understand the relationship between sexual orientation and substance use disorder. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Drug & Alcohol Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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Items – Name: Title
  Label: Title
  Group: Ti
  Data: A national longitudinal study of sexual orientation discordance, sexual identity fluidity, and alcohol and other drug use disorder symptoms.
– Name: Author
  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22McCabe%2C+Sean+Esteban%22">McCabe, Sean Esteban</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dickinson%2C+Kara%22">Dickinson, Kara</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Engstrom%2C+Curtiss+W%2E%22">Engstrom, Curtiss W.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kcomt%2C+Luisa%22">Kcomt, Luisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Veliz%2C+Philip+T%2E%22">Veliz, Philip T.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Boyd%2C+Carol+J%2E%22">Boyd, Carol J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Parra%2C+Luis+A%2E%22">Parra, Luis A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Evans-Polce%2C+Rebecca%22">Evans-Polce, Rebecca</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Drug+%26+Alcohol+Abuse%22">American Journal of Drug & Alcohol Abuse</searchLink>. 2024, Vol. 50 Issue 4, p481-491. 11p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Sexual+attraction%22">Sexual attraction</searchLink><br /><searchLink fieldCode="DE" term="%22Substance-induced+disorders%22">Substance-induced disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+orientation%22">Sexual orientation</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Many national studies fail to account for discordance between sexual orientation dimensions (e.g. a mismatch between sexual identity and sexual attraction) or sexual identity fluidity (e.g. changes in sexual identity over time). Objective: To examine the longitudinal relationships among sexual identity fluidity/stability, sexual orientation discordance/concordance, and alcohol and other drug use disorder symptoms. Methods: The study used nationally representative longitudinal data from Waves 1–5 (2013–2019) of the Population Assessment of Tobacco and Health (PATH) study of US adolescents and adults (N = 24,591). Results: Substance use disorder symptoms were most prevalent (45.8%) among bisexual-stable females relative to all other sexual identity subgroups. The adjusted odds ratios (AORs) of substance use disorder symptoms were significantly higher among bisexual-stable females vs. heterosexual-stable females in all models (AOR range: 1.94–2.32), while no such associations were found for males. Sexual identity-attraction discordant females had significantly greater AORs (17/20 instances) of substance use disorder symptoms compared to concordant females; this finding was not as consistent for males (6/20 instances). Conclusion: Sexual orientation discordance was significantly associated with substance use disorder symptoms, especially among females discordant in their sexual identity and attraction. Bisexual-stable and discordant females are at highest risk of developing symptomatic substance use; it is vital that they receive screening, no matter where they are in their coming out process. This study highlights pitfalls of relying solely on cross-sectional data using a single sexual orientation dimension to understand the relationship between sexual orientation and substance use disorder. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Drug & Alcohol Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=179483248
RecordInfo BibRecord:
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        Value: 10.1080/00952990.2024.2378837
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        Text: English
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        PageCount: 11
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      – SubjectFull: Sexual attraction
        Type: general
      – SubjectFull: Substance-induced disorders
        Type: general
      – SubjectFull: Sexual orientation
        Type: general
      – SubjectFull: Substance abuse
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      – SubjectFull: Odds ratio
        Type: general
    Titles:
      – TitleFull: A national longitudinal study of sexual orientation discordance, sexual identity fluidity, and alcohol and other drug use disorder symptoms.
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            NameFull: McCabe, Sean Esteban
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            NameFull: Dickinson, Kara
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            NameFull: Engstrom, Curtiss W.
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            NameFull: Kcomt, Luisa
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              M: 07
              Text: 2024
              Type: published
              Y: 2024
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