AI Article Synopsis
- The study examined alcohol use differences between sexual-minority youths and exclusively heterosexual youths aged 13-18.
- Sexual-minority youths reported higher levels of drinking behaviors, with the most significant disparities found among bisexual youths, females, and younger participants.
- The findings highlight the need for further research on the underlying reasons and health impacts of early and frequent alcohol use in sexual-minority youths.
Article Abstract
Objectives: We examined sexual orientation status differences in alcohol use among youths aged 13 to 18 years or older, and whether differences were moderated by sex, age, or race/ethnicity.
Methods: We pooled data from the 2005 and 2007 Youth Risk Behavior Surveys and conducted weighted analyses, adjusting for complex design effects. We operationalized sexual orientation status with items assessing sexual orientation identity, sexual behavior, sexual attraction, or combinations of these.
Results: Compared with exclusively heterosexual youths, sexual-minority youths were more likely to report each of the primary study outcomes (i.e., lifetime and past-month alcohol use, past-month heavy episodic drinking, earlier onset of drinking, and more frequent past-month drinking). Alcohol-use disparities were larger and more robust for (1) bisexual youths than lesbian or gay youths, (2) girls than boys, and (3) younger than older youths. Few differences in outcomes were moderated by race/ethnicity.
Conclusions: Bisexual youths, sexual-minority girls, and younger sexual-minority youths showed the largest alcohol-use disparities. Research is needed that focuses on identifying explanatory or mediating mechanisms, psychiatric or mental health comorbidities, and long-term consequences of early onset alcohol use, particularly frequent or heavy use, among sexual-minority youths.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935676 | PMC |
| http://dx.doi.org/10.2105/AJPH.2013.301627 | DOI Listing |
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