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This study examined relationships between sexual orientation discrimination and DSM\u20105 AUD severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The 2012 to 2013 National Epidemiologic Survey on Alcohol and Related Conditions III conducted in\u2010person interviews with a nationally representative sample of U.S. adults (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a036,309). Approximately 2.8% of the target population self\u2010identified as lesbian, gay, or bisexual, 3.1% had at least 1 past\u2010year same\u2010sex sexual partner, and 8.3% reported same\u2010sex sexual attraction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Adults who identified as lesbian, gay, bisexual, heterosexual with same\u2010sex attraction and\/or current same\u2010sex sexual partners, and those not sure of their sexual identity, had higher rates of individual DSM\u20105 AUD criteria than heterosexual\u2010identified adults with only opposite\u2010sex attraction and sexual partners. Respondents who were bisexual or unsure of their sexual identity consistently had the highest probabilities of endorsing each of these AUD criteria relative to the other subgroups. Differences in AUD severity across sexual orientation subgroups were much larger among women than among men. Sexual minorities who experienced higher levels of sexual orientation discrimination had significantly higher levels of AUD severity than sexual minorities who experienced lower levels or no discrimination. In particular, greater levels of sexual orientation discrimination increased the odds of impaired control criteria and pharmacologic criteria. Associations between prior\u2010to\u2010past\u2010year sexual orientation discrimination and AUD severity were not as robust as those involving past\u2010year discrimination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sexual minorities are at substantially greater risk of severe DSM\u20105 AUD, and this is particularly true among those who experience high levels of sexual orientation discrimination. Findings indicate that proximal experiences of discrimination are more salient than distal experiences. AUD treatment should address recent sexual orientation discrimination given that such experiences are associated with more severe AUD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.13960","type":"journal-article","created":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T04:27:21Z","timestamp":1549859241000},"page":"497-508","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":58,"title":["DSM\u20105 Alcohol Use Disorder Severity as a Function of Sexual Orientation Discrimination: A National Study"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9622-4652","authenticated-orcid":false,"given":"Sean Esteban","family":"McCabe","sequence":"first","affiliation":[{"name":"Center for the Study of Drugs, Alcohol, Smoking, and Health School of Nursing University of Michigan Ann Arbor Michigan"},{"name":"Institute for Research on Women and Gender University of Michigan Ann Arbor 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