The prevalence and correlates of substance use and abuse were explored among lesbian, gay male, and bisexual youth recruitedfrom gay-focused organizations in New York City. Lifetime substance use was prevalent andfrequent, as was quantity of use and substance abuse symptoms. Few significant gender or ethnic differences emerged, but the significant differences unexpectedly indicated that the female youth were at greater risk for substance abuse than the male youth. Number of substances ever used and substance abuse symptoms were associated with initiating alcohol and illicit drugs to cope with psychological issues. Howeve, number of substances ever used and substance abuse symptoms were not explained by social learning theory, social control theory, or self-derogation theory when relations were explored. Thefindings are interpretedfrom the perspective of sexual identity, specifically that gay, lesbian, and bisexual youth may use substances to cope with the societal stigma of homosexuality.
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References
1.
Akers, R. L.
(1977). Deviant behaviors: A social learning approach (2nd ed.). Belmont, CA: Wadsworth.
2.
Akers, R. L.
, & Cochran, J. E. (1985). Adolescent marijuana use: A test of three theories of deviant behavior. Deviant Behavior, 6, 323-346.
3.
Bachman, J. G.
, Wallace, J. M., O'Malley, P. M., Johnston, L. D., Kurth, C. L., & Neighbors, H. W. (1991). Racial/ethnic differences in smoking, drinking, and illicit drug use among American high school seniors, 1976-1989. American Journal of Public Health, 81, 372-377.
4.
Bloomfield, K.
(1993). A comparison of alcohol consumption between lesbians and heterosexual women in an urban population. Drug and Alcohol Dependence, 33, 257-269.
5.
Brook, J. S.
, Hamburg, B. A., Balka, E. B., & Wynn, P. S. (1992). Sequences of drug involvement in African-American and Puerto Rican adolescents. Psychological Reports, 71, 179-182.
6.
Brunswick, A. F.
, Merzel, C. R., & Messeri, P. A. (1985). Drug use initiation among urban Black youth: A seven-year follow-up of developmental and secular influences. Youth and Society, 17, 189-216.
7.
Cabaj, R. P.
(1989). AIDS and chemical dependency: Special issues and treatment barriers for gay and bisexual men. Journal of Psychoactive Drugs, 21, 387-393.
8.
Cabaj, R. P.
(1992). Substance abuse in the gay and lesbian community. In J. H. Lowinson, P. Ruiz, R. B. Millman, & J. G. Langrod (Eds.), Substance abuse: A comprehensive textbook (2nd ed., pp. 852-860). Baltimore, MD: Williams & Wilkins.
9.
Chavez, E. L.
, & Swaim, R. C. (1992). An epidemiological comparison of Mexican-American and White non-Hispanic 8th-and 12th-grade students' substance use. American Journal of Public Health, 82, 445-447.
10.
Christopher, F. S.
, Johnson, D. C., & Roosa, M. W. (1993). Family, individual, and social correlates of early Hispanic adolescent sexual expression. Journal of Sex Research, 30, 54-61.
11.
Cohen, J.
(1988). Statistical power analysisfor the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
12.
Crowne, D. P.
, & Marlowe, D. (1964). The approval motive: Studies in evaluative dependence. Westport, CT: Greenwood.
13.
Demo, D. H.
(1985). The measurement of self-esteem: Refining our methods. Journal of Personality and Social Psychology, 48, 1490-1502.
14.
Elliott, D. S.
, Huizinga, D., & Ageton, S. S. (1985). Explaining delinquency and drug use. Beverly Hills, CA: Sage.
15.
Eskilson, A.
, Wiley, M. G., Muehlbauer, G., & Dodder, L. (1986). Parental pressure, self-esteem, and adolescent reported deviance: Bending the twig too far. Adolescence, 21, 501-515.
16.
Gilligan, C.
(1982). In a different voice: Psychological theory and women's development. Cambridge, MA: Harvard University Press.
17.
Gilligan, C.
, Ward, J. V., & Taylor, J. M. (with Bardige, B.), (Eds.) (1988). Mapping the moral domain: A contribution of women's thinking to psychological theory and education. Cambridge, MA: Harvard University Press.
