Effects of mental health and substance use disorder symptoms on the association between STDs and sexual identity: evidence from the 2017–2019 National Survey on Drug Use and Health

Abstract Background Sexually transmitted disease (STD) cases are rising in the USA, especially among sexual and gender minorities, despite the availability of numerous STD prevention programs. We examined the differences in STD prevalence among sexual and gender minority subgroups with major depressive episode symptoms and substance use dependence. Methods We combined 2017, 2018, and 2019 National Survey on Drug Use and Health (NSDUH) public-use data on adults (N = 127,584) to conduct weighted multivariable logistic regression and margins analyses. Results Approximately 2.05% of the population reported having STDs. The population that had major depressive episode symptoms (AOR = 1.70, 95% CI = 1.46, 1.99), alcohol use dependence (AOR = 1.79, 95% CI = 1.49, 2.16), illicit drug use other than marijuana use dependence (AOR = 2.25, 95% CI = 1.73, 2.92), or marijuana use dependence (AOR = 1.90, 95% CI = 1.57, 2.31) had higher odds of contracting STDs compared to their counterparts. Lesbian/gay (AOR = 2.81, 95% CI = 2.24, 3.54) and bisexual (AOR = 1.95, 95% CI = 1.60, 2.37) individuals had higher odds of contracting STDs. Lesbians/gays with major depressive episode symptoms, alcohol use dependence, or illicit drug use other than marijuana use dependence had the highest probability of having STDs, compared to bisexuals and heterosexuals with major depressive episode symptoms, alcohol use, or illicit drug use other than marijuana use dependence. Bisexuals with marijuana use dependence had the highest probability of STD contraction compared to their lesbian/gay and heterosexual counterparts. Within each sexual identity subgroup, the probability of having STDs was higher for individuals with major depressive episode symptoms, or dependence on alcohol use, illicit drug use other than marijuana use, or marijuana use compared to their counterparts. Conclusion Major depressive episode symptoms, substance use dependence, and sexual and gender minority status had higher risks for STD diagnosis, particularly for sexual and gender minorities with major depressive episode symptoms or substance use dependence. Tailored interventions based on major depressive episode symptoms and substance use dependence may reduce the prevalence of STD, especially among sexual and gender minorities.

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The influence of the comorbidity between depression and alcohol use disorder on suicidal behaviors in the São Paulo Epidemiologic Catchment Area Study, Brazil

Brazilian Journal of Psychiatry ◽

10.1590/s1516-44462010005000027 ◽

2010 ◽

Vol 32 (4) ◽

pp. 396-408 ◽

Cited By ~ 9

Author(s):

Bruno Mendonça Coêlho ◽

Laura Helena Andrade ◽

Francisco Bevilacqua Guarniero ◽

Yuan-Pang Wang

Keyword(s):

Substance Use ◽

Alcohol Use ◽

Substance Use Disorders ◽

Depressive Episode ◽

Depressive Disorders ◽

Major Depressive Episode ◽

Alcohol Use Disorders ◽

Major Depressive ◽

And Behaviors ◽

And Gender

OBJECTIVE: To investigate in a community sample the association of suicide-related cognitions and behaviors ("thoughts of death", "desire for death", "suicidal thoughts", and "suicidal attempts") with the comorbidity of depressive disorders (major depressive episode or dysthymia) and alcohol or substance use disorders. METHOD: The sample was 1464 subjects interviewed in their homes using the Composite International Diagnostic Interview to generate DSM-III-R diagnosis. Descriptive statistics depicted the prevalence of suicide-related cognitions and behaviors by socio-demographic variables and diagnoses considered (major depressive episode, dysthymia, alcohol or substance use disorders). We performed a multivariate logistic regression analysis to estimate the effect of comorbid major depressive episode/dysthymia and alcohol or substance use disorders on each of the suicide-related cognitions and behaviors. RESULTS: The presence of major depressive episode and dysthymia was significantly associated with suicide-related cognitions and behaviors. In the regression models, suicide-related cognitions and behaviors were predicted by major depressive episode (OR = range 2.3-9.2) and dysthymia (OR = range 5.1-32.6), even in the presence of alcohol use disorders (OR = range 2.3-4.0) or alcohol or substance use disorders (OR = range 2.7-2.8). The interaction effect was observed between major depressive episode and alcohol use disorders, as well as between dysthymia and gender. Substance use disorders were excluded from most of the models. CONCLUSION: Presence of major depressive episode and dysthymia influences suicide-related cognitions and behaviors, independently of the presence of alcohol or substance use disorders. However, alcohol use disorders and gender interact with depressive disorders, displaying a differential effect on suicide-related cognitions and behaviors.

