Table 2.

Associations Between Sexual Orientation-Based Discrimination and Excessive Alcohol Use and Substance Use Disorders Among Sexual Minority Adults, Past 12 Months

	Heavy episodic drinking (n = 1298)		Exceeding daily drinking limits (n = 1330)		Exceeding weekly drinking limits (n = 1326)		Any substance use disorder (n = 1330)		Alcohol use disorder (n = 1330)		Nicotine use disorder (n = 1330)		Drug use disorder (n = 1330)
	aOR	95% CI	aOR	95% CI	aOR	95% CI	aOR	95% CI	aOR	95% CI	aOR	95% CI	aOR	95% CI
Sexual orientation-based discrimination	1.20	0.91–1.57	1.22	0.95–1.58	1.19	0.96–1.49	1.23	1.05–1.44	1.29	1.06–1.57	1.05	0.89–1.24	1.16	0.90–1.50
Age	0.99	0.97–1.00	0.99	0.98–1.00	1.00	0.99–1.01	0.97	0.96–0.98	0.96	0.95–0.97	0.98	0.97–0.99	0.96	0.94–0.97
Sex
Male	Ref.		Ref.		Ref.		Ref.		Ref.		Ref.		Ref.
Female	1.45	0.82–2.57	0.91	0.61–1.36	0.98	0.67–1.45	0.83	0.60–1.16	0.75	0.50–1.12	0.81	0.59–1.11	0.99	0.52–1.91
Sexual identity
Gay/Lesbian	Ref.		Ref.		Ref.		Ref.		Ref.		Ref.		Ref.
Bisexual	0.72	0.42–1.25	0.88	0.60–1.30	0.91	0.64–1.31	1.15	0.81–1.63	1.16	0.86–1.56	1.28	0.91–1.81	1.25	0.71–2.18
Unsure	0.71	0.30–1.70	1.03	0.54–1.97	0.71	0.37–1.37	0.97	0.62–1.50	1.38	0.85–2.25	1.14	0.69–1.86	1.75	0.79–3.88
Race
White	Ref.		Ref.		Ref.		Ref.		Ref.		Ref.		Ref.
Black	2.09	1.28–3.42	1.80	1.22–2.65	2.13	1.53–2.95	1.13	0.81–1.56	1.42	1.01–2.00	0.94	0.67–1.32	1.62	1.01–2.60
Other	1.10	0.50–2.41	0.88	0.45–1.74	1.07	0.54–2.11	1.04	0.65–1.68	1.04	0.61–1.78	0.83	0.48–1.45	1.05	0.48–2.30
Hispanic origin
Non-Hispanic	Ref.		Ref.		Ref.		Ref.		Ref.		Ref.		Ref.
Hispanic	2.02	1.17–3.49	1.19	0.77–1.84	1.48	0.98–2.23	0.66	0.47–0.92	0.96	0.67–1.39	0.43	0.29–0.63	1.14	0.68–1.91
Education
Some college or more	Ref.		Ref.		Ref.		Ref.		Ref.		Ref.		Ref.
High school degree or less	1.67	1.02–2.76	1.10	0.76–1.60	0.80	0.54–1.17	1.51	1.10–2.08	0.80	0.54–1.20	2.31	1.70–3.13	1.07	0.66–1.75

Significant findings at P < 0.05 are in bold.

aOR, adjusted odds ratio; CI, confidence interval.