Abstract
Sexual minority men disproportionately experience childhood sexual abuse (CSA) compared to heterosexual men, resulting in greater risk of psychiatric and substance use diagnoses, sexual risk taking, and HIV acquisition later in life. However, little is known about psychiatric and substance use disparities between gay and bisexual men who have experienced CSA. We recruited a purposive convenience sample in Boston and Miami, involving self-report and clinical interview data from 290 sexual minority men (M age = 38.0 years) who reported CSA, defined as unwanted sexual contact before 13 years of age with an adult or person five years older, or unwanted sexual contact between 13 and 16 years of age with a person 10 years older (or any age with the threat of force or harm). We compared those who self-identified as gay (n = 199) versus bisexual (n = 64) on demographic and structural variables (i.e., government benefits, unstable housing, and neighborhood crime) as well as psychiatric and substance use diagnoses. Across 15 unique diagnoses, three were more common in bisexual men than gay men in unadjusted models: bipolar disorder (OR = 2.90, 95% CI: 1.01–8.34), obsessive compulsive disorder (OR = 2.22, 95% CI: 1.01–4.88), and alcohol use disorder (OR = 1.86, 95% CI: 1.03–3.38). Bisexual men were also more likely to meet criteria for “any substance use disorder” than were gay men (OR = 1.99, 95% CI: 1.10–3.59). However, when race, education, and income were included as covariates, the odds ratios reduced significantly (bipolar disorder: aOR = 1.98, 95% CI: 0.59–6.61; obsessive compulsive disorder: aOR = 1.56, 95% CI: 0.64–3.77; alcohol use disorder, aOR = 1.54, 95% CI: 0.80–2.98; any substance use disorder, aOR = 1.79, 95% CI: 0.93–3.45, respectively). Our results highlight the mental health needs, including problematic substance use, of bisexual men with histories of CSA, as well as the importance of accounting for potential confounding demographic variables that may influence disparities in mental health and substance use.
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Aidala, A., Cross, J. E., Stall, R., Harre, D., & Sumartojo, E. (2005). Housing status and HIV risk behaviors: Implications for prevention and policy. AIDS and Behavior, 9(3), 251–265. https://doi.org/10.1007/s10461-005-9000-7
Albelda, R., Badgett, M. V. L., Schneebaum, A., & Gates, G. (2009). Poverty in the lesbian, gay, and bisexual community. Retrieved from The Williams Institute website: https://escholarship.org/uc/item/2509p8r5
Arreola, S., Neilands, T., Pollack, L., Paul, J., & Catania, J. (2008). Childhood sexual experiences and adult health sequelae among gay and bisexual men: Defining childhood sexual abuse. Journal of Sex Research, 45(3), 246–252. https://doi.org/10.1080/00224490802204431
Badgett, M. V. L., Durso, L. E., & Schneebaum, A. (2013). New patterns of poverty in the lesbian, gay, and bisexual community. Retrieved from The Williams Institute website: https://escholarship.org/uc/item/8dq9d947
Balsam, K. F., Lehavot, K., & Beadnell, B. (2011). Sexual revictimization and mental health: A comparison of lesbians, gay men, and heterosexual women. Journal of Interpersonal Violence, 26(9), 1798–1814. https://doi.org/10.1177/0886260510372946
Barnes, D. M., Hatzenbuehler, M. L., Hamilton, A. D., & Keyes, K. M. (2014). Sexual orientation disparities in mental health: The moderating role of educational attainment. Social Psychiatry and Psychiatric Epidemiology, 49(9), 1447–1454. https://doi.org/10.1007/s00127-014-0849-5
Beard, C., Kirakosian, N., Silverman, A. L., Winer, J. P., Wadsworth, L. P., & Björgvinsson, T. (2017). Comparing treatment response between LGBQ and heterosexual individuals attending a CBT- and DBT-skills-based partial hospital. Journal of Consulting and Clinical Psychology, 85(12), 1171–1181. https://doi.org/10.1037/ccp0000251
Bertolino, D. F., Sanchez, T. H., Zlotorzynska, M., & Sullivan, P. S. (2020). Adverse childhood experiences and sexual health outcomes and risk behaviors among a nationwide sample of men who have sex with men. Child Abuse and Neglect, 107. https://doi.org/10.1016/j.chiabu.2020.104627
