Table 3.
Substance use disorder (AUD) as a function of sex, sexual minority status, social support and sexual orientation discrimination (Source: NESARC-III)
| AUD 2+ (n=34,913) |
TUD 2+ (n=34,866) |
DUD 2+ (n=34,919) |
|
|---|---|---|---|
| AOR 95%CI | AOR 95%CI | AOR 95%CI | |
| Substance use disorder (2+ symptoms) | AUD 2+ | TUD 2+ | DUD 2+ |
| Sex | |||
| Men | Reference | Reference | Reference |
| Women | 0.554*** (0.510,0.601) | 0.657*** (0.609,0.709) | 0.536*** (0.457,0.628) |
| Sexual minority | |||
| Heterosexual | Reference | Reference | Reference |
| Sexual Minority | 1.535*** (1.278,1.844) | 1.512*** (1.234,1.854) | 1.520*** (1.139,2.028) |
| Marital status/Children | |||
| Not Married | Reference | Reference | Reference |
| Married | 0.579*** (0.520,0.645) | 0.605*** (0.554,0.662) | 0.507*** (0.409,0.629) |
| Living With Someone as if married | 1.251** (1.057,1.480) | 1.405*** (1.212,1.627) | 1.160 (0.890,1.512) |
| Does not have a child under the age of 18 | Reference | Reference | Reference |
| At least 1 child under the age of 18 | 0.825***(0.751,0.906) | 1.082 (0.981,1.192) | 0.847 (0.695,1.031) |
| Contact with kin (2 weeks) | |||
| No Contact with grown children[18 years of age or older] | Reference | Reference | Reference |
| Contact with grown children[18 years of age or older] | 0.900 (0.799,1.014) | 1.169** (1.051,1.299) | 1.193 (0.926,1.537) |
| No Contact with parent | Reference | Reference | Reference |
| Contact with parent | 1.159* (1.034,1.298) | 1.023 (0.941,1.112) | 1.005 (0.835,1.210) |
| No Contact with spouses’ parent | Reference | Reference | Reference |
| Contact with spouses’ parent | 0.924 (0.828,1.031) | 1.023 (0.917,1.143) | 0.857 (0.674,1.091) |
| No Contact with other relatives | Reference | Reference | Reference |
| Contact with other relatives | 0.853***(0.778,0.935) | 0.894* (0.820,0.976) | 0.886 (0.763,1.028) |
| Number of contacts with non-kin (2 weeks) | |||
| Close friends (continuous measure) | 1.014***(1.006,1.022) | 0.995 (0.986,1.005) | 1.000 (0.986,1.013) |
| Acquaintances (continuous measure) | 1.004* (1.000,1.008) | 0.991***(0.985,0.996) | 1.001 (0.993,1.009) |
| Social provision (past-year) | |||
| Social provision (continuous measure) | 0.771***(0.705,0.844) | 0.747***(0.694,0.804) | 0.558***(0.490,0.636) |
| Sexual orientation discrimination (past-year) | |||
| Sexual orientation discrimination (continuous measure) | 1.396**(1.106,1.760) | 1.277 (0.980,1.665) | 1.193 (0.832,1.711) |
Notes:
Sexual minority was defined as self-reported gay, lesbian, bisexual or ‘not sure’ identity. Heterosexual-identifying individuals with same-sex behavior or attraction were defined as heterosexual.
The zero-order correlations between AUD and TUD was .226 (p<.001). The zero-order correlation between AUD and DUD was .245 (p<.001). The zero order correlation between TUD and DUD was .215 (p<.001).
Sample sizes vary due to missing data. Unweighted sample sizes are provided. Analysis incorporates survey weights provided by the NESARC-III and control for age, race, level of education, personal income, employment status, US region, and urbanicity.
p < 0.05,
p < 0.01,
p < 0.001