Table 2.
Gender-stratified associations between sexual identity and past-year SUD treatment utilization and perceived treatment need among adults 18 years or older with a past-year substance use disorder, NSDUH1 2015-2019 (n = 21,926).
| Any past-year SUD treatment | Past-year specialty SUD treatment | Perceived treatment need | |||||
|---|---|---|---|---|---|---|---|
| Gender | Sexual identity | uOR (95% CI) | aOR (95% CI) | uOR (95% CI) | aOR (95% CI) | uOR (95% CI) | aOR (95% CI) |
| Men | Heterosexual | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Gay | 1.58 (1.06-2.36) | 1.65 (1.10-2.46) | 1.60 (1.03-2.48) | 1.71 (1.10-2.65) | 1.66 (1.02-2.69) | 1.76 (1.09-2.84) | |
| Bisexual | 0.66 (0.41-1.06) | 0.63 (0.40-1.01) | 0.86 (0.50-1.49) | 0.84 (0.49-1.42) | 2.36 (1.36-4.10) | 2.39 (1.35-4.24) | |
| Women | Heterosexual | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Gay/Lesbian | 1.23 (0.80-1.88) | 1.27 (0.83-1.94) | 1.26 (0.78-2.02) | 1.28 (0.79-2.06) | 1.05 (0.60-1.86) | 1.07 (0.60-1.90) | |
| Bisexual | 1.38 (1.09-1.76) | 1.31 (1.01-1.69) | 1.48 (1.11-1.97) | 1.36 (1.01-1.82) | 1.64 (1.23-2.19) | 1.65 (1.22-2.25) | |
1
NSDUH - National Survey on Drug Use and Health.
SUD = substance use disorder. uOR = unadjusted odds ratio. aOR = adjusted odds ratio.
Adjusted models controlled for age, race/ethnicity, education, survey year, health insurance status, and household income.
Bolded estimates were statistically significant at the 0.05 probability level.