18.
Goodman, E.
, & Cohall, A. T. (1989). Acquired immunodeficiency syndrome and adolescents: Knowledge, attitudes, beliefs, and behaviors in a New York City adolescent minority population. Pediatrics, 84, 36-42.
19.
Hunter, J.
(1990). Violence against lesbian and gay male youths. Journal of Interpersonal Violence, 5, 295-300.
20.
Johnston, L. D.
, O'Malley, P. M., & Bachman, J. G. (1993a). National survey results on drug use from the Monitoring the Future Study, 1975-1992: Vol. 1. Secondary school students (DHHS Publication No. 93-3597). Rockville, MD: National Institute on Drug Abuse.
21.
Johnston, L. D.
, O'Malley, P. M., & Bachman, J. G. (1993b). National survey results on drug use from the Monitoring the Future Study, 1975-1992: Vol. 2. College students and young adults (DHHS Publication No. 93-3597). Rockville, MD: National Institute on Drug Abuse.
22.
Kaplan, H. B.
(1975). Self-attitudes and deviant behavior. Pacific Palisades, CA: Goodyear.
23.
Kaplan, H. B.
, Martin, S. S., & Robbins, C. (1984). Pathways to adolescent drug use: Self-derogation, peer influence, weakening of social controls, and early substance use. Journal of Health and Social Behavior, 25, 270-289.
24.
McKirnan, D. J.
, & Peterson, P. L. (1988). Stress, expectancies, and vulnerability to substance abuse: A test of a model among homosexual men. Journal of Abnormal Psychology, 97, 461-466.
25.
McKirnan, D. J.
, & Peterson, P. L. (1989a). Alcohol and drug use among homosexual men and women: Epidemiology and population characteristics. Addictive Behaviors, 14, 545-553.
26.
McKirnan, D. J.
, Peterson, P. L. (1989b). Psychosocial and cultural factors in alcohol and drug abuse: An analysis of a homosexual community. Addictive Behaviors, 14, 555-563.
27.
Nardi, P. M.
(1982). Alcoholism and homosexuality: A theoretical perspective. Journal of Homosexuality, 7, 9-25.
28.
National Gay
& Lesbian Task Force Policy Institute. (1991). Anti-gay/lesbian violence, victimization, and defamation in 1990. Washington, DC: Author.
29.
National Institute on Drug Abuse
. (1990). National household survey on drug abuse: Main findings 1988 (DHHS Publication No. ADM 90-1682). Rockville, MD: Author.
30.
National Institute on Drug Abuse
. (1992). National household survey on drug abuse: Population estimates 1991, revised November 20, 1992 (DHHS Publication No. ADM 92-1887). Rockville, MD: Author.
31.
National Institute of Mental Health
. (1992). Diagnostic Interview Schedule for Children: Child informant (interview about self). Rockville, MD: Author.
32.
Ortiz, M. F.
, & Newcomb, M. D. (1992). Risk and protective factors for drug use among Latino and White adolescents. Hispanic Journal of Behavioral Sciences, 14, 291-309.
33.
Petraitis, J.
, Flay, B. R., & Miller, T. Q. (1995). Reviewing theories of adolescent substance use: Organizing pieces in the puzzle. Psychological Bulletin, 117, 67-86.
34.
Pilkington, N. W.
, & D'Augelli, A. R. (1995). Victimization of lesbian, gay, and bisexual youth in community settings. Journal of Community Psychology, 23, 34-56.
35.
Remafedi, G.
(1994). Predictors of unprotected intercourse among gay and bisexual youth: Knowledge, beliefs, and behavior. Pediatrics, 94, 163-168.
36.
Remafedi, G.
, Resnick, M., Blum, R., & Harris, L. (1992). Demography of sexual orientation in adolescents. Pediatrics, 89, 714-721.
37.
Rosario, M., & Gwadz, M. (1993). Alcohol and Drug Schedule. Unpublished instrument, New York State Psychiatric Institute and Departments of Psychiatry and Sociomedical Sciences of Columbia University, New York.
