Sexual Minority Youth at Risk of Early and Persistent Alcohol, Tobacco, and Marijuana Use

Amelia E. Talley, Blair Turner, Anthony M. Foster, Gregory Lee Phillips ii

Research output: Contribution to journalArticle

Abstract

The current study sought to examine substance use disparities among sexual minority youth. The current subsample of 348,175 students participated in the Youth Risk Behavior Surveillance System (YRBSS) study from years 2005 to 2015 (biennially) in jurisdictions that asked at least one question about sexual minority status. Latent class analysis was used to identify implicit classes of sexual minority youth, based on respondents’ sexual identity and sexual behavior. Sex-stratified regression models were run to determine the association between class membership and age of onset and persistent use of alcohol, tobacco, and marijuana. Findings showed that sexual minority female subgroups were primarily distinguished by sexual identity (e.g., “lesbian,” “bisexual”), whereas sexual minority male subgroups were primarily distinguished by sexual behavior. Female lesbian and bisexual youth were at risk of initiating substance use at younger ages and, among lifetime users, were more likely to persist in their tobacco and marijuana use over time, relative to sexually active female heterosexual youth. Among lifetime users, male youth with partners of both sexes were at greater risk of persistent use of alcohol, tobacco, and marijuana over time and earlier ages of first use. Recommendations for intervention and prevention programs geared toward reducing sexual minority youth substance use are provided.

Original languageEnglish (US)
Pages (from-to)1073-1086
Number of pages14
JournalArchives of Sexual Behavior
Volume48
Issue number4
DOIs
StatePublished - May 1 2019

Fingerprint

Tobacco Use
Cannabis
Alcohols
Sexual Behavior
Sexual Minorities
Tobacco
Alcohol
Sexual
Minorities
Heterosexuality
Risk-Taking
Age of Onset
Students
Substance Use

Keywords

  • Adolescent
  • Sexual behavior
  • Sexual orientation
  • Substance use
  • Youth Risk Behavior Surveillance System

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Psychology(all)

Cite this

Talley, Amelia E. ; Turner, Blair ; Foster, Anthony M. ; Phillips ii, Gregory Lee. / Sexual Minority Youth at Risk of Early and Persistent Alcohol, Tobacco, and Marijuana Use. In: Archives of Sexual Behavior. 2019 ; Vol. 48, No. 4. pp. 1073-1086.
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Sexual Minority Youth at Risk of Early and Persistent Alcohol, Tobacco, and Marijuana Use. / Talley, Amelia E.; Turner, Blair; Foster, Anthony M.; Phillips ii, Gregory Lee.

In: Archives of Sexual Behavior, Vol. 48, No. 4, 01.05.2019, p. 1073-1086.

Research output: Contribution to journalArticle

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