{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:53:42Z","timestamp":1777881222060,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"crossref","award":["1L60DA061409"],"award-info":[{"award-number":["1L60DA061409"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["LGBT Health"],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of this study was to describe disparities in the severity of substance use disorders (SUDs) between sexual minority (SM) and heterosexual youth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      The current study analyzed data from the 2023 National Survey on Drug Use and Health to examine differences in SUDs between SM and heterosexual youth. Analyses were limited to participants aged 12\u201325 years (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 23,333). Participants reported on their sexual identity and completed items on past-year substance use. SUDs were classified using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria. A separate multinomial regression model was conducted for each outcome (alcohol use disorder [AUD] severity, cannabis use disorder [CUD] severity, and drug use disorder severity), stratified by age and sex. Each model included sexual identity as the primary predictor.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Odds for meeting criteria for an SUD at any severity level were generally highest for bisexual youth compared with all other youth, with few exceptions. AUD severity varied slightly among adolescents, and CUD varied slightly among males.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study is the first to identify differences in DSM-5 SUD severity between SM and heterosexual youth. The findings underscore the importance of developing clinical interventions tailored to the distinct challenges faced by SM youth, especially bisexual youth, to help reduce disparities in substance use outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23258292261428157","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T12:50:18Z","timestamp":1773665418000},"page":"179-187","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Differences in Substance Use Disorder Severity Among Sexual Minority Adolescents and Emerging Adults: Results from the 2023 National Survey on Drug Use and Health"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3095-808X","authenticated-orcid":false,"given":"Trey V.","family":"Dellucci","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Janulis","sequence":"additional","affiliation":[{"name":"Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary W.","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmc2201761"},{"key":"e_1_3_2_3_2","unstructured":"Centers for Disease Control and Prevention. About Underlying Cause of Death 2018-2023 Single Race. CDC WONDER: Atlanta GA; 2024. Available from: http:\/\/wonder.cdc.gov\/ucd-icd10-expanded.html [Last accessed: February5 2026]."},{"key":"e_1_3_2_4_2","unstructured":"Centers for Disease Control and Prevention. Leading Causes of Death: 2023 Unintentional Injuries All Sexes All Races All Ethnicities. Atlanta GA; 2023. Available from: https:\/\/wisqars.cdc.gov\/lcd\/?o=LCD&y1=2023&y2=2023&ct=10&cc=UNI&g=00&s=0&r=0&ry=2&e=0&ar=lcd1age&at=groups&ag=lcd2age&a1=0&a2=199 [Last accessed: June30 2025]."},{"key":"e_1_3_2_5_2","unstructured":"Substance Abuse and Mental Health Services Administration. Key Substance Use and Mental Health Indicators in the United States: Results from the 2023 National Survey on Drug Use and Health (HHS Publication No. PEP24-07-021 NSDUH Series H-59). Center for Behavioral Health Statistics and Quality Substance Abuse and Mental Health Services Administration. Rockville MD; 2024. 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