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Illicit Drug Use and Problem Gambling

ISRN Addiction ◽

10.1155/2013/342392 ◽

2013 ◽

Vol 2013 ◽

pp. 1-11 ◽

Cited By ~ 8

Author(s):

Peter Ferentzy ◽

W. J. Wayne Skinner ◽

Flora I. Matheson

Keyword(s):

Substance Use ◽

Drug Use ◽

Problem Gambling ◽

Substance Use Disorders ◽

Illicit Drug ◽

Illicit Drug Use ◽

Future Research ◽

Review Of The Literature ◽

And Gender ◽

Legal Substances

Problem gambling, substance use disorders, and their cooccurrence are serious public health concerns. We conducted a comprehensive review of the literature to understand the present state of the evidence on these coaddictions. Our main focus was illicit drug use rather than misuse of legal substances. The review covers issues related to gambling as a hidden problem in the illicit drug use community; prevalence, problem gambling, and substance use disorders as kindred afflictions; problem gambling as an addiction similar to illicit drug use; risk factors and problems associated with comorbidity, and gender issues. We end with some suggestions for future research.

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Association Between Substance Use and the Perpetration of Family Violence in Industrialized Countries

Trauma Violence & Abuse ◽

10.1177/1524838015589253 ◽

2016 ◽

Vol 18 (1) ◽

pp. 37-50 ◽

Cited By ~ 45

Author(s):

Vandhana Choenni ◽

Alice Hammink ◽

Dike van de Mheen

Keyword(s):

Health Care ◽

Substance Use ◽

Alcohol Use ◽

Drug Use ◽

Family Violence ◽

Illicit Drug ◽

Illicit Drug Use ◽

Social Health ◽

Clinical Samples ◽

Future Research

This review examines the association between alcohol and illicit drug use and the perpetration of intimate partner violence (IPV) and child maltreatment (CM). In clinical populations, alcohol use is related to IPV, although other variables are also known to influence this relationship. Studies in specialized social/health care and in the community have also demonstrated the association between alcohol use and IPV. Although data on the association between illicit drug use and IPV are less clear, in most studies perpetration seems related to the use of cannabis and cocaine. The occurrence of CM is related to alcohol use in specialized social/health care and community populations but has not been extensively investigated in clinical samples. These findings also apply to studies on the association between illicit drug use and CM. Moreover, many studies on CM fail to distinguish between the effects of alcohol and those of illicit drugs. This review concludes with recommendations for future research about substance use and family violence and discusses implications for prevention and treatment.

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Alcohol and drug use among staff at licensed premises in Norway

Scandinavian Journal of Public Health ◽

10.1177/1403494818761417 ◽

2018 ◽

Vol 47 (4) ◽

pp. 393-399 ◽

Cited By ~ 2

Author(s):

Kristin Buvik ◽

Elin K. Bye ◽

Johanna Gripenberg

Keyword(s):

Substance Use ◽

Alcohol Use ◽

Drug Use ◽

Illicit Drugs ◽

Illicit Drug ◽

Illicit Drug Use ◽

Drug Prevention ◽

Heavy Episodic Drinking ◽

The Past ◽

Licensed Premises

Aims: There is increased concern about the use of alcohol and illicit drugs in nightlife settings. Most studies of substance use in nightlife settings are from the patrons’ perspective, which leaves an understudied population – the nightclub staff. The aim of this paper is to study self-reported alcohol and substance use among staff at licensed premises in Norway: types of illicit drugs used, attitudes towards drugs, and observed drug use among patrons. Methods: A survey was conducted at server-training courses in 20 different cities in Norway during 2015. The survey included: demographics, respondents’ own alcohol and drug experience, attitudes towards drug use, and observed drug use among patrons at licensed premises. Results: Data were collected from 912 staff working at licensed premises. A majority reported alcohol use in the past year, and 61% reported alcohol use two or more times a month. Overall, 45% of the respondents reported ever-used of illicit drugs. The four most commonly used drugs among staff were cannabis, cocaine, ecstasy/MDMA, and amphetamine. The majority of respondents supported Norway’s strict drug laws, and 63% reported observing drug-intoxicated patrons at licensed premises during the past six months. Conclusions: The proportion of frequent drinkers and heavy episodic drinking among staff at licensed premises was high, and the prevalence of illicit drug use was much higher compared with the general population. Thus, staff at licensed premises can be considered a risk-group for alcohol and illicit drug use and therefore represent an important target population in club drug-prevention programmes.

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Prospective relationships of ADHD symptoms with developing substance use in a population-derived sample

Psychological Medicine ◽

10.1017/s0033291711000791 ◽

2011 ◽

Vol 41 (12) ◽

pp. 2615-2623 ◽

Cited By ~ 19

Author(s):

E. Sihvola ◽

R. J. Rose ◽

D. M. Dick ◽

T. Korhonen ◽

L. Pulkkinen ◽

...

