Influence of gender, sexual orientation, and need on treatment utilization for substance use and mental disorders: findings from the California Quality of Life Survey.

Publisher: BioMed Central Country of Publication: England NLM ID: 100968559 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-244X (Electronic) Linking ISSN: 1471244X NLM ISO Abbreviation: BMC Psychiatry Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Quality of Life*; Health Services/*statistics & numerical data ; Health Services Needs and Demand/*statistics & numerical data ; Mental Disorders/*psychology ; Sexuality/*psychology ; Substance-Related Disorders/*psychology; Adolescent ; Adult ; California/epidemiology ; Female ; Health Surveys ; Homosexuality/psychology ; Homosexuality/statistics & numerical data ; Humans ; Male ; Mental Disorders/epidemiology ; Mental Disorders/therapy ; Middle Aged ; Patient Acceptance of Health Care ; Sex Factors ; Sexuality/statistics & numerical data ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/therapy

Background: Prior research has shown a higher prevalence of substance use and mental disorders among sexual minorities, however, the influence of sexual orientation on treatment seeking has not been widely studied. We use a model of help-seeking for vulnerable populations to investigate factors related to treatment for alcohol or drug use disorders and mental health disorders, focusing on the contributions of gender, sexual orientation, and need.
Methods: Survey data were obtained from a population-based probability sample of California residents that oversampled for sexual minorities. Logistic regression was used to model the enabling, predisposing, and need-related factors associated with past-year mental health or substance abuse treatment utilization among adults aged 18-64 (N = 2,074).
Results: Compared with individuals without a diagnosed disorder, those with any disorder were more likely to receive treatment. After controlling for both presence of disorder and other factors, lesbians and bisexual women were most likely to receive treatment and heterosexual men were the least likely. Moreover, a considerable proportion of sexual orientation minorities without any diagnosable disorder, particularly lesbians and bisexual women, also reported receiving treatment.
Conclusion: The study highlights the need to better understand the factors beyond meeting diagnostic criteria that underlie treatment utilization among sexual minorities. Future research should also aim to ascertain the effects of treatment provided to sexual minorities with and without diagnosable disorders, including the possibility that the provision of such treatment may reduce the likelihood of their progression to greater severity of distress, disorders, or impairments in functioning.

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P60 MD000508 United States MD NIMHD NIH HHS; DA 20826 United States DA NIDA NIH HHS; P60 MD000508-04 United States MD NIMHD NIH HHS; DA 15539 United States DA NIDA NIH HHS; MD 000508 United States MD NIMHD NIH HHS; R01 DA015539 United States DA NIDA NIH HHS; R01 DA020826 United States DA NIDA NIH HHS

Date Created: 20090818 Date Completed: 20090915 Latest Revision: 20220408

20240829

PMC2734538

10.1186/1471-244X-9-52

19682355