Boroughs, M. S., Andres Bedoya, C., O’Cleirigh, C., & Safren, S. A. (2015a). Toward defining, measuring, and evaluating LGBT cultural competence for psychologists. Clinical Psychology: Science and Practice, 22(2), 151–171. https://doi.org/10.1111/cpsp.12098
Boroughs, M. S., Valentine, S. E., Ironson, G. H., Shipherd, J. C., Safren, S. A., Taylor, S. W., & O’Cleirigh, C. (2015b). Complexity of childhood sexual abuse: Predictors of current post-traumatic stress disorder, mood disorders, substance use, and sexual risk behavior among adult men who have sex with men. Archives of Sexual Behavior, 44(7), 1891–1902. https://doi.org/10.1007/s10508-015-0546-9
Bostwick, W. B., Boyd, C. J., Hughes, T. L., & McCabe, S. E. (2010). Dimensions of sexual orientation and the prevalence of mood and anxiety disorders in the United States. American Journal of Public Health, 100(3), 468–475. https://doi.org/10.2105/AJPH.2008.152942
Brennan-Ing, M., Porter, K. E., Seidel, L., & Karpiak, S. E. (2014). Substance use and sexual risk differences among older bisexual and gay men with HIV. Behavioral Medicine, 40(3), 108–115. https://doi.org/10.1080/08964289.2014.889069
Chaudhry, A. B., & Reisner, S. L. (2019). Disparities by sexual orientation persist for major depressive episode and substance abuse or dependence: Findings from a National Probability Study of Adults in the United States. LGBT Health., 6(5), 261–266. https://doi.org/10.1089/lgbt.2018.0207
Corliss, H. L., Rosario, M., Wypij, D., Wylie, S. A., Frazier, A. L., & Austin, S. B. (2010). Sexual orientation and drug use in a longitudinal cohort study of U.S. adolescents. Addictive Behaviors, 35(5), 517–521. https://doi.org/10.1016/j.addbeh.2009.12.019
Cromer, K. R., Schmidt, N. B., & Murphy, D. L. (2007). An investigation of traumatic life events and obsessive-compulsive disorder. Behaviour Research and Therapy, 45(7), 1683–1691. https://doi.org/10.1016/j.brat.2006.08.018
Des Jarlais, D. C., Paone, D., Milliken, J., Turner, C. F., Miller, H., Gribble, J., & Friedman, S. R. (1999). Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users: A quasi-randomised trial. Lancet, 353(9165), 1657–1661
DeVerteuil, G. (2015). Conceptualizing violence for health and medical geography. Social Science & Medicine, 133, 216–222. https://doi.org/10.1016/j.socscimed.2015.01.018
Dyar, C., & Feinstein, B. A. (2018). Binegativity: Attitudes toward and stereotypes about bisexual individuals. In D. J. Swan & S. Habibi (Eds.), Bisexuality (pp. 95–111). Springer. https://doi.org/10.1007/978-3-319-71535-3_6
Dyer, T. P., Regan, R., Wilton, L., Harawa, N. T., Ou, S. S., Wang, L., & Shoptaw, S. (2013). Differences in substance use, psychosocial characteristics and HIV-related sexual risk behavior between Black men who have sex with men only (BMSMO) and Black men who have sex with men and women (BMSMW) in six US cities. Journal of Urban Health, 90(6), 1181–1193. https://doi.org/10.1007/s11524-013-9811-1
Easton, S. D., Saltzman, L. Y., & Willis, D. G. (2014). “Would you tell under circumstances like that?”: Barriers to disclosure of child sexual abuse for men. Psychology of Men & Masculinity, 15(4), 460–469. https://doi.org/10.1037/a0034223
Farmer, P. (2004). An anthropology of structural violence. Current Anthropology, 45(3), 305–325. https://doi.org/10.1086/382250
Feinstein, B. A., & Dyar, C. (2017). Bisexuality, minority stress, and health. Current Sexual Health Reports, 9(1), 42–49. https://doi.org/10.1007/s11930-017-0096-3
Feinstein, B. A., Dyar, C., & Pachankis, J. E. (2019). A multilevel approach for reducing mental health and substance use disparities affecting bisexual individuals. Cognitive and Behavioral Practice, 26(2), 243–253. https://doi.org/10.1016/j.cbpra.2017.10.003
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/s0749-3797(98)00017-8
Finkelhor, D., Turner, H. A., Shattuck, A., & Hamby, S. L. (2013). Violence, crime, and abuse exposure in a national sample of children and youth: An update. JAMA Pediatrics, 167(7), 614. https://doi.org/10.1001/jamapediatrics.2013.42
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured Clinical Interview for DSM-IV Axis I Disorders, Clinician Version (SCID-CV). American Psychiatric Press Inc.
