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Alcohol, Tobacco, and Comorbid Psychiatric Disorders and Associations With Sexual Identity and Stress-Related Correlates

Evans-Polce, Rebecca J ; Kcomt, Luisa ; Veliz, Philip T ; Boyd, Carol J ; McCabe, Sean Esteban

The American journal of psychiatry, 2020-11, Vol.177 (11), p.1073-1081 [Periódico revisado por pares]

United States: American Psychiatric Association

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Título:
Alcohol, Tobacco, and Comorbid Psychiatric Disorders and Associations With Sexual Identity and Stress-Related Correlates
Autor: Evans-Polce, Rebecca J ; Kcomt, Luisa ; Veliz, Philip T ; Boyd, Carol J ; McCabe, Sean Esteban
Assuntos: Adolescent ; Adverse childhood experiences ; Alcohol use ; Alcoholism - etiology ; Alcoholism - psychology ; Comorbidity ; Female ; Heterosexuality - psychology ; Heterosexuality - statistics & numerical data ; Homophobia - psychology ; Homophobia - statistics & numerical data ; Homosexuality, Female - psychology ; Homosexuality, Female - statistics & numerical data ; Homosexuality, Male - psychology ; Homosexuality, Male - statistics & numerical data ; Humans ; Male ; Mental disorders ; Mental Disorders - etiology ; Mental Disorders - psychology ; Sexual and Gender Minorities - psychology ; Sexual and Gender Minorities - statistics & numerical data ; Sexual behavior ; Sexual Behavior - psychology ; Sexual Behavior - statistics & numerical data ; Social Support ; Stress, Psychological - epidemiology ; Stress, Psychological - etiology ; Substance abuse treatment ; Tobacco ; Tobacco Use Disorder - etiology ; Tobacco Use Disorder - psychology ; United States - epidemiology ; Young Adult
É parte de: The American journal of psychiatry, 2020-11, Vol.177 (11), p.1073-1081
Notas: Location of work and address for reprints.
Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109
Descrição: Objective:The authors examined psychiatric comorbidities associated with alcohol use disorders and tobacco use disorders among heterosexual, bisexual, and gay and lesbian men and women in the United States and whether stress-related factors were predictive of comorbidities.Methods:The authors used data from the National Epidemiologic Survey on Alcohol and Related Conditions–III (2012–2013, N=36,309) to examine the co-occurrence of past-year alcohol or tobacco use disorder with past-year anxiety disorders, mood disorders, and posttraumatic stress disorder by sexual identity (heterosexual, bisexual, gay or lesbian) and sex. The authors also examined the association of stress-related factors and social support with the presence of comorbidities.Results:Comorbidities were more prevalent among women and sexual minorities, particularly bisexual women. More than half of bisexual (55%) and gay or lesbian (51%) individuals who met criteria for a past-year alcohol use disorder had a psychiatric comorbidity, while only one-third of heterosexual individuals who met criteria for a past-year alcohol use disorder did. Similar differences were found among those who met criteria for a past-year tobacco use disorder. Among sexual minorities, the frequency of sexual orientation discrimination (adjusted odds ratio range=1.08–1.10), number of stressful life events (adjusted odds ratio range=1.25–1.43), and number of adverse childhood experiences (adjusted odds ratio range=1.04–1.18) were significantly associated with greater odds of comorbidities. Greater social support was significantly inversely associated with tobacco use disorder comorbidities (adjusted odds ratio range=0.96–0.97).Conclusions:This research suggests that integrated substance use and mental health prevention and treatment programs are needed, particularly for individuals who identify as sexual minorities. The increased stressors experienced by sexual minority individuals may be important drivers of these high levels of comorbidities.
Editor: United States: American Psychiatric Association
Idioma: Inglês

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Alcohol, Tobacco, and Comorbid Psychiatric Disorders and Associations With Sexual Identity and Stress-Related Correlates

Evans-Polce, Rebecca J ; Kcomt, Luisa ; Veliz, Philip T ; Boyd, Carol J ; McCabe, Sean Esteban

United States: American Psychiatric Association

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