Sexual minority disparities in psychosocial functioning following substance use recovery among a representative sample of US adults

Q1 Psychology Addictive Behaviors Reports Pub Date : 2024-01-04 DOI:10.1016/j.abrep.2024.100527

Abigail W. Batchelder , M. Claire Greene , Jillian R. Scheer , Jacklyn Foley , Hyo Jin Jenny Shin , Kyrié M. Koehn , John F. Kelly

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Abstract

Purpose

Sexual minority (SM; e.g., gay, lesbian, bisexual) individuals are disproportionately impacted by alcohol and other drug (AOD) use disorders and psychosocial factors that can exacerbate AOD use disorders and hinder recovery. This study examines SM sub-group differences (monosexual [gay/lesbian] versus bisexual) regarding adaptation to recovery measured by indices of psychosocial functioning. Identifying differential needs of gay/lesbian versus bisexual individuals could improve services to better meet the needs of SM individuals in recovery.

Methods

Using data from the National Recovery Study, a nationally representative cross-sectional sample of US adults who reported resolving an AOD problem (N = 2,002), we compared heterosexual to monosexual and bisexual SM individuals on socio-demographic characteristics, AOD use and treatment, and psychosocial variables.

Results

Bisexual individuals were significantly younger than heterosexual individuals (p = .002 and p ≤ 0.001 among men and women, respectively) and reported significantly fewer years since AOD problem resolution compared to heterosexual individuals (p = .004 and p = .003 among men and women, respectively). Most notably, bisexual individuals, but not gay/lesbian individuals, reported significantly lower quality of life (QOL), happiness, self-esteem, and significantly higher distress compared to heterosexual individuals.

Conclusion

Bisexual, but not monosexual, SM individuals in recovery from an AOD use disorder, were younger and reported worse psychosocial functioning than heterosexual individuals. Findings highlight significant differences between monosexual versus bisexual identified individuals with a notable disadvantage experienced by bisexual individuals. More needs to be learned about the challenges faced by bisexual individuals in recovery to better address their needs and support long-term AOD recovery.

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具有代表性的美国成年人样本中性少数群体在药物使用康复后的社会心理功能方面的差异

目的性少数群体（SM，如男同性恋、女同性恋、双性恋）受到酒精和其他药物（AOD）使用障碍以及可能加剧 AOD 使用障碍和阻碍康复的社会心理因素的影响尤为严重。本研究探讨了 SM 亚群体（单性恋[男同性恋/女同性恋]与双性恋）在社会心理功能指数衡量的康复适应方面的差异。方法利用 "全国康复研究 "的数据，我们比较了异性恋与单性恋和双性恋 SM 个人在社会人口特征、AOD 使用和治疗以及社会心理变量方面的差异。"全国康复研究 "是一项具有全国代表性的横断面抽样调查，调查对象为报告已解决 AOD 问题的美国成年人（样本数 = 2,002）。结果双性恋者明显比异性恋者年轻（男性和女性中分别为 p = .002 和 p ≤ 0.001），与异性恋者相比，双性恋者报告的自解决 AOD 问题以来的年数明显较少（男性和女性中分别为 p = .004 和 p = .003）。最值得注意的是，与异性恋者相比，双性恋者（而非同性恋者）报告的生活质量（QOL）、幸福感和自尊明显较低，而苦恼则明显较高。研究结果凸显了单性恋与双性恋个体之间的显著差异，双性恋个体的劣势尤为明显。我们需要进一步了解康复中的双性恋者所面临的挑战，以便更好地满足他们的需求，支持他们长期戒除药物滥用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive Behaviors Reports Medicine-Psychiatry and Mental Health

CiteScore

6.80

自引率

0.00%

发文量

审稿时长

71 days

期刊介绍： Addictive Behaviors Reports is an open-access and peer reviewed online-only journal offering an interdisciplinary forum for the publication of research in addictive behaviors. The journal accepts submissions that are scientifically sound on all forms of addictive behavior (alcohol, drugs, gambling, Internet, nicotine and technology) with a primary focus on behavioral and psychosocial research. The emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. We are particularly interested in ''non-traditional'', innovative and empirically oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research. Studies that might encourage new lines of inquiry as well as scholarly commentaries on topical issues, systematic reviews, and mini reviews are also very much encouraged. We also welcome multimedia submissions that incorporate video or audio components to better display methodology or findings.