Fontenelle, L. F., Cocchi, L., Harrison, B. J., Shavitt, R. G., & do Rosário, M. C., Ferrão, Y. A., Torres, A. R. . (2012). Towards a post-traumatic subtype of obsessive-compulsive disorder. Journal of Anxiety Disorders, 26(2), 377–383. https://doi.org/10.1016/j.janxdis.2011.12.001
Gates, G. J., & Newport, F. (2012). Special Report: 3.4% of U.S. adults identify as LGBT. Retrieved from Gallup website: https://news.gallup.com/poll/158066/special-report-adults-identify-lgbt.aspx
Gershuny, B. S., Baer, L., Parker, H., Gentes, E. L., Infield, A. L., & Jenike, M. A. (2008). Trauma and posttraumatic stress disorder in treatment-resistant obsessive-compulsive disorder. Depression and Anxiety, 25(1), 69–71. https://doi.org/10.1002/da.20284
Goldstein, R. B., Smith, S. M., Chou, S. P., Saha, T. D., Jung, J., Zhang, H., & Grant, B. F. (2016). The epidemiology of DSM-5 posttraumatic stress disorder in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions-III. Social Psychiatry and Psychiatric Epidemiology, 51(8), 1137–1148. https://doi.org/10.1007/s00127-016-1208-5
Gorman, B. K., Denney, J. T., Dowdy, H., & Medeiros, R. A. (2015). A new piece of the puzzle: Sexual orientation, gender, and physical health status. Demography, 52(4), 1357–1382. https://doi.org/10.1007/s13524-015-0406-1
Green, K. E., & Feinstein, B. A. (2012). Substance use in lesbian, gay, and bisexual populations: An update on empirical research and implications for treatment. Psychology of Addictive Behaviors, 26(2), 265–278. https://doi.org/10.1037/a0025424
Halkitis, P. N., Mukherjee, P. P., & Palamar, J. J. (2009). Longitudinal modeling of methamphetamine use and sexual risk behaviors in gay and bisexual Men. AIDS and Behavior, 13(4), 783–791. https://doi.org/10.1007/s10461-008-9432-y
Hart, T. A., Noor, S. W., Vernon, J. R. G., Antony, M. M., Gardner, S., & O’Cleirigh, C. (2020). Integrated cognitive-behavioral therapy for social anxiety and HIV/STI prevention for gay and bisexual men: A pilot intervention trial. Behavior Therapy, 51(3), 503–517. https://doi.org/10.1016/j.beth.2019.09.001
Hatzenbuehler, M. L., McLaughlin, K. A., Keyes, K. M., & Hasin, D. S. (2010). The impact of institutional discrimination on psychiatric disorders in lesbian, gay, and bisexual populations: A prospective study. American Journal of Public Health, 100(3), 452–459. https://doi.org/10.2105/AJPH.2009.168815
Hatzenbuehler, M. L., Phelan, J. C., & Link, B. G. (2013). Stigma as a fundamental cause of population health inequalities. American Journal of Public Health, 103(5), 813–821. https://doi.org/10.2105/AJPH.2012.301069
Hillberg, T., Hamilton-Giachritsis, C., & Dixon, L. (2011). Review of meta-analyses on the association between child sexual abuse and adult mental health difficulties: A systematic approach. Trauma, Violence, & Abuse, 12(1), 38–49. https://doi.org/10.1177/1524838010386812
Israel, T., Choi, A. Y., Goodman, J. A., Matsuno, E., Lin, Y.-J., Kary, K. G., & Merrill, C. R. S. (2019). Reducing internalized binegativity: Development and efficacy of an online intervention. Psychology of Sexual Orientation and Gender Diversity, 6(2), 149–159. https://doi.org/10.1037/sgd0000314
Kerridge, B. T., Pickering, R. P., Saha, T. D., Ruan, W. J., Chou, S. P., Zhang, H., Jung, J., & Hasin, D. S. (2017). Prevalence, sociodemographic correlates and DSM-5 substance use disorders and other psychiatric disorders among sexual minorities in the United States. Drug and Alcohol Dependence, 170, 82–92. https://doi.org/10.1016/j.drugalcdep.2016.10.038
Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627. https://doi.org/10.1001/archpsyc.62.6.617
Kilpatrick, A. C. (1992). Long-range effects of child and adolescent sexual experiences: Myths, mores, and menaces (1st ed.). Routledge.
