• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar

information for practice

news, new scholarship & more from around the world


advanced search
  • gary.holden@nyu.edu
  • @ Info4Practice
  • Archive
  • About
  • Help
  • Browse Key Journals
  • RSS Feeds

Substance Use and Mental Health Disorders Among Heterosexual Identified Men and Women Who Have Same-Sex Partners or Same-Sex Attraction: Results from the National Epidemiological Survey on Alcohol and Related Conditions

Abstract  

This study examined sexual orientation discordance, a mismatch between self-reported sexual identity and sexual behavior or
sexual attraction, by describing the characteristics, substance use disorders, and mental health risks of heterosexual identified
individuals who endorsed this pattern of sexual identification, behavior, and attraction. Using data from the National Epidemiological
Survey on Alcohol and Related Conditions (NESARC), we created three groups based on participants’ reported sexual identity
and either their sexual behavior or sexual attraction: heterosexual concordant, homosexual concordant, and heterosexual discordant.
Bivariate models assessed the relationship of discordant status and demographic correlates, lifetime substance use disorders,
and mental health diagnoses. Logistic regression models tested associations between both behavior discordance and attraction
discordance and the likelihood of having lifetime disorders of substance use, major depression, and generalized anxiety. Results
of this study provided evidence of varying levels of substance use and mental health disorder risk by gender, discordance
status, and discordance type. Behavioral discordance was associated with increased risk of mental health and substance use
disorder among women (compared to heterosexual concordance). Findings among men were less consistent with heightened risk
of alcohol and inhalant use only. Attraction discordance was notably different from behavioral discordance. The odds of substance
use and mental health disorders were the same or lower compared with both the heterosexual and homosexual concordance groups.
Future research should begin to test theoretical explanations for these differences.

  • Content Type Journal Article
  • Category Original Paper
  • Pages 1-13
  • DOI 10.1007/s10508-012-9910-1
  • Authors
    • Maurice N. Gattis, School of Social Work, University of Wisconsin-Madison, 1350 University Ave., Madison, WI 53706-1510, USA
    • Paul Sacco, School of Social Work, University of Maryland-Baltimore, Baltimore, MD, USA
    • Renee M. Cunningham-Williams, George Warren Brown School of Social Work, Washington University, St. Louis, MO, USA
    • Journal Archives of Sexual Behavior
    • Online ISSN 1573-2800
    • Print ISSN 0004-0002
Posted in: Journal Article Abstracts on 05/05/2012 | Link to this post on IFP |
Share

Primary Sidebar

Categories

Category RSS Feeds

  • Calls & Consultations
  • Clinical Trials
  • Funding
  • Grey Literature
  • Guidelines Plus
  • History
  • Infographics
  • Journal Article Abstracts
  • Meta-analyses - Systematic Reviews
  • Monographs & Edited Collections
  • News
  • Open Access Journal Articles
  • Podcasts
  • Video

© 1993-2023 Dr. Gary Holden. All rights reserved.

gary.holden@nyu.edu
@Info4Practice