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This paper aimed to characterise patterns of alcohol use, club drug use and dependence, injecting drug use and engagement with treatment services, comparing lesbians, gay men, bisexual women and bisexual men.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Methods<\/jats:title><jats:p>A cross\u2010sectional, online survey was conducted with 572 <jats:styled-content style=\"fixed-case\">SSAY<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ydney, aged 18 to 25 years. The <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>lcohol <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>se <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>isorders <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>dentification <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>est\u2014<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>onsumption questions (<jats:styled-content style=\"fixed-case\">AUDIT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>) assessed hazardous alcohol use, and the <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>everity of <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ependence <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cale assessed club drug dependence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy per cent of respondents had <jats:styled-content style=\"fixed-case\">AUDIT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> scores indicative of hazardous alcohol use, and 29% of respondents had used club drugs in the previous 6 months. Multivariate logistic regression showed that male respondents had a lower odds of hazardous alcohol use (adjusted odds ratio\u2009<jats:italic>=<\/jats:italic>\u20090.6, 95% confidence interval 0.4\u20130.9), but a higher odds of recent club drug use (adjusted odds ratio\u2009<jats:italic>=<\/jats:italic>\u20091.8, 95% confidence interval 1.2\u20132.7). Methamphetamine dependence was reported among half of respondents who reported use in the previous 6 months. Bisexual women were more likely than other respondents to have sought treatment for alcohol and other drug use, and overall treatment utilisation was low (6%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>This study reports high rates of drinking and club drug use, and a possible underutilisation of alcohol and other drug treatment. The findings suggest that <jats:styled-content style=\"fixed-case\">SSAY<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ydney may be at a high risk of alcohol\u2010 and drug\u2010related harm.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.12004","type":"journal-article","created":{"date-parts":[[2012,11,2]],"date-time":"2012-11-02T02:47:28Z","timestamp":1351824448000},"page":"303-311","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Alcohol and other drug use, club drug dependence and treatment seeking among lesbian, gay and bisexual young people in <scp>S<\/scp>ydney"],"prefix":"10.1111","volume":"32","author":[{"given":"Toby","family":"Lea","sequence":"first","affiliation":[{"name":"National Centre in HIV Social Research The University of New South Wales  Sydney 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