FEATURE
Diversity, Equity, and Inclusion in Substance Use Treatment Jolynn L. Haney, PhD
Understanding the Problem Unfortunately, we do not have a clear idea of substance use disorder prevalence among the LGBTQ+ population. One of the reasons we lack this knowledge is because understanding prevalence depends on carefully constructed and conducted national studies that ask questions about sexuality. Until recently, few federally funded studies have asked about individuals’ sexuality. For example, the Survey on Drug Use and Health (NSDUH) did not include items about sexual orientation until 2015.1 The survey designers made these changes to identify health issues among sexual minorities and to track changes in these groups over time. By collecting this information, NSDUH researchers hoped to better understand the factors influencing substance use. In turn, this knowledge can help inform policies that support prevention, treatment, and recovery for the LGBTQ+ community.
LGBTQ+ refers to lesbian, gay, bisexual, transgender, queer, and questioning individuals. Although each of these groups has unique characteristics, one of the shared features across the LGBTQ+ community is that its members are at high risk for mental health and substance use disorders. Unfortunately, the stigma associated with having a substance use disorder, combined with the discrimination from being a member of a sexual minority, can be a barrier to getting treatment.
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THE RESPONSE // WINTER 2022-23
Another issue that affects accurate statistics about LGBTQ+ individuals and substance use is openness in responding to survey questions. Survey participants, particularly those in older age groups or specific cultures, might be less likely to disclose information about their sexual orientation and preferences than younger age groups or other cultures.2 As a result, prevalence estimates on sexual orientation among those with substance use concerns could be underreported.