{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T20:46:18Z","timestamp":1760647578771,"version":"3.37.3"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,3,3]],"date-time":"2022-03-03T00:00:00Z","timestamp":1646265600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P01AA027473","U54AA027989"],"award-info":[{"award-number":["P01AA027473","U54AA027989"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004823","name":"State of Connecticut Department of Mental Health and Addiction Services","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004823","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Addict"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Sexual minority individuals demonstrate disparate rates of substance use. Research suggests that bisexual women are vulnerable to substance use disorders when compared to other sexual minority groups. This study explored differences in prevalence of past\u2010year alcohol use disorder (AUD) with and without concurrent past\u2010year opioid and\/or benzodiazepine misuse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present study utilized responses from the National Survey on Drug Use and Health (NSDUH) public dataset between the years 2015\u20132019 (<jats:italic>N<\/jats:italic>\u2009=\u200916,002) to examine the association between sexual orientation and concurrent misuse of opioids and\/or benzodiazepines among individuals with past\u2010year AUD, stratified by sex.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Bisexual females demonstrated higher rates of concurrent opioid and benzodiazepine use compared to all other groups. Although\u00a0there was no association between sexual orientation and concurrent substance use patterns among males, female respondents with past\u2010year AUD endorsing past\u2010year misuse of opioids and benzodiazepines, both alone and in combination, were more likely to be bisexual compared to heterosexual. Lesbians were less likely to endorse concurrent misuse of opioids and benzodiazepines compared to bisexual females.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>In a national sample, bisexual females demonstrated higher odds of risky concurrent substance use patterns. Identifying sexual minority individuals who exhibit elevated risk of co\u2010occurring alcohol, opioid, and\/or benzodiazepine misuse is an important step to targeted prevention efforts and allocation of resources to combat rising overdose deaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Scientific Significance<\/jats:title><jats:p>For the first time, this study explored risky concurrent alcohol, opioid, and benzodiazepine misuse patterns among individuals of different sexual orientations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajad.13258","type":"journal-article","created":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T02:20:03Z","timestamp":1646360403000},"page":"200-209","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Sexual minority disparities in opioid and benzodiazepine misuse among adults with opioid use disorder"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6296-5543","authenticated-orcid":false,"given":"Cara A.","family":"Struble","sequence":"first","affiliation":[{"name":"Department of Biomedical Data Science Geisel School of Medicine at Dartmouth College  Lebanon New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Thomas","sequence":"additional","affiliation":[{"name":"Justice Collaboratory, Yale Law School Yale University  New Haven Connecticut USA"},{"name":"SEICHE Center for Health and Justice Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madeline R.","family":"Stenersen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly E.","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Psychology East Tennessee State University  Johnson City Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Burke","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Pittman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sherry A.","family":"McKee","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2009.02596.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2008.02149.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.101.5.895"},{"volume-title":"Fundamentals of LGBT Substance Use Disorders: Multiple Identities, Multiple Challenges","year":"2017","author":"Shelton M","key":"e_1_2_7_5_1"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.129.5.674"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2017.1400563"},{"key":"e_1_2_7_8_1","first-page":"121","article-title":"The influence of gender and sexual orientation on alcohol use and alcohol\u2010related problems","volume":"38","author":"Hughes TL","year":"2016","journal-title":"Alcohol Res"},{"volume-title":"The Health of Lesbian, Gay, Bisexual and Transgender People: Building a Foundation for Better Understanding","year":"2011","author":"Institute of Medicine","key":"e_1_2_7_9_1"},{"key":"e_1_2_7_10_1","unstructured":"Substance Abuse and Mental Health Services Administration. 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