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. 2012 Jun;102(6):1168–1176. doi: 10.2105/AJPH.2011.300261

TABLE 3—

Adjusted Odds of Substance Use Among Females Aged 15–24 Years: National Survey of Family Growth, United States, 2002

SO Dimensions Model 1, AOR (95% CI) Model 2, AOR (95% CI)
Tobacco
Sexual identity
 Heterosexual (Ref) 1.00 1.00
 Lesbian or bisexual 3.35 (2.08, 5.39)a 1.44 (0.74, 2.81)
 Uncertain 1.48 (0.87, 2.52)b 1.17 (0.67, 2.03)
Sexual attraction
 Opposite gender only (Ref) 1.00 1.00
 Same or both genders 2.06 (1.55, 2.73)a 0.92 (0.65, 1.31)
 Uncertain 2.50 (0.76, 8.19) 1.81 (0.46, 7.07)
Sexual experience
 Opposite gender only (Ref) 1.00 1.00
 Same gender only 0.59 (0.16, 2.22) 0.46 (0.10, 2.10)
 Both genders 2.97 (2.12, 4.16)ac 2.71 (1.82, 4.04)ac
 None 0.12 (0.07, 0.22)acd 0.12 (0.07, 0.22)ad
Marijuana
Sexual identity
 Heterosexual (Ref) 1.00 1.00
 Lesbian or bisexual 2.68 (1.57, 4.55)a 0.74 (0.38, 1.44)
 Uncertain 1.29 (0.79, 2.10)b 1.00 (0.57, 1.74)
Sexual attraction
 Opposite gender only (Ref) 1.00 1.00
 Same or both genders 2.98 (2.22, 4.01)a 1.95 (1.32, 2.88)a
 Uncertain 1.35 (0.43, 4.17) 1.23 (0.38, 3.93)
Sexual experience
 Opposite gender only (Ref) 1.00 1.00
 Same gender only 1.23 (0.44, 3.48) 0.97 (0.32, 2.99)
 Both genders 2.58 (1.86, 3.58)a 1.93 (1.32, 2.81)a
 None 0.12 (0.08, 0.18)acd 0.12 (0.08, 0.18)acd
Other drugs
Sexual identity
 Heterosexual (Ref) 1.00 1.00
 Lesbian or bisexual 6.88 (3.22, 14.72)a 2.10 (0.81, 5.45)
 Uncertain 1.64 (0.74, 3.63)b 1.19 (0.43, 3.30)
Sexual attraction
 Opposite gender only (Ref) 1.00 1.00
 Same or both genders 4.17 (2.51, 6.91)a 1.51 (0.78, 2.90)
 Uncertain 2.72 (0.45, 16.56) 1.47 (0.21, 10.14)
Sexual experience
 Opposite gender only (Ref) 1.00 1.00
 Same gender only e e
 Both genders 4.88 (2.81, 8.46)a 2.79 (1.59, 4.91)a
 None 0.07 (0.02, 0.29)ad 0.08 (0.02, 0.31)ad
Binge drinking
Sexual identity
 Heterosexual (Ref) 1.00 1.00
 Lesbian or bisexual 2.24 (1.36, 3.69)a 1.02 (0.58, 1.80)
 Uncertain 1.14 (0.70, 1.86) 0.94 (0.57, 1.54)
Sexual attraction
 Opposite gender only (Ref) 1.00 1.00
 Same or both genders 2.18 (1.63, 2.90)a 1.57 (1.06, 2.33)a
 Uncertain 2.23 (0.81, 6.11) 2.42 (1.01, 5.82)a
Sexual experience
 Opposite gender only (Ref) 1.00 1.00
 Same gender only 0.51 (0.17, 1.51) 0.36 (0.12, 1.05)
 Both genders 1.77 (1.20, 2.62)ac 1.33 (0.81, 2.21)c
 None 0.21 (0.15, 0.29)ad 0.21 (0.15, 0.30)ad

Note. AOR = adjusted odds ratio; CI = confidence interval; SO = sexual orientation. Model 1 shows the estimated odds of substance use by each dimension of SO considered singly. Model 2 shows the estimated odds of substance use by each dimension of SO while controlling for the other 2 dimensions. All AORs adjusted for respondent's age, age squared, race/ethnicity, and design effects. AORs in model 2 for each outcome also adjusted for behavior, attraction, and identity.

a

Differs from the reference category at P < .05.

b

Differs from lesbian/bisexual at P < .05.

c

Differs from those with exclusively same-gender partners at P < .05.

d

Differs from those with partners of both genders at P < .05.

e

So few women with exclusively same-gender sexual experience reported other drug use in the past 12 months that AORs could not be estimated for this group; 23 women were dropped from this analysis as a result.