Table 1.
Estimated Percentages of U.S. Adults Endorsing Individual Past-Year DSM-5 Alcohol Use Disorder Criteria Based on Sexual Orientation: Overall Sample
| Impaired Control | Social Impairment | Risky Use | Pharmacologic | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Criteria 1: Drank more or longer % | Criteria 2: Tried to cut down % | Criteria 3: Drink a lot of time % | Criteria 4: Craving / urges % | Criteria 5: Role interference % | Criteria 6: Close rel’t problems % | Criteria 7: Gave up activities % | Criteria 8: Risky situation % | Criteria 9: Health problem % | Criteria 10: Tolerance % | Criteria 11: Withdrawal % | |
| Men | |||||||||||
| All Men (n = 15,544) | 13.1% | 12.3% | 4.7% | 9.5% | 1.7% | 6.2% | 1.6% | 11.7% | 6.5% | 9.2% | 6.6% |
| Sexual Orientation Subgroups (Men) | |||||||||||
| Hetero-identified, no same-sex attraction or behavior (n=14,228) | 13.0% | 12.0% | 4.6% | 9.3% | 1.6% | 6.1% | 1.6% | 11.7% | 6.4% | 9.1% | 6.4% |
| Hetero-identified, same-sex attraction or behavior (n=782) | 11.4% | 12.6% | 3.9% | 8.3% | 1.9% | 5.7% | 0.9% | 8.4% | 5.7% | 8.6% | 6.9% |
| Gay-identified (n=321) | 18.7% | 20.1% | 10.2% | 16.0% | 3.1% | 9.9% | 4.0% | 17.5% | 11.0% | 11.9% | 10.4% |
| Bisexual-identified (n=144) | 24.5% | 22.7% | 11.9% | 16.6% | 4.2% | 12.9% | 5.8% | 17.3% | 7.4% | 15.1% | 15.7% |
| Not sure (n=69) | 10.0% | 25.2% | 9.6% | 11.7% | 8.6% | 7.8% | 5.8% | 11.6% | 10.1% | 19.9% | 12.6% |
| Differences1 | P < 0.01 | P < 0.01 | P < 0.01 | P < 0.01 | P < 0.01 | P = 0.04 | P < 0.01 | P < 0.01 | P = 0.08 | P = 0.04 | P < 0.01 |
| Women | |||||||||||
| All Women (n = 19,956) | 8.7% | 6.9% | 2.6% | 6.3% | 1.1% | 3.1% | 0.9% | 5.4% | 4.1% | 4.9% | 4.6% |
| Sexual Orientation Subgroups (Women) | |||||||||||
| Hetero-identified, no same-sex attraction or behavior (n=17,845) | 7.8% | 6.1% | 2.0% | 5.3% | 0.8% | 2.6% | 0.7% | 4.6% | 3.5% | 4.4% | 3.9% |
| Hetero-identified, same-sex attraction or behavior (n=1,294) | 13.7% | 10.4% | 6.0% | 13.0% | 2.6% | 5.2% | 2.3% | 11.0% | 7.5% | 7.8% | 8.6% |
| Lesbian-identified (n=265) | 17.9% | 15.3% | 5.6% | 16.7% | 2.3% | 9.3% | 2.1% | 14.7% | 9.3% | 12.0% | 10.9% |
| Bisexual-identified (n=422) | 23.1% | 21.5% | 11.1% | 20.8% | 7.5% | 14.4% | 4.1% | 14.9% | 13.4% | 14.3% | 15.2% |
| Not sure (n=130) | 22.7% | 17.4% | 16.7% | 21.5% | 6.4% | 12.9% | 6.7% | 15.3% | 17.4% | 17.2% | 18.4% |
| Differences1 | P < 0.01 | P < 0.01 | P < 0.01 | P < 0.01 | P < 0.01 | P < 0.01 | P < 0.01 | P < 0.01 | P < 0.01 | P < 0.01 | P < 0.01 |
Notes:
1
Differences are based on Rao-Scott chi-square tests. Past-year non-drinkers originally had missing values on the 11 DSM-5 criteria in the NESARC-III data, had the missing values overwritten with responses of “no” prior to variable creation and analysis. Small counts of unknown responses (9) were recoded to 0 (no) for each analysis; results did not change when treating unknown responses as missing.