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Past-year prescription opioid, stimulant and benzodiazepine use and PDM were outcomes, with PDM defined as use without a prescription or in ways not intended by the prescriber. Separate regressions by sex evaluated the relationship between prescription medication use or PDM prevalence and sexual identity, educational status\/attainment (college student\/graduate versus non-college), their interaction and past-year psychological distress.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sexual identity minority young adults had higher rates of prescription use and PDM than heterosexual young adults. After accounting for educational status, though, bisexual men rarely differed from heterosexual men; after including psychological distress, gay men rarely differed from heterosexual men. Versus heterosexual women, lesbian (adjusted odds ratio [AOR]\u2009=\u20092.33, 95% confidence interval [95% CI]\u2009=\u20091.47\u20132.30) and bisexual (AOR= 1.78, 95% CI = 1.27\u20132.50) young adult women had higher rates of prescription opioid misuse, after adjusting for educational status, psychological distress and sociodemographics. Versus heterosexual men, benzodiazepine PDM was elevated in gay men (AOR = 1.91, 95% CI= 1.02\u20133.58). Educational status was generally associated with lower rates of prescription use and PDM, except for stimulant PDM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Screening for psychological distress and PDM is needed in sexual identity minority young adults, especially for prescription opioid misuse among sexual identity minority women. Culturally-sensitive intervention should be considered for those with elevated psychological distress or signs of PDM. Further research on the sex differences found in the link between psychological distress and sexual identity minority opioid and stimulant PDM is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1080\/08897077.2020.1784358","type":"journal-article","created":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T15:31:13Z","timestamp":1595345473000},"page":"377-387","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Prescription Drug Misuse, other Substance Use, and Sexual Identity: The Significance of Educational Status and Psychological Distress in US Young Adults"],"prefix":"10.1177","volume":"42","author":[{"given":"Dalton L.","family":"Klare","sequence":"first","affiliation":[{"name":"Department of Psychology, Texas State University, San Marcos, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9622-4652","authenticated-orcid":false,"given":"Sean Esteban","family":"McCabe","sequence":"additional","affiliation":[{"name":"Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, Ann Arbor, Michigan, USA"},{"name":"Institute for Research on Women and Gender, University of Michigan, Ann Arbor, Michigan, USA"},{"name":"Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0070-5062","authenticated-orcid":false,"given":"Jason A.","family":"Ford","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of Central Florida, Orlando, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3655-0496","authenticated-orcid":false,"given":"Ty S.","family":"Schepis","sequence":"additional","affiliation":[{"name":"Department of Psychology, Texas State University, San Marcos, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,7,1]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2016.10.038"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.71.1.53"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0025424"},{"key":"e_1_3_3_5_1","unstructured":"Medley G Lipari RN Bose J Cribb DS Kroutil LA McHenry G. 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