Associations of sexual orientation and state-level antidiscrimination policy protections with alcohol, tobacco, and mental health outcomes in a U.S. sample of adolescents and adults

Rebecca J. Evans-Polce, Luisa Kcomt, Logan Casey, Carol J. Boyd, Sean Esteban McCabe, Phil T. Veliz, Ciarán Conlin and Luis A. Parra

Social Science & Medicine, 2025, vol. 365, issue C

Abstract: Structural stigma has important health implications for sexual minority individuals, including alcohol and tobacco use, and mental health. This study examined associations of structural stigma with alcohol and tobacco use and internalizing symptoms while considering sexual identity changes and multiple dimensions of sexual orientation among adolescents and adults in the U.S.

Date: 2025
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DOI: 10.1016/j.socscimed.2024.117605

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