Alcohol abuse and dependence in the gay and lesbian populations
I. Introduction (slide 2)
The problem:
The prevalence of substance abuse and dependence is higher than in the general population.
Gay identity formation may be linked to the increased prevalence.
Few gay and lesbian clients enter treatment centers.
Substance problems may be linked to unsafe sexual practices.
Most treatment centers do not address the special needs of the gay and lesbian populations.
Lesbians may have additional needs beyond that of the gay man including child related and domestic violence issues.
Prevalence (slide 3)
Early work in the field estimated the rates of substance abuse and dependence in gay men to be greater than 30%. These samples probably oversampled heavy users. (1,2)
Population-based samples of gay and heterosexual men in the mid 80’s found substantially higher rates of drug use among gay men than heterosexual men. This result was true for both urban and rural areas. (3,4,5).
There is no clear consensus on the actual prevalence, as most of the studies have had methodological errors including poor or absent control groups, unrepresentative samples (e.g. gathered data from bars), failure to use uniform definitions or substance abuse and dependence, or of homosexuality, and the "closet factor". (6)
Lesbians appear to have an equal prevalence of substance abuse and dependence as compared to gay men, and have a higher prevalence than heterosexual women. (7,8)