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Approximately 12% of sexual minority young adults aged 18–25 report alcohol use disorder, compared to 10% in the overall population.

  • Transgender women have a higher likelihood of seeking treatment for substance use disorders compared to non-transgender people.
  • LGBTQ individuals have elevated rates of smoking and vaping compared to heterosexual individuals.
  • Frequently Used Drugs by LGBTQ Individuals

    Members of the LGBTQ community use many different addictive substances, but the following substances are the ones that are most commonly used:

    Tobacco: The tobacco industry specifically markets its products to LGBT people through direct and indirect advertising.

    People who identify as lesbian, gay, bisexual, transgender, or questioning/queer often face challenges that are not encountered by heterosexual individuals. They may also resort to social isolation, afraid to interact with peers for fear of ridicule, bullying, or worse.

    In addition, the prevalence of discrimination within the homes of LGBTQ youth and young adults often leads to them being kicked out by their parent(s).

    Other Illegal Drugs: In the past year, 0.9% of sexual minority adults report heroin use, compared to 0.3% of sexual majority adults. Detoxification, or detox, is the body’s process when it stops getting drugs or alcohol. Many drug rehab facilities do not cater to LGBTQ people. The services offered to those in inpatient treatment vary based on the facility, but most facilities provide around-the-clock medical care and nutrition.

    Inpatient facilities that cater to those in the LGBTQ community offer therapists and healthcare professionals who are members of that community or have special training to help their LGBTQ patients with their unique needs.

    Outpatient Treatment

    Outpatient addiction treatment programs are available for people in the LGBTQ community who cannot live at a facility while they go through treatment.

    Unlike the more structured inpatient treatment, outpatient treatment allows patients to come to the facility daily for treatment and then return to their everyday lives.

    Other Addiction Treatment Services for LGBT Individuals

    People in the LGBTQ community have access to more than inpatient and outpatient rehab programs.

    Services such as medical detox, mental health treatment, and medication-assisted treatment provide additional support and guidance throughout the treatment process.

    Medical Detox Services

    The first step of addiction treatment is the detoxification process.

    Moreover, people in the LGBTQ community face discrimination in a range of areas, such as housing , harassment regarding bathroom use,  and health coverage for spouses. Intense paranoia—a common long-term effect of meth use—makes it very difficult to trust people, a crucial facet of treatment that is necessary for building relationships with counselors, mentors, and peers.

    Distrust of clinicians and treatment programs is often heightened among LGBTQ+ patients, who often face even more stigma when entering treatment programs and have a distrust of institutions like law enforcement, which they may associate with addiction treatment.

    addict gay

    Both of these processes can lead to increased substance use. (n.d.). There are two ways in which this happens: (1) their minority stress influences their daily living experiences, and (2) minority stress in the form of discrimination may be internalized. This stereotype is simply untrue and can lead to even more unwarranted discrimination.

    Sources

    1. Centers for Disease Control and Prevention.

      Causes of Substance Use and Addiction Among LGBTQ Individuals

      Several factors contribute to substance use and use disorders among LGBTQ individuals. Tennessee State Government – TN.gov. Retrieved May 29, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2937001/

    Jessica Miller is the Editorial Director of Addiction Help.

    Addiction affects the parts of the brain that control memory, motivation, and pleasure.

    Many people hear “addiction” and automatically think of drug addiction or alcoholism. With the pervasiveness of illicitly manufactured fentanyl—a synthetic opioid that causes overdose in very small doses—in the drug supply, the need for action has never been more immediate.

    A large part of this work involves changing the perception of society toward methamphetamine addiction and especially queer people who struggle with this disease.

    Drug use is also higher in the LGBTQ community for cocaine, hallucinogens (LSD and ecstasy), inhalants, prescription tranquilizers, prescription stimulants, and prescription sedatives. Studies on alcohol use among sexual minorities have revealed a more complex picture. Substance use and suds in LGBTQ* populations. For example, studies show that transgender youth have higher rates of depression, self-harm, suicidal ideation, and eating disorders compared to their cisgender (i.e., assigned sex at birth aligns with gender identity) heterosexual peers.

    Internalized Homophobia: Many people in the LGBTQ population develop self-loathing or self-hatred and start identifying with stigmas.

    Methamphetamine addiction is on the rise, and it’s hitting communities hard, especially the LGBTQ+ community.

    November 30th is National Methamphetamine Awareness Day, a poignant time to raise the alarm about the devastating impact of this drug and the reasons behind its growing prevalence within the LGBTQ+ community.

    Based on 2020 and 2021 data compiled by the Substance Abuse and Mental Health Services Administration (SAMHSA), sexual minorities (gay, lesbian, or bisexual) adults were at least twice as likely to use stimulants in the past year as their heterosexual counterparts.

    Yet only 11% of substance use treatment programs in the United States offer specialized services for LGBTQ patients. Unfortunately, that is not always the case.

    Because of the way that they are often unfairly stereotyped and treated, people in the LGBTQ community struggle with substance abuse and addiction at a disproportionately high rate.

    Call the SAMHSA helpline at 1-800-662-4357 or visit their online program locator to find addiction treatment options in your area.

    FAQs About Addiction in the LGBT Community

    Why is substance abuse higher within the LGBTQ community?

    There are many contributing factors to why substance abuse is so much higher within the LGBTQ community.