Associations Between Having a Spouse/Partner with Alcohol Problems and One's Own Risk of Mental Health and Substance Use Disorders by Sexual Orientation.
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| Title: | Associations Between Having a Spouse/Partner with Alcohol Problems and One's Own Risk of Mental Health and Substance Use Disorders by Sexual Orientation. |
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| Authors: | Kcomt, Luisa (AUTHOR), Evans-Polce, Rebecca J. (AUTHOR), Engstrom, Curtiss W. (AUTHOR), Dean, Frances (AUTHOR), Hoak, Sebastian (AUTHOR), Scott, Carol F. (AUTHOR), Boyd, Carol J. (AUTHOR), Pasman, Emily (AUTHOR), West, Brady T. (AUTHOR), McCabe, Sean Esteban (AUTHOR) |
| Source: | Substance Use & Misuse. 2025, Vol. 60 Issue 14, p2214-2224. 11p. |
| Subjects: | Substance abuse, Sexual orientation, Research funding, Spouses, Mental illness, Multiple regression analysis, LGBTQ+ people, Sexual orientation identity, Anxiety, Affective disorders, Odds ratio, Metropolitan areas, Rural conditions, Alcoholism, Data analysis software, Comorbidity |
| Geographic Terms: | United States |
| Abstract: | Introduction: The association between an individual's alcohol misuse and their spouse's/partner's behavioral health is well documented. Whether these associations vary by sexual orientation is unknown. Methods: We used data from the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III; n = 36,309 U.S. adults ≥18 years). Using multivariable logistic regression models, we examined the associations between sexual orientation (heterosexual-identified with concordant attraction/behavior, heterosexual-identified with discordant attraction/behavior, gay/lesbian, and bisexual) and having a lifetime history of spouse/partner with alcohol problems with lifetime DSM-5 alcohol use disorder, tobacco use disorder, any substance use disorder (SUD), anxiety disorder, mood disorder, and comorbid mental health and SUDs. We conducted two-way interaction tests between history of spouse/partner with alcohol problems and sexual orientation for each outcome. Results: The prevalence of a history of spouse/partner with problem drinking varied by sex and sexual orientation, ranging from 28.8% (bisexual females) to 9.1% (bisexual males). Having a history of a spouse/partner with alcohol problems was associated with increased odds of each outcome (adjusted odds ratio [AOR] range: 1.6 to 2.3, p < 0.001). All sexual minority subgroups had increased odds of each outcome (AOR range: 1.3 to 3.2, p < 0.001), relative to their heterosexual concordant counterparts. Our interaction tests were not significant at the p < 0.001 level; the effect of having a spouse/partner with alcohol problems is similar across sexual orientation subgroups. Conclusions: Findings underscore the importance of sexual orientation and having a history of a spouse/partner with alcohol problems as part of the assessment and treatment of mental health and SUDs. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Introduction: The association between an individual's alcohol misuse and their spouse's/partner's behavioral health is well documented. Whether these associations vary by sexual orientation is unknown. Methods: We used data from the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III; n = 36,309 U.S. adults ≥18 years). Using multivariable logistic regression models, we examined the associations between sexual orientation (heterosexual-identified with concordant attraction/behavior, heterosexual-identified with discordant attraction/behavior, gay/lesbian, and bisexual) and having a lifetime history of spouse/partner with alcohol problems with lifetime DSM-5 alcohol use disorder, tobacco use disorder, any substance use disorder (SUD), anxiety disorder, mood disorder, and comorbid mental health and SUDs. We conducted two-way interaction tests between history of spouse/partner with alcohol problems and sexual orientation for each outcome. Results: The prevalence of a history of spouse/partner with problem drinking varied by sex and sexual orientation, ranging from 28.8% (bisexual females) to 9.1% (bisexual males). Having a history of a spouse/partner with alcohol problems was associated with increased odds of each outcome (adjusted odds ratio [AOR] range: 1.6 to 2.3, p < 0.001). All sexual minority subgroups had increased odds of each outcome (AOR range: 1.3 to 3.2, p < 0.001), relative to their heterosexual concordant counterparts. Our interaction tests were not significant at the p < 0.001 level; the effect of having a spouse/partner with alcohol problems is similar across sexual orientation subgroups. Conclusions: Findings underscore the importance of sexual orientation and having a history of a spouse/partner with alcohol problems as part of the assessment and treatment of mental health and SUDs. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 10826084 |
| DOI: | 10.1080/10826084.2025.2537142 |
