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State policy environment was assessed using a time-varying dichotomous indicator of comprehensive protections for sexual minorities (4\u20136 protections vs. limited or no protections). Gender-stratified logistic regression analyses examined the differential effect of the policy environment by sexual identity on three past-year substance use outcomes: high-intensity drinking (8+ drinks\/day), any DSM-5 alcohol use disorder, and marijuana use. Results: Among women, sexual minority status was associated with increased odds of all alcohol and marijuana use outcomes. Among men, sexual minority status was associated with decreased odds of high-intensity drinking but increased use of marijuana. Comprehensive policy protections were associated significantly decreased odds of high-intensity drinking among sexual minority men and marginally significant decreases among women. Conclusions: Comprehensive policy protections appear to be protective for high-intensity drinking among sexual minority men and women. Findings underscore the importance of supportive policies in reducing risk of alcohol-related problems among sexual minorities.<\/jats:p>","DOI":"10.1891\/lgbtq-2020-0029","type":"journal-article","created":{"date-parts":[[2021,3,17]],"date-time":"2021-03-17T14:45:13Z","timestamp":1615992313000},"page":"53-71","source":"Crossref","is-referenced-by-count":22,"title":["Differential Effects of State Policy Environments on Substance Use by Sexual Identity: Findings From the 2000\u20132015 National Alcohol Surveys"],"prefix":"10.1891","volume":"2","author":[{"given":"Laurie A.","family":"Drabble","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy A.","family":"Mericle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter","family":"G\u00f3mez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie L.","family":"Klinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen F.","family":"Trocki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine J.","family":"Karriker-Jaffe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"793","published-online":{"date-parts":[[2021,3,17]]},"reference":[{"key":"2021031707450618000_2.1.53.1","doi-asserted-by":"publisher","DOI":"10.1177\/0963721414523775"},{"key":"2021031707450618000_2.1.53.2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.168815"},{"key":"2021031707450618000_2.1.53.3","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301069"},{"key":"2021031707450618000_2.1.53.4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.socscimed.2013.12.017","article-title":"Introduction to the special issues on structural stigma and health","volume":"103","year":"2014","journal-title":"Soc Sci Med"},{"key":"2021031707450618000_2.1.53.5","doi-asserted-by":"publisher","DOI":"10.1177\/1368430216642028"},{"issue":"1","key":"2021031707450618000_2.1.53.6","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1525\/srsp.2009.6.1.80","article-title":"Marriage amendments and lesbian, gay, and bisexual individuals in the 2006 election","volume":"6","year":"2009","journal-title":"Sex Res Soc Policy"},{"key":"2021031707450618000_2.1.53.7","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15061136"},{"key":"2021031707450618000_2.1.53.8","doi-asserted-by":"crossref","unstructured":"Carpenter C , Eppink ST , Gonzales G Jr , McKay T . 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