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Page Index: Full Text Dissertation. - Older Bibliography With Links to Abstracts or Full Text.
Full Text Dissertations
Nicely, Eric S (2001). Internalized Homophobia, Stages And Processes Of Change And Alcohol Use Among Gay Men: A Clinical Dissertation. PhD. Dissertation, California School of Professional Psychology, Alemeda, CA. PDF
Download. Download Page.
Abbott LJ (1998). The use of alcohol by lesbians: a review and
research agenda. Substance Use and Misuse, 33(13), 2647-63.
Older Bibliography, Not Being Added to. Many Items referenced here are not present in the other resources.
AIDS Committee of Toronto (2001, 2004). Drug Use & HIV Risk Among
Gay Men in the Dance/Club Scene in Toronto: How Should AIDS Prevention
Programmes Respond? Full Text. PDF Download. Word
97 Download N/A.
Anderson SC (1996). Substance Abuse and Dependency in Gay Men
and Lesbians. Journal of Gay and Lesbian Social Services, 5(1), 59-76.
(A BUBL "abstract" link. Must scroll to locate abstract.)
Anderson SC, Henderson DC (1985). Working with Lesbian Alcoholics.
Social Work, 30(6), 518-25. (Article availability given in ERIC "abstract"
Balsam KF, Huang B, Fieland KC, Simoni JM, Walters KL (2004). Culture,
trauma, and wellness: a comparison of heterosexual and lesbian, gay, bisexual,
and two-spirit Native Americans. Cultural Diversity and Ethnic Minority
Psychology, 10(3): 287-301.
Beatty RL (1997). Relationship of sensation seeking and hiv risk-related
behaviors: implications for social work. PH.D. Thesis, University of
Pittsburgh, DAI, Vol. 58-03A, p. 1089, 120 pages.
Bellows JT (1995). Recovery house: residential facility for persons
with mild mental retardation and substance dependence. PH.D. Thesis,
The union Institute, DAI, Vol. 56-11A, p. 4553, 276 pages.
Berg SL (1989). AA, spiritual issues, and the treatment of lesbian
and gay alcoholics. PH.D. Thesis, Michigan State University, DAI, Vol.
50-07A, p. 2121, 220 pages.
Bergmark KH (1999). Drinking in the Swedish gay and lesbian community.
Drug and Alcohol Dependence, 56(2): 133-143.
Bickelhaupt EE (1995). Alcoholism and Drug Abuse in Gay and Lesbian
Persons: A Review of Incidence Studies. Journal of Gay and Lesbian
Studies, 2(1), 5-14. (A BUBL "abstract" link. Must scroll to locate
Bloomfield K (1993). A comparison of alcohol consumption between
lesbians and heterosexual women in an urban population. Drug and Alcohol
Dependence, 33(3), 257-69. 27(6), 605-14.
Boyd CJ, McCabe SE, d'Arcy H (2003). Ecstasy use among college
undergraduates: gender, race and sexual identity. Journal of Substance
Abuse Treatment, 24(3): 209-15.
Bridget J, Lucille S (1996). Lesbian youth support
information services (LYSIS): developing a distance support agency for
young lesbians. Journal of Community and Applied Social Psychology,
Buchanan, DR. (1992). AIDS prevention: an applied investigation
of the health belief model and other psychosocial factors in the prediction
of sexual risk taking among gay and bisexual males. PH.D. Thesis, The
George Washington University, DAI, Vol. 53-01B, p. 607, 196 pages.
Bux DA (1996). The epidemiology of problem drinking in gay men
and lesbians: a critical review. Clinical Psychology Review, 16(4),
Cabaj RP (1995). Sexual Orientation and the Addictions. Journal
of Gay and Lesbian Psychotherapy, 2(3), 97-117. (A BUBL "abstract" link.
Must scroll to locate abstract.)
Cherry R (1996). The relationship between internalized homophobia
and substance use in gay and bisexual men.
PH.D. Thesis, California
School of Professional Psychology, DAI, Vol. 58-05B, p. 2659, 97 pages.
Cochran SD, Keenan C, Schober C, Mays VM (2000). Estimates of
Alcohol Use and Clinical Treatment Needs Among Homosexually Active Men
and Women in the U.S. Population. Journal of Consulting and Clinical
Psychology, 68(6): 1062-1071. PDF
Cochran SD, Ackerman D, Mays VM, Ross MW (2004). Prevalence of
non-medical drug use and dependence among homosexually active men and women
in the US population. Addiction, 99(8): 989-98. PDF Download. Abstract.
Coleman VE (1990). Violence in lesbian couples: a between groups
comparison. PH.D. Thesis. California School of Professional Psychology,
DAI, Vol. 51-11B, p. 5634, 213 pages.
Colton GM (1994). The relationship among affective style, substance
use and HIV risk factors. ED.D. Thesis, Rutgers The State university
of New Jersey, New Brunswick, DAI, Vol. 55-02A, p. 243, 198 pages.
Crofts N. David H (1993).
A History of Peer-Based Drug-User Groups
in Australia. Journal of Drug Issues, 25, 599-616. Full
Crosby GM, Stall RD, Paul JP, Barrett DC (1998). Alcohol
and drug use patterns have declined between generations of younger gay-bisexual
men in San Francisco. Drug and Alcohol Dependence, 52(3), 177-82.