Leserman, J. (2005). Sexual abuse history: Prevalence, health effects, mediators, and psychological treatment. Psychosomatic Medicine, 67(6), 906–915. https://doi.org/10.1097/01.psy.0000188405.54425.20
Leserman, J., Ironson, G., & O’Cleirigh, C. (2006). Preliminary results of a randomized controlled trial of an emotional disclosure intervention in patients with HIV. Presented at the annual meeting of the International Society of Behavioral Medicine, Bangkok, Thailand.
Leserman, J., Li, Z., Drossman, D. A., & Hu, Y. J. (1998). Selected symptoms associated with sexual and physical abuse history among female patients with gastrointestinal disorders: The impact on subsequent health care visits. Psychological Medicine, 28(2), 417–425
Leserman, J., Li, Z., Drossman, D. A., Toomey, T. C., Nachman, G., & Glogau, L. (1997). Impact of sexual and physical abuse dimensions on health status: Development of an abuse severity measure. Psychosomatic Medicine, 59(2), 152–160
Marshal, M. P., Dietz, L. J., Friedman, M. S., Stall, R., Smith, H. A., McGinley, J., & Brent, D. A. (2011). Suicidality and depression disparities between sexual minority and heterosexual youth: A meta-analytic review. Journal of Adolescent Health, 49(2), 115–123. https://doi.org/10.1016/j.jadohealth.2011.02.005
Marshal, M. P., Friedman, M. S., Stall, R., King, K. M., Miles, J., Gold, M. A., & Morse, J. Q. (2008). Sexual orientation and adolescent substance use: A meta-analysis and methodological review. Addiction, 103(4), 546–556. https://doi.org/10.1111/j.1360-0443.2008.02149.x
Mayer, K. H., Bradford, J. B., Makadon, H. J., Stall, R., Goldhammer, H., & Landers, S. (2008). Sexual and gender minority health: What we know and what needs to be done. American Journal of Public Health, 98(6), 989–995. https://doi.org/10.2105/AJPH.2007.127811
McCabe, S. E., Hughes, T. L., Bostwick, W. B., West, B. T., & Boyd, C. J. (2009). Sexual orientation, substance use behaviors and substance dependence in the United States. Addiction, 104(8), 1333–1345. https://doi.org/10.1111/j.1360-0443.2009.02596.x
Merikangas, K. R., & McClair, V. L. (2012). Epidemiology of substance use disorders. Human Genetics, 131(6), 779–789. https://doi.org/10.1007/s00439-012-1168-0
Metzger, D. S., Koblin, B., Turner, C., Navaline, H., Valenti, F., Holte, S., & Seage, G. R. (2000). Randomized controlled trial of audio computer-assisted self-interviewing: Utility and acceptability in longitudinal studies. HIVNET Vaccine Preparedness Study Protocol Team. American Journal of Epidemiology, 152(2), 99–106
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674
Millett, G., Malebranche, D., Mason, B., & Spikes, P. (2005). Focusing “down low”: Bisexual black men, HIV risk and heterosexual transmission. Journal of the National Medical Association, 97(7 Suppl), 52S-59S
Millstein, S. G. (1987). Acceptability and reliability of sensitive information collected via computer interview. Educational and Psychological Measurement, 47(2), 523–533. https://doi.org/10.1177/0013164487472028
Mimiaga, M. J., Noonan, E., Donnell, D., Safren, S. A., Koenen, K. C., Gortmaker, S., & Mayer, K. H. (2009). Childhood sexual abuse is highly associated with HIV risktaking behavior and infection among MSM in the EXPLORE Study. Journal of Acquired Immune Deficiency Syndromes, 51(3), 340–348. https://doi.org/10.1097/QAI.0b013e3181a24b38
Mimiaga, M. J., Pantalone, D. W., Biello, K. B., Hughto, J. M. W., Frank, J., O’Cleirigh, C., & Safren, S. A. (2019). An initial randomized controlled trial of behavioral activation for treatment of concurrent crystal methamphetamine dependence and sexual risk for HIV acquisition among men who have sex with men. AIDS Care, 31(9), 1083–1095. https://doi.org/10.1080/09540121.2019.1595518