38.
Rosario, M.
, Meyer-Bahlburg, H.F.L., Hunter, J., Exner, T. M., Gwadz, M., & Keller, A. M. (1996). Psychosexual development of urban lesbian, gay, and bisexual youths. Journal of Sex Research, 33, 113-126.
39.
Rosario, M.
, Rotheram-Borus, M. J., & Reid, H. (1996). Gay-related stress and its correlates among gay and bisexual male adolescents of predominantly Black and Hispanic background. Journal of Community Psychology, 24, 136-159.
40.
Rosenberg, M.
(1965). Society and adolescent self-image. Princeton, NJ: Princeton University Press.
41.
Rotheram-Borus, M. J., Koopman, C., & Bradley, J. (1988). Drug and Alcohol Use Survey for adolescents. Unpublished instrument, New York State Psychiatric Institute and Department of Psychiatry, College of Physicians & Surgeons of Columbia University, New York.
42.
Rotheram-Borus, M. J.
, Rosario, M., Meyer-Bahlburg, H.FL., Koopman, C., Dopkins, S. C., & Davies, M. (1994). Sexual and substance use acts of gay and bisexual male adolescents in New York City. Journal of Sex Research, 31, 47-57.
43.
Savin-Williams, R. C.
(1990). Gay and lesbian youth: Expressions of identity. New York: Hemisphere.
44.
Schinke, S.
, Orlandi, M., Vaccaro, D., Espinoza, R., McAlister, A., & Botvin, G. (1992). Substance use among Hispanic and non-Hispanic adolescents. Addictive Behaviors, 17, 117-124.
45.
Shedler, J.
, & Block, J. (1990). Adolescent drug use and psychological health: A longitudinal inquiry. American Psychologist, 45, 612-630.
46.
Skinner, W. F.
(1994). The prevalence and demographic predictors of illicit and licit drug use among lesbians and gay men. American Journal of Public Health, 84, 1307-1310.
47.
Substance Abuse and Mental Health Services Administration (SAMHSA)
. (1992). National household survey on drug abuse. Rockville, MD: National Institute on Drug Abuse. (Updated version of instrument on floppy disk from SAMHSA).
48.
Substance Abuse and Mental Health Services Administration
(1993). National household survey on drug abuse: Population estimates 1992 (DHHS Publication No. SMA 93-2053). Rockville, MD: Author.
49.
Szalay, L. B.
, Canino, G., & Vilov, S. K. (1993). Vulnerabilities and cultural change: Drug use among Puerto Rican adolescents in the United States. International Journal of the Addictions, 28, 327-354.
50.
van Hasselt, V B.
, Hersen, M., Null, J. A., Ammerman, R. T., Bukstein, O. G., McGillivray, J., & Hunter, A. (1993). Drug abuse prevention for high-risk African American children and their families: A review and model program. Addictive Behaviors, 18, 213-234.
51.
Vega, W. A.
, Zimmerman, R. S., Warheit, G. J., Apospori, E., & Gil, A. G. (1993). Risk factors for early adolescent drug use in four ethnic and racial groups. American Journal of Public Health, 83, 185-189.
52.
Walter, H. J.
, Vaughan, R. D., & Cohall, A. T. (1991). Psychosocial influences on acquired immunodeficiency syndrome-risk behaviors among high school students. Pediatrics, 88, 846-852.
53.
Walter, H. J.
, Vaughan, R. D., & Cohall, A. T. (1993). Comparison of three theoretical models of substance use among urban minority high school students. Journal of American Academy of Child and Adolescent Psychiatry, 32, 975-981.
54.
Workman, M.
, & Beer, J. (1989). Self-esteem, depression, and alcohol dependency among high school students. Psychological Reports, 65, 451-455.
55.
Zabin, L. S.
, Hardy, J. B., Smith, E. A., & Hirsch, M. B. (1986). Substance use and its relation to sexual activity among inner-city adolescents. Journal of Adolescent Health Care, 7, 320-331.
