Sexual orientation linked to opioid misuse, says US study
Washington DC: According to a recent study, sexual orientation has been identified as a risk factor in opioid misuse.
Led by researchers at NYU School of Medicine, the study has been published in the American Journal of Preventive Medicine.
The findings suggest that men and women who identify as lesbian, gay, or bisexual are more likely to misuse opioids when compared with those who identify as heterosexuals.
The study estimates that 5 per cent of adults who identify as heterosexual in the U.S. have misused opioids in the past year, while the number climbs to 9 per cent for individuals who identify as gay or lesbian, and 12 per cent for those who identify as bisexual. And just within the past month, 1 per cent of those who identify as heterosexual have used opioids, while 4 per cent of those who identify as bisexual have.
The study relies on data from among 42,802 people involved in the 2015 National Survey on Drug Use and Health (NSDUH). Study participants were surveyed about their sexual orientation and any misuse of opioids in the past year, as well as past-month and past-year prescription opioid use. Misuse was categorised as using the drug without a prescription, using in larger amounts or for longer than directed, or using against a doctor's recommendation.
According to researchers, previous studies have found that those who identify as gay or bisexual are more likely to use drugs and experience addiction-related illnesses, such as alcoholism and use of other drugs.
Among the study's key findings were that women who identified as bisexual were twice as likely to misuse opioids when compared with individuals with other sexual orientations.
"Our study highlights that adults of sexual minority status -- particularly women identifying as bisexual -- are at increased risk for opioid misuse," said senior study author Joseph J. Palamar. "With the opioid crisis escalating nationwide, it is important to focus on preventing misuse among groups at highest risk."
The researchers believe the underlying cause of opioid misuse among bisexual women could be their need for a coping mechanism from the stress and stigma that arises from being not only a minority within a largely heterosexual culture but also within the lesbian and gay community. To address the growing problem of opioid misuse in these groups, the researchers advocate for the development of more educational programming to help prevent drug use and misuse.
"Primary care providers, educators, and even parents should consider sexual orientation when assessing those at risk of opioid misuse," said Dustin T. Duncan, lead author of the study. "Not only do we need to consider sexual orientation as a risk factor, but we also need to monitor these groups more closely once they've been identified."