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Associations of sexual orientation and state-level antidiscrimination policy protections with alcohol, tobacco, and mental health outcomes in a U.S. sample of adolescents and adults

Author

Listed:
  • Evans-Polce, Rebecca J.
  • Kcomt, Luisa
  • Casey, Logan
  • Boyd, Carol J.
  • McCabe, Sean Esteban
  • Veliz, Phil T.
  • Conlin, Ciarán
  • Parra, Luis A.

Abstract

Structural stigma has important health implications for sexual minority individuals, including alcohol and tobacco use, and mental health. This study examined associations of structural stigma with alcohol and tobacco use and internalizing symptoms while considering sexual identity changes and multiple dimensions of sexual orientation among adolescents and adults in the U.S.

Suggested Citation

  • Evans-Polce, Rebecca J. & Kcomt, Luisa & Casey, Logan & Boyd, Carol J. & McCabe, Sean Esteban & Veliz, Phil T. & Conlin, Ciarán & Parra, Luis A., 2025. "Associations of sexual orientation and state-level antidiscrimination policy protections with alcohol, tobacco, and mental health outcomes in a U.S. sample of adolescents and adults," Social Science & Medicine, Elsevier, vol. 365(C).
    • Handle: RePEc:eee:socmed:v:365:y:2025:i:c:s0277953624010591
    DOI: 10.1016/j.socscimed.2024.117605
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    References listed on IDEAS

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    1. McCabe, S.E. & Bostwick, W.B. & Hughes, T.L. & West, B.T. & Boyd, C.J., 2010. "The relationship between discrimination and substance use disorders among lesbian, gay, and bisexual adults in the United States," American Journal of Public Health, American Public Health Association, vol. 100(10), pages 1946-1952.
    2. Talley, A.E. & Hughes, T.L. & Aranda, F. & Birkett, M. & Marshal, M.P., 2014. "Exploring alcohol-use behaviors among heterosexual and sexual minority adolescents: Intersections with sex, age, and race/ethnicity," American Journal of Public Health, American Public Health Association, vol. 104(2), pages 295-303.
    3. 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, American Public Health Association, vol. 100(3), pages 452-459.
    4. Hatzenbuehler, M.L. & Keyes, K.M. & Hasin, D.S., 2009. "State-level policies and psychiatric morbidity in lesbian, gay, and bisexual populations," American Journal of Public Health, American Public Health Association, vol. 99(12), pages 2275-2281.
    5. Zongshuan Duan & Yu Wang & Jidong Huang, 2021. "Sex Difference in the Association between Electronic Cigarette Use and Subsequent Cigarette Smoking among U.S. Adolescents: Findings from the PATH Study Waves 1–4," IJERPH, MDPI, vol. 18(4), pages 1-12, February.
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