Mental Health and Substance Use Disparities Among Urban Adolescent Lesbian and Bisexual Girls

Michael P. Marshal; Sarah S. Dermody; Michelle L. Shultz; Gina S. Sucato; Stephanie D. Stepp; Tammy Chung; Chad M. Burton; Nina Markovic; Alison E. Hipwell

doi:10.1177/1078390313503552

Mental Health and Substance Use Disparities Among Urban Adolescent Lesbian and Bisexual Girls

Michael P. Marshal, Sarah S. Dermody, Michelle L. Shultz, Gina S. Sucato, Stephanie D. Stepp, Tammy Chung, Chad M. Burton, Nina Markovic, Alison E. Hipwell

Research output: Contribution to journal › Article › peer-review

21 Scopus citations

Abstract

BACKGROUND: Sexual minority girls (SMGs) report large substance use disparities and victimization experiences, yet there is a dearth of research that focuses exclusively on SMGs. OBJECTIVE: To examine substance use and mental health disparities among SMGs and to determine whether disparities were larger for African American compared with European American girls. METHOD: Data were used from Wave 11 of the Pittsburgh Girls Study, a multiple-cohort, prospective study of urban girls. Girls for the current analysis were aged 16 to 19 years. Fifty-five percent were African American. One hundred and seventy-three (8.3%) identified as SMGs, and 1,891 identified as heterosexual. Multiple regression analyses controlling for age, race, and parent education were conducted. RESULTS: SMGs reported a robust pattern of large disparities in externalizing, internalizing, and borderline personality disorder symptoms. There was little evidence to suggest disparities were moderated by race. CONCLUSION: SMGs and their families would benefit from intervention and prevention programs to reduce disparities among this highly vulnerable population.

Original language	English (US)
Pages (from-to)	271-279
Number of pages	9
Journal	Journal of the American Psychiatric Nurses Association
Volume	19
Issue number	5
DOIs	https://doi.org/10.1177/1078390313503552
State	Published - Sep 2013
Externally published	Yes

All Science Journal Classification (ASJC) codes

Phychiatric Mental Health

Keywords

adolescent girls
intersectionality
mental health
sexual orientation
substance use

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title = "Mental Health and Substance Use Disparities Among Urban Adolescent Lesbian and Bisexual Girls",

abstract = "BACKGROUND: Sexual minority girls (SMGs) report large substance use disparities and victimization experiences, yet there is a dearth of research that focuses exclusively on SMGs. OBJECTIVE: To examine substance use and mental health disparities among SMGs and to determine whether disparities were larger for African American compared with European American girls. METHOD: Data were used from Wave 11 of the Pittsburgh Girls Study, a multiple-cohort, prospective study of urban girls. Girls for the current analysis were aged 16 to 19 years. Fifty-five percent were African American. One hundred and seventy-three (8.3%) identified as SMGs, and 1,891 identified as heterosexual. Multiple regression analyses controlling for age, race, and parent education were conducted. RESULTS: SMGs reported a robust pattern of large disparities in externalizing, internalizing, and borderline personality disorder symptoms. There was little evidence to suggest disparities were moderated by race. CONCLUSION: SMGs and their families would benefit from intervention and prevention programs to reduce disparities among this highly vulnerable population.",

keywords = "adolescent girls, intersectionality, mental health, sexual orientation, substance use",

author = "Marshal, {Michael P.} and Dermody, {Sarah S.} and Shultz, {Michelle L.} and Sucato, {Gina S.} and Stepp, {Stephanie D.} and Tammy Chung and Burton, {Chad M.} and Nina Markovic and Hipwell, {Alison E.}",

note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This manuscript was supported by the National Institutes of Health (grant numbers MH056630, DA012237, and DA030385).",

year = "2013",

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doi = "10.1177/1078390313503552",

language = "English (US)",

volume = "19",

pages = "271--279",

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AU - Marshal, Michael P.

AU - Dermody, Sarah S.

AU - Shultz, Michelle L.

AU - Sucato, Gina S.

AU - Stepp, Stephanie D.

AU - Chung, Tammy

AU - Burton, Chad M.

AU - Markovic, Nina

AU - Hipwell, Alison E.

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This manuscript was supported by the National Institutes of Health (grant numbers MH056630, DA012237, and DA030385).

PY - 2013/9

Y1 - 2013/9

N2 - BACKGROUND: Sexual minority girls (SMGs) report large substance use disparities and victimization experiences, yet there is a dearth of research that focuses exclusively on SMGs. OBJECTIVE: To examine substance use and mental health disparities among SMGs and to determine whether disparities were larger for African American compared with European American girls. METHOD: Data were used from Wave 11 of the Pittsburgh Girls Study, a multiple-cohort, prospective study of urban girls. Girls for the current analysis were aged 16 to 19 years. Fifty-five percent were African American. One hundred and seventy-three (8.3%) identified as SMGs, and 1,891 identified as heterosexual. Multiple regression analyses controlling for age, race, and parent education were conducted. RESULTS: SMGs reported a robust pattern of large disparities in externalizing, internalizing, and borderline personality disorder symptoms. There was little evidence to suggest disparities were moderated by race. CONCLUSION: SMGs and their families would benefit from intervention and prevention programs to reduce disparities among this highly vulnerable population.

AB - BACKGROUND: Sexual minority girls (SMGs) report large substance use disparities and victimization experiences, yet there is a dearth of research that focuses exclusively on SMGs. OBJECTIVE: To examine substance use and mental health disparities among SMGs and to determine whether disparities were larger for African American compared with European American girls. METHOD: Data were used from Wave 11 of the Pittsburgh Girls Study, a multiple-cohort, prospective study of urban girls. Girls for the current analysis were aged 16 to 19 years. Fifty-five percent were African American. One hundred and seventy-three (8.3%) identified as SMGs, and 1,891 identified as heterosexual. Multiple regression analyses controlling for age, race, and parent education were conducted. RESULTS: SMGs reported a robust pattern of large disparities in externalizing, internalizing, and borderline personality disorder symptoms. There was little evidence to suggest disparities were moderated by race. CONCLUSION: SMGs and their families would benefit from intervention and prevention programs to reduce disparities among this highly vulnerable population.

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Mental Health and Substance Use Disparities Among Urban Adolescent Lesbian and Bisexual Girls

Abstract

All Science Journal Classification (ASJC) codes

Keywords

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