{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T05:09:26Z","timestamp":1792386566668,"version":"4.4.0"},"reference-count":12,"publisher":"American Public Health Association","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:p> Objectives. To provide current national estimates of lesbian, gay, bisexual, and questioning (LGBQ) adolescents\u2019 (grades 9\u201312) substance use risks. <\/jats:p><jats:p> Methods. The 2015 national Youth Risk Behavior Survey included questions for 19 substance use outcomes covering 15 substances. LGBQ adolescents\u2019 substance use was described and their risk relative to heterosexual adolescents was estimated after controlling for sociodemographic confounders. <\/jats:p><jats:p> Results. In controlled analyses, we found that LGBQ adolescents were 1.12 (95% confidence interval [CI]\u2009=\u20091.06, 1.19) times as likely as heterosexual adolescents to report any lifetime and 1.27 (95% CI\u2009=\u20091.14, 1.41) times as likely to report past 30-day substance use. LGBQ adolescents were at significantly greater risk for all but 1 studied substance, including alcohol, cigarettes, cigars, cocaine, ecstasy, electronic vapor usage (\u201cvaping\u201d), hallucinogens, heroin, inhalants, marijuana, methamphetamine, prescription drugs (without physician direction), steroids, and synthetic marijuana. <\/jats:p><jats:p> Conclusions. LGBQ adolescents are at substantially greater risk for substance use. <\/jats:p><jats:p> Public Health Implications. Policymakers should invest in prevention and early intervention resources to address substance use risks among LGBQ adolescents. <\/jats:p>","DOI":"10.2105\/ajph.2018.304446","type":"journal-article","created":{"date-parts":[[2018,7,11]],"date-time":"2018-07-11T20:03:15Z","timestamp":1531339395000},"page":"1031-1034","source":"Crossref","is-referenced-by-count":36,"title":["Substance Use Among Lesbian, Gay, Bisexual, and Questioning Adolescents in the United States, 2015"],"prefix":"10.2105","volume":"108","author":[{"given":"Theodore L.","family":"Caputi","sequence":"first","affiliation":[{"name":"Theodore L. Caputi is with the School of Public Health, College of Medicine and Health, University College Cork, Cork, Republic of Ireland. Laramie R. Smith and Steffanie A. Strathdee are with the Division of Infectious Disease and Global Public Health, School of Medicine, University of California, San Diego. John W. Ayers is with the Graduate School of Public Health, San Diego State University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laramie R.","family":"Smith","sequence":"additional","affiliation":[{"name":"Theodore L. Caputi is with the School of Public Health, College of Medicine and Health, University College Cork, Cork, Republic of Ireland. Laramie R. Smith and Steffanie A. Strathdee are with the Division of Infectious Disease and Global Public Health, School of Medicine, University of California, San Diego. John W. Ayers is with the Graduate School of Public Health, San Diego State University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffanie A.","family":"Strathdee","sequence":"additional","affiliation":[{"name":"Theodore L. Caputi is with the School of Public Health, College of Medicine and Health, University College Cork, Cork, Republic of Ireland. Laramie R. Smith and Steffanie A. Strathdee are with the Division of Infectious Disease and Global Public Health, School of Medicine, University of California, San Diego. John W. Ayers is with the Graduate School of Public Health, San Diego State University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John W.","family":"Ayers","sequence":"additional","affiliation":[{"name":"Theodore L. Caputi is with the School of Public Health, College of Medicine and Health, University College Cork, Cork, Republic of Ireland. Laramie R. Smith and Steffanie A. Strathdee are with the Division of Infectious Disease and Global Public Health, School of Medicine, University of California, San Diego. John W. Ayers is with the Graduate School of Public Health, San Diego State University."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2013.10.005"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.163147"},{"key":"bib3","volume-title":"The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding","author":"Institute of Medicine","year":"2011"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.11683"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303677"},{"issue":"1","key":"bib6","first-page":"1","volume":"62","author":"Brener ND","year":"2013","journal-title":"MMWR Recomm Rep"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.2307\/2669316"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2009.02531.x"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-3276"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301627"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2009.02596.x"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2007.127811"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2018.304446","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T23:24:03Z","timestamp":1652138643000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.2018.304446"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8]]},"references-count":12,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.2105\/AJPH.2018.304446"],"URL":"https:\/\/doi.org\/10.2105\/ajph.2018.304446","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8]]}}}