. 2019 Jan 16;6(1):15–22. doi: 10.1089/lgbt.2018.0122

Table 4.

Severe Alcohol Use Disorder, Tobacco Use Disorder, and Drug Use Disorder by Dimensions of Sexual Orientation

	Severe AUD n = 35,409^a		Severe TUD n = 35,356^a		Severe DUD n = 35,415^a
	%^b	AOR (95% CI) Model 4^c	%^b	AOR (95% CI) Model 5^c	%^b	AOR (95% CI) Model 6^c
Identity
Heterosexual	2.9^def	Reference^def	4.7^ef	Reference^def	1.1^ef	Reference^f
Lesbian/gay	7.1^fg	2.36 (1.17–4.74)^fg	7.5^ef	2.22 (1.19–4.13)^g	1.4^f	0.704 (0.196–2.52)^f
Bisexual	11.4^g	3.08 (1.44–6.58)^g	13.3^dg	2.51 (1.29–4.88)^g	3.5^g	1.55 (0.538–4.49)^f
Not sure	11.5^dg	5.05 (2.78–9.16)^dg	14.4^dg	4.18 (2.29–7.64)^g	4.8^dg	4.40 (1.72–11.2)^deg
Attraction
Opposite sex	2.9^de	Reference	4.8^e	Reference	1.1^e	Reference
Same sex	4.6^eg	0.589 (0.269–1.29)	5.1^e	0.625 (0.382–1.02)	1.6	0.951 (0.320–2.82)
Opposite and same sex	7.7^dg	0.777 (0.443–1.36)	10.6^dg	0.926 (0.523–1.64)	2.9^g	1.25 (0.393–4.01)
Behavior
Opposite sex	3.5^def	Reference^ef	5.2^e	Reference^e	1.3^ef	Reference^f
Same sex	6.3^efg	1.53 (0.866–2.70)^f	5.9^e	1.00 (0.666–1.52)^e	2.2^f	1.66 (0.752–3.69)^f
Opposite and same sex	18.5^dfg	2.44 (1.24–4.79)^fg	19.4^dfg	2.16 (1.19–3.93)^dfg	6.4^fg	2.18 (0.897–5.30)^f
No sex	1.5^deg	0.672 (0.538–.840)^deg	3.7^e	0.962 (0.827–1.11)^e	0.4^deg	0.453 (0.277–.741)^deg

Severe disorder (i.e., 6+ symptoms).

Significant differences in reference to heterosexual (identity), opposite-sex only (attraction), and opposite-sex only (behavior) respondents are in bold for the full analytical models.

^{^a}

Sample sizes vary due to missing data. Unweighted sample sizes are provided.

^{^b}

The percentages provide the differences with respect to the bivariate associations (controlling for sex, race/ethnicity, and age).

^{^c}

Models 4 through 6 incorporate sexual identity, attraction, and behavior simultaneously to estimate AORs and 95% CIs (including controls for sex, race/ethnicity, and age); the AORs use heterosexual (identity), opposite-sex only (attraction), and opposite-sex only (behavior) as the reference category.

^{^d}

p < 0.05 using lesbian/gay respondents as the reference group (identity); same-sex respondents as the reference group (attraction); same-sex respondents as the reference group (behavior).

^{^e}

p < 0.05 using bisexual respondents as the reference group (identity); opposite- and same-sex respondents as the reference group (attraction); opposite- and same-sex respondents as the reference group (behavior).

^{^f}

p < 0.05 using not sure as the reference group (identity); no sex respondents as the reference group (behavior).

^{^g}

p < 0.05 using heterosexual respondents as the reference group (identity); opposite-sex respondents as the reference group (attraction); opposite-sex respondents as the reference group (behavior).