Crosby GM (1993). Psychosocial variables distinguishing gay male
substance abusers practicing risky and safer sex while under the influence
of alcohol or drugs. PH.D. Thesis, The Wright Institute, DAI, Vol.
54-05B, p. 2745, 165 pages.
CSAP (1996). Meth, Men, Myths: Increased Risk in the Gay Community.
Prevention Pipeline (CSAP), May/June, 1996. Full
text N/A online.
Debord KA (1995). The relevance of sexual orientation to substance
abuse and psychological distress among college students. PH.D. Thesis,
University of Missouri, Columbia, DAI, Vol. 57-09B, p. 5913, 106 pages.
DeGraaf R, VanWesenbeeck I, VanZessen G, Straver CJ, Visser JH (1995).
Alcohol and drug use in heterosexual and homosexual prostitution,
and its relation to protection behavior. AIDS Care: Psychological and
Socio-medical Aspects of HIV/AIDS, 7(1), 35-47.
Department of Human Services in conjunction with the MACGLH (2002).
Issue paper on major drug and alcohol facing GLBTI Victorians. PDF
Donovan C, McEwan R (1995). A review of the literature examining
the relationship between alcohol use and HIV-related sexual risk-taking
in young people. Addiction, 90(3):319-28. Abstract.
DuRant RH, Krowchuk DP, Sinal SH (1998). Victimization, use of
violence, and drug use at school among male adolescents who engage in same-sex
sexual behavior. Journal of Pediatrics, 133(1),113-8.
Durvasula RS (1997). The independent and interactive effects
of HIV-1 and cocaine use on neuropsychological performance in African-
American men. PH.D. Thesis, University of California, Los Angeles,
DAI, Vol. 57-11B, p. 7222, 170 pages.
Eisenberg M, Henry W (2003). Social influences on substance-use behaviors
of gay, lesbian, and bisexual college students: findings from a national
study. Social Science and Medicine, 57(10): 1913-1923. PDF
Eisenberg M, Henry W (2003).
Substance use behaviors among college
students with same-sex and opposite-sex experience: results from a national
study. Addictive behaviors, 28: 899–913. PDF
Download, PDF Download.
Ellison BJ, Downey AB, Duesberg PH (1995). HIV as a surrogate
marker for drug use: a re-analysis of the San Francisco Men's Health Study.
Genetica, 95(1-3), 165-71.
Faulkner AH, Cranston K (1998). Correlates of same-sex sexual
behavior in a random sample of Massachusetts high school students.
American Journal of Public Health, 88(2), 262-6. Full Text.
Fendrich M, Wislar JS, Johnson TP, Hubbell A (2003). A contextual
profile of club drug use among adults in Chicago. Addiction, 98(12):
1693-1703. Related Conference Presentation.
Ferrando S, Goggin K, Sewell M, Evans S, Fishman B, Rabkin J (1998).
use disorders in gay/bisexual men with HIV and AIDS. American Journal
of Addictions, 7(1), 51-60.
Finnegan DG, McNally EB ('2002'). Healing the Traumas of Lesbian,
Gay, Bisexual and Transgender Substance Abusers. PDF
Spectrum Recovery Web Page for Downloads.
Finnegan DG, McNally EB (1996). Chemical dependency and depression
in lesbians and gay men: what helps? Journal of Gay & Lesbian Social
Services, 4(2), 115-29. (A BUBL "abstract" link. Must scroll to locate
Finnegan DG, McNally EB (1995). The National Association of Lesbian
and Gay Alcoholism Professionals (NALGAP): A Retrospective. Journal
of Gay & Lesbian Social Services, 2(1), 83-90. (A BUBL "abstract"
link. Must scroll to locate abstract.)
Freese TE, Miotto K, Reback CJ (2002).
The effects and consequences
of selected club drugs. Journal of Substance Abuse Treatment, 23: 151–
Ghindia DJ (1994). The effects of differing stages of homosexual
identity integration, diminished self-esteem and a substance abusive familial
history on substance abuse among homosexual me. PH.D. Thesis, Case
Western Reserve University, DAI, Vol. 55-09A, p. 2989, 208 pages.
Hall JM (1996). Pervasive effects of child sexual abuse in lesbians'
recovery from alcohol problems. Substance Use and Misuse, 31(2), 225-39.
Hall JM (1994). Lesbians Recovering from alcohol problems: an ethnographic
study of health care experiences. Nursing Research, 43(4), 238-44.
Hall JM (1994). The experiences of lesbians in Alcoholics Anonymous.
Western Journal of Nursing Research, 16(5), 556-76.
Hall JM (1992). Lesbians' experiences with alcohol problems:
a critical ethnographic study of problematization, helpseeking and recovery
patterns. PH.D. Thesis, University of California, San Francisco, DAI,
Vol. 53-09B, p. 4590, 341 pages.
Heffernan K (1998). The nature and predictors of substance use
among lesbians. Addictive Behaviors, 23(4), 517-28.
Heffernan K (1997). Binge eating, substance use, and coping styles
in a lesbian sample. PH.D. Thesis, Rutgers The State University of
New Jersey, New Brunswick, DAI, Vol. 58-07B, p. 3924, 68 pages.