Movement Advancement Project. (2016). Invisible majority: The disparities facing bisexual people and how to remedy them. Retrieved from http://www.lgbtmap.org/policy-and-issue-analysis/invisible-majority
Movement Advancement Project, BiNetUSA, & Bisexual Resource Center. (2014). Understanding issues facing bisexual Americans. Retrieved from http://www.lgbtmap.org/understanding-issues-facing-bisexual-americans
Mustanski, B., Andrews, R., Herrick, A., Stall, R., & Schnarrs, P. W. (2014). A syndemic of psychosocial health disparities and associations with risk for attempting suicide among young sexual minority men. American Journal of Public Health, 104(2), 287–294. https://doi.org/10.2105/AJPH.2013.301744
Mustanski, B. S., Garofalo, R., & Emerson, E. M. (2010). Mental health disorders, psychological distress, and suicidality in a diverse sample of lesbian, gay, bisexual, and transgender youths. American Journal of Public Health, 100(12), 2426–2432. https://doi.org/10.2105/AJPH.2009.178319
Myers, H. F., Wyatt, G. E., Ullman, J. B., Loeb, T. B., Chin, D., Prause, N., & Liu, H. (2015). Cumulative burden of lifetime adversities: Trauma and mental health in low-SES African Americans and Latino/as. Psychological Trauma: Theory, Research, Practice, and Policy, 7(3), 243–251. https://doi.org/10.1037/a0039077
Navaline, H. A., Snider, E. C., Petro, C. J., Tobin, D., Metzger, D., Alterman, A. I., & Woody, G. E. (1994). Preparations for AIDS vaccine trials. An automated version of the Risk Assessment Battery (RAB): Enhancing the assessment of risk behaviors. AIDS Research and Human Retroviruses, 10(Suppl 2), S281-283
Neria, Y., Olfson, M., Gameroff, M. J., Wickramaratne, P., Pilowsky, D., Verdeli, H., & Weissman, M. M. (2008). Trauma exposure and posttraumatic stress disorder among primary care patients with bipolar spectrum disorder. Bipolar Disorders, 10(4), 503–510. https://doi.org/10.1111/j.1399-5618.2008.00589.x
Neria, Y., Wickramaratne, P., Olfson, M., Gameroff, M. J., Pilowsky, D. J., Lantigua, R., & Weissman, M. M. (2013). Mental and physical health consequences of the September 11, 2001 (9/11) attacks in primary care: A longitudinal study. Journal of Traumatic Stress, 26(1), 45–55. https://doi.org/10.1002/jts.21767
O’Cleirigh, C., Safren, S. A., & Mayer, K. H. (2012). The pervasive effects of childhood sexual abuse: Challenges for improving HIV prevention and treatment interventions. Journal of Acquired Immune Deficiency Syndromes, 59(4), 331–334. https://doi.org/10.1097/QAI.0b013e31824aed80
O’Cleirigh, C., Safren, S. A., Taylor, S. W., Goshe, B. M., Bedoya, C. A., Marquez, S. M., & Shipherd, J. C. (2019). Cognitive behavioral therapy for trauma and self-care (CBT-TSC) in men who have sex with men with a history of childhood sexual abuse: A randomized controlled trial. AIDS and Behavior, 23(9), 2421–2431. https://doi.org/10.1007/s10461-019-02482-z
O’Reilly, J. M., Hubbard, M. L., Lessler, J. T., Biemer, P. P., & Turner, C. F. (1994). Audio and video computer-assisted self-interviewing: Preliminary tests of new technologies for data collection. Journal of Official Statistics, 10(2), 197–214
Pachankis, J. E. (2014). Uncovering clinical principles and techniques to address minority stress, mental health, and related health risks among gay and bisexual men. Clinical Psychology: Science and Practice, 21(4), 313–330. https://doi.org/10.1111/cpsp.12078
Pantalone, D. W., Horvath, K. J., Hart, T. A., Valentine, S. E., & Kaysen, D. L. (2015). Traumatic revictimization of men who have sex with men living with HIV/AIDS. Journal of Interpersonal Violence, 30(9), 1459–1477. https://doi.org/10.1177/0886260514540802
