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Exploration of Substance Use Among Lesbian, Gay, and Bisexual Youth

Prevalence and Correlates

Joyce Hunter

Marya Gwadz

New York State Psychiatric, Institute and Columbia University

The prevalence and correlates of substance use and abuse were explored among lesbian, gay male, and bisexual youth recruitedfrom gay-focused organizations in New York City. Lifetime substance use was prevalent andfrequent, as was quantity of use and substance abuse symptoms. Few significant gender or ethnic differences emerged, but the significant differences unexpectedly indicated that the female youth were at greater risk for substance abuse than the male youth. Number of substances ever used and substance abuse symptoms were associated with initiating alcohol and illicit drugs to cope with psychological issues. Howeve, number of substances ever used and substance abuse symptoms were not explained by social learning theory, social control theory, or self-derogation theory when relations were explored. Thefindings are interpretedfrom the perspective of sexual identity, specifically that gay, lesbian, and bisexual youth may use substances to cope with the societal stigma of homosexuality.

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