Sexual orientation disparities in prescription drug misuse among a nationally representative sample of adolescents: Prevalence and correlates

摘要: Abstract Objective Sexual minority adolescents (SMA) may be at disproportionate risk for misusing prescription psychotropic medications compared to their heterosexual peers. However, generalizable studies specific this age group are lacking. The current study aimed describe the prevalence of sexual orientation disparities in drug misuse among a nationally representative sample as well examine key correlates misuse. Method Using data from National Youth Risk Behavior Survey, we conducted stepwise multivariable weighted logistic regressions, sequentially controlling demographics, experiences victimization, mental health, and other illicit substance use. Results Adjusting grade race/ethnicity, female SMA gay unsure males had significantly elevated odds ever (ORs 1.7–2.5). Most females remained significant with addition victimization health covariates but attenuated completely after effect when variables were included, through final model. Controlling use, whereas only forced sex was males. Conclusion These results suggest partially account between adolescents, effects differ by sex. A combination structural, individual coping, universal prevention approaches should used make largest impact on reducing these disparities.