Keyword(s):

Substance Use ◽

Alcohol Use ◽

Drug Use ◽

Rating Scales ◽

Illicit Drug ◽

Illicit Drug Use ◽

Adhd Symptoms ◽

Co Morbidity ◽

Axis I ◽

Dsm Iv

BackgroundClinically ascertained reports suggest that boys and girls with attention deficit hyperactivity disorder (ADHD) may differ from each other in their vulnerability to substance use problems.MethodA total of 1545 Finnish adolescents were assessed for DSM-IV-based ADHD symptoms by their parents and classroom teachers using standardized rating scales at age 11–12 years. At age 14, substance use disorders and psychiatric co-morbidity were assessed with the Semi-Structured Assessment for the Genetics of Alcoholism, providing DSM-III-R/DSM-IV diagnoses for Axis I disorders. At age 17.5, substance use was assessed by multi-item questionnaire.ResultsAlthough baseline ADHD symptoms were less common among females, they were more predictive of adverse substance use outcomes once conduct disorder and previous substance use were controlled for. Only in females were baseline ADHD symptoms significant predictors of alcohol abuse and dependence and illicit drug use at age 14. At the age of 17.5, parents' reports of inattentiveness and hyperactivity were significant predictors for frequent alcohol use in both sexes, but they were more predictive of frequent alcohol and illicit drug use in girls. Impulsivity in teachers' ratings predicted frequent alcohol use and illicit drug use in boys. Parental reports of inattentiveness in their 11-/12-year-old daughters were a consistent predictor for illicit drug use across adolescence.ConclusionsInattentiveness and hyperactivity may be more predictive of alcohol use disorders and maladaptive patterns of alcohol and illicit drug use among girls than boys. The importance of these behavioural symptoms should be assessed further in the community, as they could jeopardize adolescents' successful transitioning into adult roles.

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Substance Use and Dependence Following Initiation of Alcohol or Illicit Drug Use

PsycEXTRA Dataset ◽

10.1037/e429732008-001 ◽

2008 ◽

Keyword(s):

Substance Use ◽

Drug Use ◽

Illicit Drug ◽

Illicit Drug Use

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Co-Occurring Major Depressive Episode (MDE) and Alcohol Use Disorder among Adults

PsycEXTRA Dataset ◽

10.1037/e592532007-001 ◽

2007 ◽

Keyword(s):

Alcohol Use ◽

Depressive Episode ◽

Alcohol Use Disorder ◽

Major Depressive Episode ◽

Major Depressive

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Age and marital status predictors of binge alcohol use among adults with major depressive episode

10.31234/osf.io/e7w6y ◽

2020 ◽

Author(s):

Areen Omary

Keyword(s):

At Risk ◽

Alcohol Use ◽

Marital Status ◽

Depressive Episode ◽

Major Depressive Episode ◽

Age Groups ◽

Future Research ◽

Major Depressive ◽

Never Married ◽

At Risk Populations

Aims: This study aims to examine if age and marital status can predict the risk for binge alcohol use (BAU) among adults with a major depressive episode (MDE). Methods: Data from the Substance Abuse and Mental Health Services Administration’s (SAMHSA) 2018 National Survey for Drug Use and Health (NSDUH) were analyzed. The unweighted sample included 6,999 adults representing a weighted population size of 33,900,452.122 in the US. Results and Conclusions: The findings of this retrospective research confirmed that age and marital status significantly predicted BAU in the past month among adults with MDE. Adults with MDE at higher risk for BAU were adults under the age of 50, adults who were never married, and adults who were divorced/separated. Special attention must be paid to those in age groups under 50, never married, and have been separated/divorced who are particularly at-risk for future alcohol abuse. Future research should consider examining additional potential confounders for BAU among other at-risk populations.

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Does parental permissiveness toward cigarette smoking and alcohol use influence illicit drug use among adolescents? A longitudinal study in seven European countries

Social Psychiatry and Psychiatric Epidemiology ◽

10.1007/s00127-021-02118-5 ◽

2021 ◽

Author(s):

Emina Mehanović ◽

Federica Vigna-Taglianti ◽

Fabrizio Faggiano ◽

Maria Rosaria Galanti ◽

Barbara Zunino ◽

...

Keyword(s):

Alcohol Use ◽

Drug Use ◽

Cigarette Smoking ◽

Longitudinal Data ◽

Illicit Drug ◽

Large Population ◽

Illicit Drug Use ◽

European Countries ◽

The Impact

Abstract Purpose Adolescents’ perceptions of parental norms may influence their substance use. The relationship between parental norms toward cigarette and alcohol use, and the use of illicit substances among their adolescent children is not sufficiently investigated. The purpose of this study was to analyze this relationship, including gender differences, using longitudinal data from a large population-based study. Methods The present study analyzed longitudinal data from 3171 12- to 14-year-old students in 7 European countries allocated to the control arm of the European Drug Addiction Prevention trial. The impact of parental permissiveness toward cigarettes and alcohol use reported by the students at baseline on illicit drug use at 6-month follow-up was analyzed through multilevel logistic regression models, stratified by gender. Whether adolescents’ own use of cigarette and alcohol mediated the association between parental norms and illicit drug use was tested through mediation models. Results Parental permissive norms toward cigarette smoking and alcohol use at baseline predicted adolescents’ illicit drug use at follow-up. The association was stronger among boys than among girls and was mediated by adolescents’ own cigarette and alcohol use. Conclusion Perceived parental permissiveness toward the use of legal drugs predicted adolescents’ use of illicit drugs, especially among boys. Parents should be made aware of the importance of norm setting, and supported in conveying clear messages of disapproval of all substances.

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