A Nationally Representative Study of Sexual Orientation and High-Risk Drinking From Adolescence to Young Adulthood |
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| Affiliation: | 1. Office of the Clinical Director, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland;2. Social and Behavioral Sciences Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland;3. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland;1. Division of Endocrinology, Department of Pediatrics, University of Washington, Seattle Children''s, Seattle, Washington;2. Division of Adolescent Medicine, Department of Pediatrics, University of Washington, Seattle Children''s, Seattle, Washington;3. Division of Adolescent Medicine, Department of Pediatrics, West Virginia University, Morgantown, West Virginia;1. Division of Adolescent/Young Adult Medicine, Boston Children''s Hospital, Boston, Massachusetts;2. Department of Pediatrics, Harvard Medical School, Boston, Massachusetts;1. Department of Health Policy & Behavioral Sciences, School of Public Health, Georgia State University, P.O. Box 3995, Atlanta, GA 30302, USA;2. Mark Chaffin Center for Healthy Development, School of Public Health, Georgia State University, P.O. Box 3995, Atlanta, GA 30302, USA;3. Department of Psychology, Georgia State University, P.O. Box 5010, Atlanta, GA 30302, USA;4. Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 67 President Street, Charleston, SC 29425, USA;1. Center for Tobacco Products, Food and Drug Administration, Silver Spring, Maryland;2. Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, Georgia;1. Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota;2. School of Nursing, University of Minnesota, Minneapolis, Minnesota;3. Institute for Sexual and Gender Health, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota;1. USC Institute for Addiction Science, University of Southern California, Los Angeles, California;2. Department of Population and Public Health Sciences, University of Southern California, Keck School of Medicine, Los Angeles, California;3. USC Norris Comprehensive Cancer Center, University of Southern California, Keck School of Medicine, Los Angeles, California;4. Department of Psychiatry, Department of Biomedical Data Science, Dartmouth Gisel School of Medicine, Hanover, New Hampshire;5. Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania;6. Department of Psychology, University of Southern California, Los Angeles, California |
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| Abstract: | PurposeTo determine whether peer drunkenness, parental knowledge about their adolescent's whereabouts and behaviors, and depressive symptoms contribute to sexual orientation disparities in high-risk drinking behaviors; if they do, they would be potential intervention targets.MethodsLongitudinal survey data from 2,051 adolescents who participated in the NEXT Generation Health Study were analyzed. Latent growth curve and longitudinal path analyses were used to test for indirect effects linking sexual orientation in 11th grade (3.4% males and 8.4% females were sexual minorities) to past 30-day heavy episodic drinking (HED) over 6 years and past year high-intensity binge drinking at 4 years after high school.ResultsSexual minority males were not more likely to engage in high-risk drinking than heterosexual males. In contrast, sexual minority females were more likely than heterosexual females to engage in HED when they were in 11th grade (Odds Ratio = 2.83, 95% confidence interval = 1.43, 5.61), in part because of lower parental knowledge. Sexual minority females also had higher depressive symptoms during the transition from adolescence to young adulthood, which in turn was associated with greater risk of high-intensity binge drinking in young adulthood. Peer drunkenness was a strong risk factor for HED and high-intensity binge drinking among both males and females.DiscussionSexual minority females reported lower levels of parental knowledge during adolescence and higher levels of depressive symptoms during the transition to young adulthood than heterosexual females. Both factors were associated with high-risk drinking behavior, suggesting developmentally sensitive opportunities to mitigate sexual orientation disparities in high-risk drinking. |
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| Keywords: | LGBTQ Heavy Drinking Peer Drinking Parental Knowledge Depressive symptoms Health Disparities |
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