Sexual Minority Disparities in Substance Use Willingness Among Youth. Gamarel, K. E, Mereish, E. H, Colby, S. M, Barnett, N. P, Hayes, K., & Jackson, K. M Subst. Use Misuse, August, 2017. 00000
Sexual Minority Disparities in Substance Use Willingness Among Youth [link]Paper  doi  abstract   bibtex   
BACKGROUND: Disparities in substance use have been observed in sexual minority youth, but less is known about willingness to use substances, an important precursor to actual use. OBJECTIVE: The goal of this study was to examine willingness to use cigarettes, alcohol, and marijuana among sexual minority youth compared to their non-sexual minority counterparts using both cross-sectional and longitudinal data. METHODS: The present study drew on two waves (Times 1 and 2; 6 months apart) of data collected during high school as part of a prospective study of substance use initiation and progression in Rhode Island. At Time 1, participants (N = 443) ranged in age from 15 to 20 years (M age = 16.7 years, 26.6% sexual minority, 59.5% female, 72.0% White). Participants self-reported their sexual identity and attraction, lifetime use of alcohol, cigarettes and marijuana, and cigarette, alcohol, and marijuana use willingness (i.e., if offered by a best friend or group of friends). RESULTS: In cross-sectional multivariate regression models, sexual minority youth were more likely to report willingness to use cigarettes (p \textless.05) and marijuana (p \textless.01) compared to their non-sexual minority counterparts. Longitudinal multivariate regression models revealed that sexual minorities were only significantly more likely to report cigarette willingness at Time 2 compared to their non-sexual minority counterparts (p \textless.01). There were no significant differences in alcohol use willingness in multivariable cross-sectional or longitudinal models by sexual minority status. CONCLUSIONS: Sexual minority youth reported more willingness than non-sexual minority youth to use substances offered by peers; however, longitudinal analyses revealed that peers appear to play a role only in willingness to smoke cigarettes for these youth, and thus peer influence may be a contributing factor in explaining tobacco-related disparities among sexual minority youth. Given that stigma and peer groups may a particular risk factor for tobacco among sexual minority youth, our findings highlight the importance of prevention programs such as social marketing approaches that correct social norms, reduce stigma, and provide refusal-skills training to reduce tobacco-related disparities among sexual minorities.
@article{gamarel_sexual_2017,
	title = {Sexual {Minority} {Disparities} in {Substance} {Use} {Willingness} {Among} {Youth}},
	issn = {1082-6084},
	url = {http://dx.doi.org/10.1080/10826084.2017.1327977},
	doi = {10.1080/10826084.2017.1327977},
	abstract = {BACKGROUND: Disparities in substance use have been observed in sexual
minority youth, but less is known about willingness to use substances, an
important precursor to actual use. OBJECTIVE: The goal of this study was
to examine willingness to use cigarettes, alcohol, and marijuana among
sexual minority youth compared to their non-sexual minority counterparts
using both cross-sectional and longitudinal data. METHODS: The present
study drew on two waves (Times 1 and 2; 6 months apart) of data collected
during high school as part of a prospective study of substance use
initiation and progression in Rhode Island. At Time 1, participants (N =
443) ranged in age from 15 to 20 years (M age = 16.7 years, 26.6\% sexual
minority, 59.5\% female, 72.0\% White). Participants self-reported their
sexual identity and attraction, lifetime use of alcohol, cigarettes and
marijuana, and cigarette, alcohol, and marijuana use willingness (i.e., if
offered by a best friend or group of friends). RESULTS: In cross-sectional
multivariate regression models, sexual minority youth were more likely to
report willingness to use cigarettes (p {\textless}.05) and marijuana (p {\textless}.01)
compared to their non-sexual minority counterparts. Longitudinal
multivariate regression models revealed that sexual minorities were only
significantly more likely to report cigarette willingness at Time 2
compared to their non-sexual minority counterparts (p {\textless}.01). There were no
significant differences in alcohol use willingness in multivariable
cross-sectional or longitudinal models by sexual minority status.
CONCLUSIONS: Sexual minority youth reported more willingness than
non-sexual minority youth to use substances offered by peers; however,
longitudinal analyses revealed that peers appear to play a role only in
willingness to smoke cigarettes for these youth, and thus peer influence
may be a contributing factor in explaining tobacco-related disparities
among sexual minority youth. Given that stigma and peer groups may a
particular risk factor for tobacco among sexual minority youth, our
findings highlight the importance of prevention programs such as social
marketing approaches that correct social norms, reduce stigma, and provide
refusal-skills training to reduce tobacco-related disparities among sexual
minorities.},
	journal = {Subst. Use Misuse},
	author = {Gamarel, Kristi E and Mereish, Ethan H and Colby, Suzanne M and Barnett, Nancy P and Hayes, Kerri and Jackson, Kristina M},
	month = aug,
	year = {2017},
	note = {00000},
	keywords = {Sep 20 import, Sexual minority, disparities, duplicate, substance use willingness, youth},
	pages = {1--6}
}

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