Helder LM (1992). The effects of a cognitive/behavioral stress
management program on psychological distress and the immune system in HIV-1
seropositive and seronegative gay men. PH.D. Thesis, University of
Miami, DAI, Vol. 53-05B, p. 2530, 164 pages.
Hopper E (1995). A psychoanalytical theory of 'drug addiction':
unconscious fantasies of homosexuality, compulsions and masturbation within
the context of traumatogenic processes. International Journal of Psychoanalysis,
76 ( Pt 6), 1121-42.
Hughes TL (2003). Lesbians' drinking patterns: beyond the data.
Substace Use and Misuse, 38(11-13): 1739-58.
Hughes TL, Wilsnack SC (1997). Use of alcohol among lesbians:
research and clinical implications. American Journal of Orthopsychiatry,
67 (1) : 20-36.
Icard LD, et al. (1992). Preventing AIDS among Black Gay Men
and Black Gay and Heterosexual Male Intravenous Drug Users. Social
Work, 37(5), 440-45.
Israelstam S, and Lambert S (1989). Homosexuals Who Indulge in
Excessive Use of Alcohol and Drugs: Psychosocial Factors to be Taken into
Account by Community and Intervention Workers. Journal of Alcohol and
Drug Education, 34(3), 54-69.
Jazwinski RM (1994). A study comparing lesbian, gay and heterosexual
college students on drinking, problems related to drinking, and on the
impact of several psychosocial variables on drinking behaviors. PH.D
Thesis, New York university, DAI, Vol. 55-09A, p. 2989, 288 pages.
Jolly DH (1993). An analysis of sexual practices among men attending
gay bars in North Carolina. DR.P.H. Thesis, University of North Carolina
at Chapel Hill, DAI, Vol. 54-08A, p. 2904, 354 pages.
Jones JM (1987). Sexual practices of alcoholic and nonalcoholic
women in the '80s. PH.D. Thesis, Rutgers The State University of New
Jersey, New Brunswick, DAI, Vol. 48-07A, p. 1887, 234 pages.
Kalichman SC, Benotsch E, Rompa D, Gore-Felton C, Austin J, Luke W,
DiFonzo K, Buckles J, Kyomugisha F, Simpson D (2001).
Experiences and Sexual Risks in Gay and Bisexual Men: Associations Among
Revictimization, Substance Use, and Psychiatric Symptoms. Journal of
Sex Research, 38(1): 1-9.
of Sex Research: Table of Contents)
Kelly B, Raphael B, Judd F, Perdices M, Kernutt G, Burrows GD, Burnett
PC, Dunne M (1998). Psychiatric disorder in HIV infection. Australian
and new Zealand Journal of Psychiatry, 32(3), 441-53.
King M, McKeown E, Warner J, Ramsay A, Johnson K, Cort C, Wright L,
Blizard R, Davidson O (2003). Mental health and quality of life
of gay men and lesbians in England and Wales: controlled, cross-sectional
study. British Journal of Psychiatry, 183: 552-8. Full
Kleine-Kracht AE (1993). How HIV positive gay men perceive seropositivity
and what significance they give this diagnosis as evidenced by sexual behavior
changes and care needs. D.N.S. Thesis, Indiana University School of
Nursing, DAI, Vol. 55-09B, p. 3817, 167 pages.
Knox, Sher (2003). Sexual minority youth and substance abuse:
Addressing the issue. CYC [The International Child and Youth Care Network]-Online,
49: February. Full
Kus RJ, Ed (1995). Addiction and Recovery in Gay and Lesbian persons..
Also published in the Journal of Gay and Lesbian Social Services,
2(1), 1995. Listing of paper titles & link
to abstracts from PubMed..
Kus RJ, Latcovich MA (1995). Special Interest Groups in Alcoholics
Anonymous: A Focus on Gay Men's Groups. Journal of Gay and Lesbian
Studies, 2(1), 67-82. (A BUBL "abstract" link. Must scroll to locate abstract.)
Kus RJ, Smith GB (1995). Referrals and Resources for Chemically
Dependent Gay and Lesbian Clients. Journal of Gay and Lesbian Studies,
2(1), 91-107. (A BUBL "abstract" link)
Kus RJ (1992). Spirituality in Everyday Life: Experiences of
Gay Men of Alcoholics Anonymous. Journal of Chemical Dependency Treatment,
5(1), 49-66. (A BUBL "abstract" link. Must scroll to locate abstract.)
Lacouture, Yves (1998). La toxicomanie chez les personnes homosexuelles:
une recension des écrits. Governement du Québec. Minitère
de la Santé and des Services Sociaux. Comité Permanent de
la lutte à la taxiconomie. PDF
Leonard, William - Ministerial Advisory Committee on Gay and Lesbian
Drug and Alcohol Use within GLBTI Communities.
In: What’s the Difference? Health Issues of Major Concern to Gay, Lesbian,
Bisexual, Transgender and Intersex (GLBTI) Victorians published by Rural
and Regional Health and Aged Care Services Division Victorian Government
Department of Human Services Melbourne Victoria: 45-50. PDF Download. Download Page.
Lehmann JB, Lehmann CU, Kelly PJ (1998). Development and health
care needs of lesbians. Journal of Women's Health, 7(3), 379-87.
Lluy MA (1993). Factors related to alcohol use and preventive
health care practices in the lesbian community.
PH.D. Thesis, University
of South Carolina, DAI, Vol. 54-11B, p. 5947, 107 pages.
