TY - JOUR
T1 - Sexual identity differences in high-intensity binge drinking
T2 - findings from a US national sample
AU - Fish, Jessica N.
AU - Hughes, Tonda L.
AU - Russell, Stephen T.
N1 - Funding Information:
This study was funded in part by the National Institute on Alcohol Abuse and Alcoholism (awarded to J.N.F.) grant number F32AA023138 and to T.L.H. (R01AA013328– 10). This research was also supported by grant, R24HD042849, awarded to the Population Research Center at The University of Texas at Austin by the Eunice Kennedy Shriver National Institute of Child Health and Human Development. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Support for T.L.H. also includes the Henrik H. Bendixin endowment at Columbia University School of Nursing, and for S.T.R.
PY - 2018/4
Y1 - 2018/4
N2 - Aim: To estimate sexual identity differences in high-intensity binge drinking. Design and setting: Cross-sectional US adult health survey from 2014 and 2015. Participants: US adults aged 18 and older (n = 215 684; n = 203 562 heterosexual, n = 2784 lesbian/gay, n = 2892 bisexual, n = 686 ‘other’ and n = 1947 don't know/unsure). Measurements: Self-reported past 30-day standard binge and high-intensity binge drinking. Standard binge drinking cut-off values were 4+/5+ drinks for women and men, respectively. High-intensity binge drinking was measured as two and three times the standard level (8+ and 12+ drinks for women and 10+ and 15+ drinks for men). Findings: Lesbian and bisexual women were more likely than heterosexual women to report consuming 4+ drinks (adjusted odds ratio [aOR] =1.57, confidence interval [CI] = 1.18, 2.09 and aOR = 1.83, CI = 1.45, 2.30 for lesbian and bisexual women, respectively); 8+ drinks (aOR = 3.86, CI = 2.39, 6.24, aOR = 2.07, CI = 1.39, 3.07); and 12+ drinks (aOR = 3.81, CI = 1.77, 8.19, aOR = 2.54, CI = 1.25, 5.14) on a single occasion in the past 30 days. Generally, gay and bisexual men were no more likely than heterosexual men to report standard or high-intensity binge drinking. However, bisexual men were more likely than heterosexual men to consume 15+ drinks (aOR = 1.76, 95% CI = 1.01, 3.06). Rates of standard and high-intensity binge drinking were similar between heterosexual and unsure men and women. Men and women who indicated ‘other’ sexual identities were generally less likely than heterosexuals to report standard and high-intensity binge drinking, with the exception of 4+ drinks for women and 10+ drinks for men. Conclusions: In the United States, sexual minority women are more likely, and sexual minority men are equally likely, to drink at standard and high-intensity binge drinking levels as their heterosexual counterparts.
AB - Aim: To estimate sexual identity differences in high-intensity binge drinking. Design and setting: Cross-sectional US adult health survey from 2014 and 2015. Participants: US adults aged 18 and older (n = 215 684; n = 203 562 heterosexual, n = 2784 lesbian/gay, n = 2892 bisexual, n = 686 ‘other’ and n = 1947 don't know/unsure). Measurements: Self-reported past 30-day standard binge and high-intensity binge drinking. Standard binge drinking cut-off values were 4+/5+ drinks for women and men, respectively. High-intensity binge drinking was measured as two and three times the standard level (8+ and 12+ drinks for women and 10+ and 15+ drinks for men). Findings: Lesbian and bisexual women were more likely than heterosexual women to report consuming 4+ drinks (adjusted odds ratio [aOR] =1.57, confidence interval [CI] = 1.18, 2.09 and aOR = 1.83, CI = 1.45, 2.30 for lesbian and bisexual women, respectively); 8+ drinks (aOR = 3.86, CI = 2.39, 6.24, aOR = 2.07, CI = 1.39, 3.07); and 12+ drinks (aOR = 3.81, CI = 1.77, 8.19, aOR = 2.54, CI = 1.25, 5.14) on a single occasion in the past 30 days. Generally, gay and bisexual men were no more likely than heterosexual men to report standard or high-intensity binge drinking. However, bisexual men were more likely than heterosexual men to consume 15+ drinks (aOR = 1.76, 95% CI = 1.01, 3.06). Rates of standard and high-intensity binge drinking were similar between heterosexual and unsure men and women. Men and women who indicated ‘other’ sexual identities were generally less likely than heterosexuals to report standard and high-intensity binge drinking, with the exception of 4+ drinks for women and 10+ drinks for men. Conclusions: In the United States, sexual minority women are more likely, and sexual minority men are equally likely, to drink at standard and high-intensity binge drinking levels as their heterosexual counterparts.
KW - Alcohol
KW - Behavioral Risk Factor Surveillance Survey
KW - LGB
KW - health disparities
KW - heavy episodic drinking
KW - high-intensity binge drinking
KW - sexual identity
KW - sexual minorities
KW - sexual minority
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UR - http://www.scopus.com/inward/citedby.url?scp=85032891923&partnerID=8YFLogxK
U2 - 10.1111/add.14041
DO - 10.1111/add.14041
M3 - Article
C2 - 28940778
AN - SCOPUS:85032891923
VL - 113
SP - 749
EP - 758
JO - Addiction
JF - Addiction
SN - 0965-2140
IS - 4
ER -