Pereda, N., Guilera, G., Forns, M., & Gómez-Benito, J. (2009). The prevalence of child sexual abuse in community and student samples: A meta-analysis. Clinical Psychology Review, 29(4), 328–338. https://doi.org/10.1016/j.cpr.2009.02.007
Plöderl, M., & Tremblay, P. (2015). Mental health of sexual minorities. A systematic review. International Review of Psychiatry, 27(5), 367–385. https://doi.org/10.3109/09540261.2015.1083949
Roberts, A. L., Austin, S. B., Corliss, H. L., Vandermorris, A. K., & Koenen, K. C. (2010). Pervasive trauma exposure among US sexual orientation minority adults and risk of posttraumatic stress disorder. American Journal of Public Health, 100(12), 2433–2441. https://doi.org/10.2105/AJPH.2009.168971
Roberts, A. L., Rosario, M., Corliss, H. L., Koenen, K. C., & Austin, S. B. (2012). Elevated risk of posttraumatic stress in sexual minority youths: Mediation by childhood abuse and gender nonconformity. American Journal of Public Health, 102(8), 1587–1593. https://doi.org/10.2105/AJPH.2011.300530
Rosario, M., Schrimshaw, E. W., & Hunter, J. (2004). Ethnic/racial differences in the coming-out process of lesbian, gay, and bisexual youths: A comparison of sexual identity development over time. Cultural Diversity and Ethnic Minority Psychology, 10(3), 215–228. https://doi.org/10.1037/1099-9809.10.3.215
Ross, L. E., Salway, T., Tarasoff, L. A., MacKay, J. M., Hawkins, B. W., & Fehr, C. P. (2018). Prevalence of depression and anxiety among bisexual people compared to gay, lesbian, and heterosexual individuals: A systematic review and meta-analysis. Journal of Sex Research, 55(4–5), 435–456. https://doi.org/10.1080/00224499.2017.1387755
Ruscio, A. M., Brown, T. A., Chiu, W. T., Sareen, J., Stein, M. B., & Kessler, R. C. (2008). Social fears and social phobia in the USA: Results from the national comorbidity survey replication. Psychological Medicine, 38(1), 15–28. https://doi.org/10.1017/S0033291707001699
Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010). The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Molecular Psychiatry, 15(1), 53–63. https://doi.org/10.1038/mp.2008.94
Saelens, B. E., Sallis, J. F., Black, J. B., & Chen, D. (2003). Neighborhood-based differences in physical activity: An environment scale evaluation. American Journal of Public Health, 93(9), 1552–1558. https://doi.org/10.2105/ajph.93.9.1552
Salway, T., Ross, L. E., Fehr, C. P., Burley, J., Asadi, S., Hawkins, B., & Tarasoff, L. A. (2019). A systematic review and meta-analysis of disparities in the prevalence of suicide ideation and attempt among bisexual populations. Archives of Sexual Behavior, 48(1), 89–111. https://doi.org/10.1007/s10508-018-1150-6
SAMHSA. (2018). Table 5.4B – Alcohol Use Disorder in Past Year among Persons Aged 12 or Older, by Age Group and Demographic Characteristics: Percentages, 2017 and 2018. Retrieved from https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHDetailedTabs2018R2/NSDUHDetTabsSect5pe2018.htm#tab5-4b
Semlyen, J., King, M., Varney, J., & Hagger-Johnson, G. (2016). Sexual orientation and symptoms of common mental disorder or low wellbeing: Combined meta-analysis of 12 UK population health surveys. BMC Psychiatry, 16. https://doi.org/10.1186/s12888-016-0767-z
Sheehan, D. V., Lecrubier, Y., Harnett, K., Amorim, P., Janavs, J., Weiller, E., & Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl 20), 22–33
Shipherd, J. C., Maguen, S., Skidmore, W. C., & Abramovitz, S. M. (2011). Potentially traumatic events in a transgender sample: Frequency and associated symptoms. Traumatology, 17(2), 56–67. https://doi.org/10.1177/1534765610395614
Turner, C. F., Ku, L., Rogers, S. M., Lindberg, L. D., Pleck, J. H., & Sonenstein, F. L. (1998). Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology. Science, 280(5365), 867–873.
