Citation

Fish JN, Hughes TL, Russell ST. Addiction 2018; 113(4): 749-758.

Affiliation

Human Development and Family Sciences, Population Research Center, University of Texas at Austin, 108 E. Dean Keeton St., Stop A2702, Austin, TX, 78712.

Copyright

(Copyright © 2018, John Wiley and Sons)

DOI

10.1111/add.14041

PMID

28940778

Abstract

AIM: To estimate sexual identity differences in high-intensity binge drinking. DESIGN AND SETTING: Cross-sectional US adult health survey from 2014 and 2015. PARTICIPANTS: US adults ages 18 and older (N = 215,684; n = 203,562 heterosexual, n = 2,784 lesbian/gay, n = 2,892 bisexual, n = 686 "other" and n = 1,947 don't know/unsure). MEASUREMENTS: Self-reported past 30-day standard binge and high-intensity binge drinking. Standard binge drinking cutoff values were 4+/5+ drinks for women and men, respectively. High-intensity binge drinking was measured as 2 and 3 times the standard level (8+ and 12+ drinks for women and 10+ and 15+ drinks for men).

FINDINGS: Lesbian and bisexual women were more likely than heterosexual women to report consuming 4+ drinks (adjusted odds ratio [aOR] =1.57, CI [1.18, 2.09] and aOR = 1.83, CI [1.45, 2.30] for lesbian and bisexual women, respectively); 8+ drinks (aOR = 3.86, CI [2.39, 6.24], aOR = 2.07, CI [1.39, 3.07]); and 12+ drinks (aOR = 3.81, CI [1.77, 8.19], aOR = 2.54, CI [1.25, 5.14]) in a single occasion in the past 30 days. Generally, gay and bisexual men were no more likely than heterosexual men to report standard or high-intensity binge drinking. However, bisexual men were more likely than heterosexual men to consume 15+ drinks, aOR = 1.76, 95% CI [1.01, 3.06]. Rates of standard and high-intensity binge drinking were similar between heterosexual and unsure men and women. Men and women who indicated "other" sexual identities were generally less likely than heterosexuals to report standard and high-intensity binge drinking with the exception of 4+ drinks for women and 10+ drinks for men.

CONCLUSIONS: In the USA, sexual minority women are more likely, and sexual minority men are equally likely, to drink at standard and high-intensity binge drinking levels as their heterosexual counterparts.

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Language: en