Lombardi EL, van Servellen G (2000). Building culturally sensitive
substance use prevention and treatment programs for transgendered populations.
Journal of Substance Abuse Treatment, 19(3): 291-6. Ingenta.com
McCabe SE, Boyd C, Hughes TL, d'Arcy H (2003). Sexual identity
and substance use among undergraduate students. Substance Abuse, 24(2):
McConaghy N, Buhrich N, Silove D (1994). Opposite sex-linked
behaviors and homosexual feelings in the predominantly heterosexual male
majority. Archives of Sexual Behavior, 23(5), 565-77. (A PubMed
McCuistion LE (1989). Alcohol and drug use among gay men. M.S.W.
Thesis, The University of Texas at Arlington, MAI, Vol. 28-04, p. 531,
McKirnan DJ, Vanable PA, Ostrow DG, Hope B (2001). Expectancies
of sexual "escape" and sexual risk among drug and alcohol-involved gay
and bisexual men. Journal of Substance Abuse, 13(1-2): 137-54. PubMed
McNall M, Remafedi G (1999).
Relationship of Amphetamine and
Other Substance Use to Unprotected Intercourse Among Young Men Who Have
Sex With Men. Archives of Pediatric and Adolescent Medicine, 153: 1130-1135.
Morgenstern J, Langenbucher J, Labouvie E, Miller KI (1997). The
comorbidity of alcoholism and personality disorders in a clinical population:
prevalence rates and relation to alcohol typology variables.
Journal of Abnormal Psychology, 106 (1), 74-84.
Mosbacher D (1993). Alcohol and Other Drug Use in Female Medical
Students: A Comparison of Lesbians and Heterosexuals. Journal of Gay
and Lesbian Psychotherapy, 2(1), 37-48. (A BUBL "abstract" link.
Must scroll to locate abstract.)
NALGAP (2002). Alcohol, Tobacco & Other Drug Problems &
Lesbian, Gay, Bisexual, Transgender (LGBT) Individuals. PDF
Nardi P (1982). Alcohol Treatment and the Non-Traditional "Family"
Structures of Gays and Lesbians. Journal of Alcohol and Drug Education,
27(2), 83-89. (Article availability given in ERIC "abstract" link.)
Nawyn SJ, Richman JA, Rospenda KM, Hughes TL (2000). Sexual identity
and alcohol-related outcomes: contributions of workplace harassment.
Journal of Substance Abuse, 11(3): 289-304. Ingenta.com
Niesen JH (1993). Parental Substance Abuse and Divorce as Predictors
of Injection Drug Use and High Risk Sexual Behaviors Known to Transmit
HIV. Journal of Psychology and Human Sexuality, 6(2), 29-49.
(A BUBL "abstract" link. Must scroll to locate abstract.)
Neisen JH (1992). Family history, high risk behaviors and human-
immunodeficiency virus (HIV) infection status in adult gay men with chemical
dependency problems. PH.D. Thesis, University of Minnesota, DAI, Vol.
53-07A, p. 2560, 162 pages.
Noell JW, Ochs LM (2001). Relationship of sexual orientation
to substance use, suicidal ideation, suicide attempts, and other factors
in a population of homeless adolescents. Journal of Adolescent Health,
Orenstein A (2001). Substance use among gay and lesbian adolescents.
Journal of Homosexuality, 41(2): 1-15. Summary
& Graphing of Results.
Parks CA (1997). Passing phases: a study of motivating and constraining
factors to lesbian alcohol use. PH.D. Thesis, Bryn Mawr College, The
Grad School of Social Work and Social Research, DAI, Vol. 58-05A, p. 1921,
Paul JP, Stall RD, Crosby GM, Barrett DC, Midanik LT (1994).
Correlates of sexual risk-taking among gay male substance abusers.
Pecoraro, Carmine ('2000'). Stressors and Treatment of Gay, Lesbian
and Bisexual Substance Abusers. PDF
Phelan JE (1998). Addiction and Recovery in Homosexuality. Journal
of Ministry in Addiction & Recovery, 5(1), 65-71. (A BUBL "abstract"
Pohl MI (1995). Chemical Dependency and HIV Infection. Journal
of Gay and Lesbian Social Services, 2(1), 15-28. (A BUBL "abstract" link.
Must scroll to locate abstract.)
Rawson RA, Anglin MD, Ling W (2002).Will the Methamphetamine
Problem Go Away? Journal of Addictive Diseases, Vol. 21(1): 5-19. PDF
Remafedi G, Farrow JA, Deisher RW (1991). Risk Factors
for Attempted Suicide in Gay and Bisexual Youth. Pediatrics, 87: 869-875.
Full Text. Full Text.
Robertson AE (1998). The mental health experiences of gay men:
a research study exploring gay men's health needs. Journal of Psychiatric
and Mental Health Nursing, 5(1), 33-40.
Rosario M, Hunter J, Gwadz M (1997). Exploration of substance
use among lesbian, gay, and bisexual youth: prevalence and correlates.
Journal of Adolescent Research, 12(4), 454-76.
Ross MW, Mattison AM, Franklin DR Jr (2003). Club drugs and sex
on drugs are associated with different motivations for gay circuit party
attendance in men. Substance Use and Misuse, 38(8): 1173-83.