Van Doan, E., & E., Mereish, E. H., Woulfe, J. M., & Katz-Wise, S. L. . (2019). Perceived discrimination, coping mechanisms, and effects on health in bisexual and other non-monosexual adults. Archives of Sexual Behavior, 48(1), 159–174. https://doi.org/10.1007/s10508-018-1254-z
Walsh, K., Elliott, J. C., Shmulewitz, D., Aharonovich, E., Strous, R., Frisch, A., & Hasin, D. (2014). Trauma exposure, posttraumatic stress disorder and risk for alcohol, nicotine, and marijuana dependence in Israel. Comprehensive Psychiatry, 55(3), 621–630. https://doi.org/10.1016/j.comppsych.2013.11.016
Williams, M. T., Taylor, R. J., Himle, J. A., & Chatters, L. M. (2017a). Demographic and health-related correlates of obsessive-compulsive symptoms among African Americans. Journal of Obsessive-Compulsive and Related Disorders, 14, 119–126. https://doi.org/10.1016/j.jocrd.2017.07.001
Williams, M. T., Taylor, R. J., Mouzon, D. M., Oshin, L. A., Himle, J. A., & Chatters, L. M. (2017b). Discrimination and symptoms of obsessive–compulsive disorder among African Americans. American Journal of Orthopsychiatry, 87(6), 636–645. https://doi.org/10.1037/ort0000285
Wilson, F. R., Genco, K. T., & Yager, G. G. (1985). Assessing the equivalence of paper-and-pencil vs. computerized tests: Demonstration of a promising methodology. Computers in Human Behavior, 1(3–4), 265–275. https://doi.org/10.1016/0747-5632(85)90017-2
Wolff, N., Huening, J., Shi, J., & Frueh, B. C. (2014). Trauma exposure and posttraumatic stress disorder among incarcerated men. Journal of Urban Health, 91(4), 707–719. https://doi.org/10.1007/s11524-014-9871-x
Xu, Y., & Zheng, Y. (2015). Prevalence of childhood sexual abuse among lesbian, gay, and bisexual people: A meta-analysis. Journal of Child Sexual Abuse, 24(3), 315–331. https://doi.org/10.1080/10538712.2015.1006746
Acknowledgements
We thank coprincipal investigators Steven Safren (principal investigator at the Boston site) and Gail Ironson (principal investigator at the Miami site) for their work on the larger study.
Funding
Funding was provided by the National Institute of Mental Health (R01MH095624 to Conall O’Cleirigh); Clinical- Trials.gov identifier: NCT01395979. Abigail Batchelder’s time was supported, in part, by National Institute on Drug Abuse (K23DA043418). Brian Feinstein’s time was also supported, in part, by the National Institute of Drug Abuse (K08DA045575).
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All procedures performed in studies involving human participants were in accordance with the ethical standards of Fenway Health, Massachusetts General Hospital, and the University of Miami and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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Batchelder, A.W., Fitch, C., Feinstein, B.A. et al. Psychiatric, Substance Use, and Structural Disparities Between Gay and Bisexual Men with Histories of Childhood Sexual Abuse and Recent Sexual Risk Behavior. Arch Sex Behav 50, 2861–2873 (2021). https://doi.org/10.1007/s10508-021-02037-1
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DOI: https://doi.org/10.1007/s10508-021-02037-1