Structural stigma and sexual orientation disparities in adolescent drug use

Addictive Behaviors
Mark L HatzenbuehlerS Bryn Austin

Abstract

Although epidemiologic studies have established the existence of large sexual orientation disparities in illicit drug use among adolescents and young adults, the determinants of these disparities remain understudied. This study sought to determine whether sexual orientation disparities in illicit drug use are potentiated in states that are characterized by high levels of stigma surrounding sexual minorities. State-level structural stigma was coded using a previously established measure based on a 4-item composite index: (1) density of same-sex couples; (2) proportion of Gay-Straight Alliances per public high school; (3) 5 policies related to sexual orientation discrimination (e.g., same-sex marriage, employment non-discrimination); and (4) public opinion toward homosexuality (aggregated responses from 41 national polls). The index was linked to individual-level data from the Growing Up Today Study, a prospective community-based study of adolescents (2001-2010). Sexual minorities report greater illicit drug use than their heterosexual peers. However, for both men and women, there were statistically significant interactions between sexual orientation status and structural stigma, such that sexual orientation disparities in mariju...Continue Reading

References

Jan 30, 2003·American Journal of Public Health·Ilan H Meyer
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Apr 7, 2004·Archives of Pediatrics & Adolescent Medicine·S Bryn AustinA Lindsay Frazier
Feb 27, 2007·Revue D'épidémiologie Et De Santé Publique·A-V Diez Roux
Oct 17, 2009·American Journal of Public Health·Mark L HatzenbuehlerDeborah S Hasin
Jan 12, 2010·Addictive Behaviors·Heather L CorlissS Bryn Austin
Jun 29, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Mark L Hatzenbuehler, Katherine M Keyes
Oct 19, 2013·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Mark L HatzenbuehlerS Bryn Austin
Dec 12, 2013·Drug and Alcohol Dependence·Dustin T DuncanRenee M Johnson
Jan 22, 2014·Social Science & Medicine·Mark L Hatzenbuehler, Bruce G Link

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Citations

May 1, 2016·Psychoneuroendocrinology·S Bryn AustinEmily A Scherer
May 5, 2016·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Shawn C T Jones, Enrique W Neblett
Oct 19, 2016·AIDS and Behavior·Daniella BarretoKathleen N Deering
Dec 14, 2017·Substance Use & Misuse·Ryan J WatsonElizabeth Saewyc
Jun 13, 2018·Journal of Homosexuality·Logan HoodEmily S Mann
Jun 26, 2018·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Marla E EisenbergEli Coleman
Jan 18, 2020·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Laurie A DrabbleKaren F Trocki
Oct 24, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Jennifer K FelnerHeather L Corliss
Dec 3, 2016·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Mark L Hatzenbuehler
Nov 14, 2019·International Journal of Environmental Research and Public Health·Chung-Ying LinCarol Strong
Jul 23, 2019·Journal of Gay & Lesbian Social Services·Amy L GowerMarla E Eisenberg
May 9, 2019·Perspectives in Psychiatric Care·Amie GoodinAmanda Fallin-Bennett
Nov 17, 2020·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Andrea R TitusNancy L Fleischer
Jan 10, 2021·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Morgan M PhilbinGregory Phillips
Mar 7, 2021·Drug and Alcohol Dependence·Ryan J WatsonLisa A Eaton
Apr 13, 2021·American Journal of Preventive Medicine·Devin EnglishH Jonathon Rendina
Aug 17, 2021·Annals of LGBTQ Public and Population Health·Laurie A DrabbleKatherine J Karriker-Jaffe

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