Rostosky SS, Owens GP, Zimmerman RS, Riggle ED (2003). Associations
among sexual attraction status, school belonging, and alcohol and marijuana
use in rural high school students. Journal of Adolescence, 26(6): 741-51.
Russell ST, Driscoll AK, Truong N (2002). Adolescent same-sex
romantic attractions and relationships: implications for substance use
and abuse. American Journal of Public Health, 92(2): 198-202.
Full Text. Full Text.
Ryan CM, Huggins J, Beatty R (1999). Substance use disorders
and the risk of HIV infection in gay men. Journal of Studies in Alcoholism,
Saewyc EM, Bearinger LH, Heinz PA, Blum RW, Resnick MD (1998). Gender
differences in health and risk behaviors among bisexual and homosexual
adolescents. Journal of Adolescent health, 23(3):181-8. Full Text.
San-Giovanni D (1989). The association of drug use history with
neuropsychological status in gay men with AIDS. PH.D. Thesis, California
School of Professional Psychology, DAI, Vol. 50-08B, p. 3713, 134 pages.
Saulnier CF (1994). Alcohol problems and marginalization: social
group work with lesbians and black women.
PH.D. Thesis, University
of California, Berkeley, DAI, Vol. 56-05A, p. 1988, 348 pages.
Seage GR 3rd, Mayer KH, Wold C, Lenderking WR, Goldstein R, Cai B, Gross
M, Heeren T, Hingson R (1998). The social context of drinking, drug
use, and unsafe sex in the Boston Young Men Study. Journal of Acquired
Immune Deficiency Syndrome and Human Retrovirology, 17(4), 368-75.
MD, Beatty RL(2002). Older Lesbian, Gay, Bisexual, Older Lesbian,
Gay, Bisexual, and Transgender (LGBT) and Transgender (LGBT) Substance
Abuse Issues: Are They at Higher Risk for They
at Higher Risk for Substance Substance Abuse. University of Pittsburgh,
Graduate School of Public Health Department of Infectious Diseases and
Microbiology. PowerPoint Presentation: PDF
Download. APHA Conference Abstract.
Shernoff M (1997). So Many Drugs, So Little Time: When
Recreation Becomes Dependence. The New York Native, July 5, 1982. Revised
& Updated: 1997. Full
Shernoff M (1995). Counseling Chemically Dependent People With
HIV Illness. Published in The Second Decade of AIDS: A Mental
Health Practice Handbook edited by Walt Odets & Michael Shernoff,
New York: Hatherleigh Press, 1995.
Shernoff M, and Springer E (1992). Substance abuse and AIDS:
report from the front Lines (the impact on professionals). Published
in Lesbians and Gay Men: Chemical Dependency Treatment Issues, Ed. D. Weinstein.
Harrington Park Press, 1992.
Shernoff M, and Finnegan D (1991). Family Treatment with Chemically
Dependent Gay Men and Lesbians. The Journal of Chemical Dependency
Treatment, 4(1). Full
Shernoff M (1983). Nice boys and needles. New York Native,
Issue 74, Oct. 10, 1983. Full
Shiflin F, and Solis MS (1992). Chemical Dependency in Gay and
Lesbian Youth. Journal of Chemical Dependency Treatment, 5(1), 67-76.
(A BUBL "abstract" link. Must scroll to locate abstract.)
Skinner WF, and Otis MD (1996). Drug and alcohol use among lesbian
and gay people in a southern U.S. sample: epidemiological, comparative,
and methodological findings from the Trilogy Project. Journal
of Homosexuality, 30(3), 59-92.
Sorensen L, and Roberts SJ (1997). Lesbian uses of and satisfaction
with mental health services: results from Boston Lesbian Health Project.
Journal of Homosexuality, 33(1), 35-49. (A PubMed
Sullivan PS, Nakashima AK, Purcell DW, Ward JW (1998). Geographic
differences in noninjection and injection substance use among HIV-seropositive
men who have sex with men: western United States versus other regions.
Supplement to HIV/AIDS Surveillance Study Group. Journal of Acquired
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Tafoya T, and Roeder KR (1995). Spiritual Exiles in Their Own
Homelands: Gays, Lesbians, and Native Americans. Journal of Chemical
Dependency Treatment, 5(2), 179-197. (A BUBL "abstract" link. Must
scroll to locate abstract.)
Tao G (1995). Modifying high-risk sexual behaviors among gay
and bisexual adolescents: evaluation of an intervention program.
Thesis, University Of Minnesota, DAI Vol. 56:08B, p. 4273, 202 pages.
Travers R, and Schneider M (1996). Barriers to accessibility
for lesbian and gay youth needing addictions services. Youth &
Society, 27(3), 356-78. (Highlights. Paper's availability
given in ERIC abstract link.)
Tuite DR, and Luitan JW (1986). 16PF research into addiction
meta-analysis and extension. The International Journal of the Addictions,
Turner DC (1994). For the sake of male pleasure: gay identity,
HIV, grief and risky sex. PH.D. Thesis, University of California, Los
Angeles, DAI, Vol. 55-12A, p. 3900, 244 pages.
