Journal article
Alcohol Outcomes by Sexual Orientation and Race/Ethnicity: Few Findings of Higher Risk
Journal of studies on alcohol and drugs, Vol.78(3), pp.406-414
05/2017
DOI: 10.15288/jsad.2017.78.406
PMCID: PMC5440365
PMID: 28499108
Abstract
This study sought to confirm a previously identified race by sexual orientation interaction and to clarify men's alcohol-related risk by using an expanded classification of sexual orientation.
We collapsed three waves of National Alcohol Survey data, restricting the analytic sample to White (n = 5,689), Black (n = 1,237), and Latino (n = 1,549) men with complete information on sexual orientation and alcohol use. Using self-reported sexual identity and behavior, respondents were categorized as exclusively heterosexual (referent), behaviorally discordant heterosexuals (i.e., heterosexual identity and same-sex partners), or gay/bisexually identified men. We used multivariable logistic regression to model lifetime alcohol dependence symptoms, lifetime drinking-related consequences, and past-year hazardous drinking, controlling for age, education, employment, and relationship status and accounting for the complex survey design.
There was no difference in risk of past-year hazardous drinking and lifetime drinking-related consequences between heterosexual, behaviorally discordant heterosexual, and gay/bisexual men, independent of race/ ethnicity. Among Black men, behaviorally discordant heterosexuals had three-fold higher odds of lifetime alcohol dependence symptoms than exclusively heterosexual peers (aOR = 3.30, 95% CI [1.19, 9.18], p = .02). Gay/bisexual Latino men had marginally significantly lower odds of lifetime alcohol dependence symptoms (aOR = 0.36, 95% CI [0.12, 1.03], p = .06).
There is little support for broad statements of greater alcohol risk among gay/bisexual men; however, for some subgroups and outcomes the direction and degree of risk depend on race/ ethnicity. Thus, this study underscores the importance of considering the potential interaction of sexual orientation and race/ethnicity, which may exacerbate or attenuate.
Details
- Title: Subtitle
- Alcohol Outcomes by Sexual Orientation and Race/Ethnicity: Few Findings of Higher Risk
- Creators
- Paul A Gilbert - Department of Community and Behavioral Health and Prevention Research Center, University of Iowa College of Public Health, Iowa City, IowaLaurie Drabble - School of Social Work, San José State University, San Jose, CaliforniaJason Daniel-Ulloa - Department of Community and Behavioral Health and Prevention Research Center, University of Iowa College of Public Health, Iowa City, IowaKaren F Trocki - Alcohol Research Group, Emeryville, California
- Resource Type
- Journal article
- Publication Details
- Journal of studies on alcohol and drugs, Vol.78(3), pp.406-414
- Publisher
- United States
- DOI
- 10.15288/jsad.2017.78.406
- PMID
- 28499108
- PMCID
- PMC5440365
- ISSN
- 1937-1888
- eISSN
- 1938-4114
- Grant note
- T32 AA007240 / NIAAA NIH HHS R01 DA036606 / NIDA NIH HHS P50 AA005595 / NIAAA NIH HHS
- Language
- English
- Date published
- 05/2017
- Academic Unit
- Community and Behavioral Health
- Record Identifier
- 9984064190502771
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