Table 3.
Indirect Associations Between Sexual Orientation and Primary Study Outcomes via Identity Disturbance for Lifetime Female (n = 16,629) and Male (n = 13,553) Alcohol/Drug Users in NESARC
| Sexual orientation | LT AD onlya Est. (95% C.I.) | LT DD onlya Est. (95% C.I.) | LT AD/DDa Est. (95% C.I.) | Age of alcohol initiation Est. (95% C.I.) |
|---|---|---|---|---|
| Women | ||||
| Same-sex sexual attractionb | .05 (.03, .08) | .09 (.05, .13) | .10 (.06, .14) | — |
| Same-sex sexual behaviorb | .07 (.04, .10) | .11 (.06, .17) | .13 (.07, .19) | –.05 (–.09, –.02) |
| Minority same-sex self-identificationb | .06 (.02, .11) | .11 (.04, .18) | .12 (.05, .20) | –.05 (–.10, –.01) |
| Men | ||||
| Same-sex sexual attractionb | — | .09 (.04, .15) | .10 (.05, .16) | — |
| Same-sex sexual behaviorb | .05 (.02, .08) | .08 (.03, .14) | .09 (.04, .15) | — |
| Minority same-sex self-identificationb | .11 (.06, .16) | .20 (.10, .31) | .22 (.13, .32) | — |
Note. Values are statistically-significant indirect effects (p ≤ .05) with corresponding direct effects between the respective sexual orientation facet and substance use outcome. Est = Point estimate; LT AD only = Binary indicator of lifetime alcohol dependence (with or without abuse) with no lifetime illicit drug dependence diagnosis; LT DD only = Binary indicator of lifetime illicit drug dependence (with or without abuse) with no lifetime alcohol dependence diagnosis; LT AD/DD = Binary indicator of lifetime alcohol and illicit drug dependence (with or without abuse). Covariates include age at baseline, race (0 = white/European American, 1 = black/African American; American Indian/Native American; Asian/Pacific Islander; other), ethnicity (0 = non-Hispanic, 1 = Hispanic), and religiosity.
Reference group was no lifetime alcohol or illicit drug dependence diagnosis.
Reference group is individuals endorsing only opposite-sex/heterosexual facets of sexual orientation.