Wechgelaar H (1997). Homosexuality in Treatment. Addiction
Counselling World, September/October. Full
Welch S, Howden-Chapman P, Collings SC (1998). Survey of drug
and alcohol use by lesbian women in New Zealand. Addictive Behaviors,
Winters KC, Remafedi G, Chan BY (1996). Assessing drug abuse
among gay-bisexual young men. Psychology of Addictive Behaviors, 10(4),
Woody GE, Donnell D, Seage GR, Metzger D, Marmor M, Koblin BA, Buchbinder
S, Gross M, Stone B, Judson FN (1999). Non-injection substance use
correlates with risky sex among men having sex with men: data from
HIVNET. Drug Alcohol Dependence, 53(3), 197-205.
Wright LS, Fling S (1983). Perceptions of Self and Parents among
College Students of Different Sexual Orientations. Paper presented
at the Annual Convention of the Southwestern Psychological Association,
April, 1983). (The availability of the 20-page paper is given in the ERIC
JD (1995). Alcoholism and Addiction in Homosexuals: Etiology, Prevalence
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of paper titles & link to abstracts from PubMed.
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Papers, Articles, & Books
Bridget J, Lucille
S (1996). Lesbian youth support information services (LYSIS): developing
a distance support agency for young lesbians. Journal of Community
and Applied Social Psychology, 6(5), 355-64. (Abstract reprinted by
permission of The American
Abstract by authors: The Lesbian
Youth Support Information Service (LYSIS) was established in 1991 as a
result of research conducted into the needs and experiences of young lesbians.
This research found that young lesbians are vulnerable to mental health
problems, including depression, attempted suicide, self harming behaviours
and alcohol misuse, as well as isolation and social rejection. There were
also strong indications that young lesbians are most vulnerable when they
are coming to terms with their sexual orientation. LYSIS offers support
to young lesbians in four main ways: correspondence counselling; telephone
counselling; peer support; and information. LYSIS is part of an umbrella
organization, the Lesbian Information Service (LIS), which provides indirect
support for young lesbians including publishing, education and training,
projects and campaigning.
Bux DA (1996).
epidemiology of problem drinking in gay men and lesbians: a critical review.Clinical
Psychology Review, 16(4), 277-98.
Abstract by author:
This review examines research on the prevalence of problem drinking among
gays and lesbians, and discusses various theories as to the etiology of
drinking problems in this population. Early reports on alcohol problems
in this population suggested that gay men and lesbians were cat alarmingly
high risk for alcohol problems; however methodological flaws call these
results into question. More recent research suggests that gay men are not
at significantly higher risk for drinking heavily or for developing drinking
problems than heterosexual men. Problem drinking may exist at somewhat
higher rates among lesbians than among heterosexual women, although not
at the high rates reported in early studies. Both gay men and lesbians
appear to be less likely to abstain from alcohol than their heterosexual
counterparts. Numerous theories have been pro posed to explain the etiology
of problem drinking in this population, including subcultural phenomena,
self medication hypotheses, and social and cultural pressures. However,
none of these theories has more than minimal empirical support. Clinical
implications and recommendations for further research are discussed.
(Abstract reprinted by permission of The
American Psychological Association.)
DeGraaf R, VanWesenbeeck
I, VanZessen G, Straver CJ, Visser JH (1995). Alcohol and drug use
in heterosexual and homosexual prostitution, and its relation to protection
behavior. AIDS Care: Psychological and Socio-Medical Aspects of HIV/AIDS,
Abstract by authors: To assess
the prevalence and effects of alcohol and drug use in heterosexual and
homosexual commercial contacts, and the relationship between their use
and unsafe sexual behaviour, 127 female prostitutes, 27 male prostitutes,
91 clients of female prostitutes and 24 clients of male prostitutes were
interviewed face to face with the help of a semi structured questionnaire.
The respondents were living or working in different parts of The Netherlands.
Alcohol and drug use was found to be relatively common among prostitutes.
This was also so for the use of alcohol by clients, though to a lesser
extent. Prostitutes' consumption varied widely according to the type
of prostitution they were employed in. Those meeting their clients
in clubs or bars reported the highest consumption of alcohol; hard drugs
were used predominantly by street prostitutes. It appears that the
main effects of alcohol and drug use are on how the individual experiences
working as, or calling on, a prostitute, the social interaction between
the two parties, and the sexual contact itself. The common assumption
that drinking alcohol has negative effects on condom use was not borne
out; though female prostitutes working under the influence of drugs were
significantly more likely to report unsafe sex. The degree to which
commercial partners were judged to be under the influence of alcohol or
drugs was not found to bear upon the frequency of respondents' condom use.
For those prostitutes who use hard drugs, this use plays an important role
in their engaging in unsafe sexual activities. Prevention activities
should focus especially on this group, and should take into account the
role of such drug use.
Donovan C, McEwan
R (1995). A review of the literature examining the relationship
between alcohol use and HIV-related sexual risk-taking in young people.
Abstract by authors: Young
people have been targeted as a potentially vulnerable population for the
spread of HIV. The influence of alcohol on sexual behaviour is part of
popular knowledge. More recently, studies have attempted to illuminate
the relationship between alcohol use and sexual risk-taking in relation
to HIV transmission. In our review of the literature three important points
are highlighted for researchers in this area. First, methodological problems
make establishing any relationship extremely difficult. Secondly, the concept
of sexual risk-taking has to be developed to include acknowledgment of
the context in which sex takes place rather than defining risk only in
terms of sexual acts. Finally, populations of gay men and men who have
sex with men and lesbians are sufficiently different from heterosexuals,
with regard to the influence of alcohol on sexual behaviour, to make generalizations
about one population inappropriate for the other.
“…the relationship of young homosexual
people to HIV and that of gay men to HIV is likely to be fundamentally
different. Thus it is unrealistic to make assumptions about one group based
on evidence about the other (Weatherburn et al., 1993). Furthermore, studies
by Leigh (1990a; 1990b) and Gold et al., (1992) suggest that lesbians and
gay men, and young heterosexual people, use alcohol with sex in different
ways reflecting the different subcultures that these group of young people
move and socialize in.” (p. 326)
Ellison BJ, Downey
AB, Duesberg PH (1995). HIV as a surrogate marker for drug use:
a re-analysis of the San Francisco Men's Health Study. Genetica, 95(1-3),
Abstract by authors: Our analysis
of drug use and morbidity data from a cohort of 1034 men yields the following
results: 1) HIV infection is a strong indicator of drug use
HIV positive respondents reported an average lifetime dose of recreational
drugs (excluding marijuana) 2.3 times higher than HIV negative respondents.
2) Homosexuality is a strong indicator of drug use homosexual
respondents reported an average lifetime dose 2.0 times higher than heterosexual
respondents. 3) The incidence of AIDS defining diseases was not limited
to respondents infected with HIV, but was almost completely limited (98%)
to respondents who reported using drugs. We also address a previous report
(Ascher er al., 1993) that was based on the same database and purported
to show that HIV alone correlates with the development of AIDS. Specifically,
we show that the relationship between HIV infection and CD4+ T Cell loss
is weaker than reported by Ascher et al., and provides little evidence
for a causative relationship. These results support the hypothesis that
long term, habitual drug use can cause the conditions known as AIDS (independent
of the presence of HIV), and refute the hypothesis that HIV alone causes
these conditions independent of drug use.
Hall JM (1994).The
experiences of lesbians in Alcoholics Anonymous. Western Journal of
Nursing Research, 16(5):556-76.
Abstract by author: A feminist
ethnographic study of lesbians' experiences in recovery from alcohol problems
was done to understand from their perspectives how they identified alcohol
use as problematic, sought help, experienced health care interactions and
participation in Alcoholics Anonymous (AA), and maintained recovery. Through
community-based purposive sampling in San Francisco, 35 lesbians recovering
from alcohol problems participated in semistructured ethnographic interviews
of 2 hours duration, which were subsequently interpreted using ethnographic
coding, narrative analysis, and matrix analysis. A major finding was that
participation in AA was fraught with tension in three areas. Each tension
was defined by two poles of experience that appear to be in conflict. They
were assimilation versus differentiation, authority versus autonomy, and
false consciousness versus politicization. These tensions are elaborated
and supported by examples from the women's interviews. Nursing implications
regarding the role of AA in recovery for marginalized women are discussed.
“AA and other 12-Step programs are
valuable community resources; however, they can present real obstacles
for members of subcultural groups… Nurses need to be sensitive to the obstacles
that lesbians and women of color may experience in their first AA encounters,
providing anticipatory guidance, the opportunity for ventilation of concerns,
and support in exploring how these obstacles might be overcome.” (p. 571)
“AA only superficially includes culturally
distinct persons, without essentially changing its androcentric, ethnocentric,
and heterosexist value structure.” (p. 564)
Hughes TL, and Wilsnack SC (1994).
Research on lesbians and alcohol: gaps and implications. Alcohol
Health and Research World, 18 (3), 202-205. (No paper, no abstract)
Hughes TL, and
Wilsnack SC (1997). Use of alcohol among lesbians: research and
clinical implications. American Journal of Orthopsychiatry, 67
(1) : 20-36.
Abstract by authors: A review
of the literature on the prevalence of alcohol use and problems among lesbians
reveals that the few studies yielding information on this population are
beset by design and methodological problems, Those factors possibly associated
with higher risk status of lesbians are identified, as are gaps in the
literature, and implications for clinical practice and research are discussed.
Kus RJ, Ed (1995).
and Recovery in Gay and Lesbian persons. Haworth
Press. Also published in the Journal of Gay and Lesbian Social Services,
2(1), 1995. Link
to BUBL abstracts for papers listed below.
Paper titles: - Alcoholism
and Drug Abuse in Gay and Lesbian Persons: A Review of Incidence Studies.
- Chemical Dependency and HIV Infection. - Homophobia: The Heart of the
Darkness. - Dysfunctional Relationship Patterns: Positive Changes for Gay
and Lesbian People. - Spirituality and the Gay Community. - Special Interest
Groups in Alcoholics Anonymous: A Focus on Gay Men's Groups. The National
Association of Lesbian and Gay Alcoholism Professionals
(NALGAP): A Retrospective. - Referrals
and Resources for Chemically Dependent Gay and Lesbian Clients. -
Langenbucher J, Labouvie E, and Miller KI (1997). The comorbidity
of alcoholism and personality disorders in a clinical population: prevalence
rates and relation to alcohol typology variables. Journal of
Abnormal Psychology, 106 (1), 74-84.
Abstract by authors:
This study assessed prevalence rates and overlap among Diagnostic and Statistical
Manual of Mental Disorders (3rd ed., revised; DSM III R; American Psychiatric
Association, 1987) personality disorders in a multisite sample of 366 substance
abusers in treatment. In addition, the relation of antisocial personality
disorder (APD), borderline personality disorder (BPD), and paranoid personality
disorder (PPD) to alcohol typology variables was examined. Structured diagnostic
interviews and other measures were administered to participants at least
14 days after entry into treatment. Results indicated high prevalence rates
for APD and non APD disorders. There was extensive overlap between Axis
I disorders and personality disorders, and among personality disorders
themselves. APD, BPD, and PPD were linked to more severe symptomatology
of alcoholism and other clinical problems. However, only APD and BPD satisfied
subtyping criteria, after controlling for other comorbidity. Implications
for classifying alcoholics by comorbid disorders are discussed. (Abstract
reprinted by permission of The
American Psychological Association.)
57.9% meet criteria for at least
one PD. APD = 22.7%, men higher than women 27.5% vs 9.1%
BPD (borderline = 22.4%, P PD (paranoid)
More than one PD = >50%; 34.5% had
3 or more PDs.
NOTE: Differences given between males
and females, but sexual orientation not solicited. See 1985,6 paper “16PF”
for related problems.
Rosario M, Hunter
J, Gwadz M (1997). Exploration of substance use among lesbian,
gay, and bisexual youth: prevalence and correlates. Journal of Adolescent
Research, 12(4), 454-76.
Abstract by authors: The prevalence
and correlates of substance use and abuse were explored among lesbian gay
male, and bisexual youth recruited from gay focused organizations in New
York City. Lifetime substance use war prevalent and frequent, as was quantity
of use and substance abuse symptoms: Few significant gender or ethnic differences
emerged, but the significant differences unexpectedly indicated that the
female youth were at greater risk for substance abuse than the male youth.
Number of substances ever used and substance abuse symptoms were associated
with initiating alcohol and illicit drugs to cope with psychological issues.
However, number of substances ever used and substance abuse symptoms were
not explained by social learning theory, social control theory, or self
derogation theory when relations were explored. The findings are interpreted
from the perspective of sexual identity, specifically that gay, lesbian,
and bisexual youth may use substances to core with the societal stigma
Skinner WF, Otis
MD (1996). Drug and alcohol use among lesbian and gay people in
a southern U.S. sample: epidemiological, comparative, and methodological
findings from the Trilogy Project. Journal of Homosexuality,
30(3), 59-92. Access abstract via PubMed's
Medline. Place this "unique identifier number" - 96291630
- in SEARCH window.
Comment: Although Lifetime
use is noted, information was not reported about history of more intense
alcohol alcohol/drug use, nor about a history of treatment for abuse/addition.
Many gay and lesbian individuals may be in these categories.
Travers R, Schneider
M (1996). Barriers to accessibility for lesbian and gay youth needing
addictions services. Youth & Society, 27(3), 356-78.
Highlights: If bisexual, some
staff "insist that bisexuality did not exist."
"Thus, ironically, the addictions
treatment setting and service providers tended to both mirror and reinforce
the conditions that contributed to substance abuse in the first instance.
...In short, the participants in this study were denied, to a greater or
lesser extent, the same quality of service afforded to their heterosexual
counterparts specifically because of their sexual orientation." (p. 372)
Tuite DR, Luitan
JW (1986). 16PF research into addiction meta-analysis and extension.
The International Journal of the Addictions, 21(3), 287-323.
Abstract by authors: Meta-analysis
of 34 studies on Cattell's 16PF test reveals ragged egos (C-), guilt (O),
distrust (L), frustration (Q4), alienation (G-), vague identity (Q3-),
alarm (H-), resentment (Q1), quasi-autism (M), scattered intellect (B-),
grandiosity (E), autonomy (Q2), infantilism (I), avoidance (A-), and deviousness
(N). The aberrant scores on E, G, I, Q1, and Q2 discriminate addicts from
suicidals and the chronically ill or unemployed. We found nine types of
addicts in our developmental study of 83 members of Alcoholics Anonymous.
On the more stable second-order 16PF factors, 43% were highest on Autonomous,
37% on Desperate, 16% on Tough Poise, and 4% on Extravert. Profiles differed
more by sexual preference than by gender. Recidivism was highest among
homosexual men (38%) and the desperate (25%). Only the Fourth and Fifth
Steps of the AA program seem crucial to recovery. Treatment programs based
on these and tailored to sexual preference and the second-order personality
types seem highly advisable.
“Our own data indicate that categorizing
by gender may actually mask more differences which may be due to sexual
preferences and/or second-order personality type (Table 9). For example,
two-tail t tests (separate variances) found significant differences between
genders only on factor L (gullible-paranoid). But chi-square tests of the
sten distribution of hetero- versus homosexual males found a significant
difference on G (amoral-altruistic); and between straight versus lesbian
women on N (naïve-devious) and Q4 (serene-frustrated).” p. 305
Homosexual males more altruistic
than heterosexual males. Altruism level for homosexual males about the
same as heterosexual women. Altruism level for lesbians about the same
as heterosexual males.
Winters KC, Remafedi
G, Chan BY (1996). Assessing drug abuse among gay-bisexual young
men. Psychology of Addictive Behaviors, 10(4), 228-36.
Abstract by authors: The utility
of an adolescent drug abuse screening tool was explored in a sample (N
= 501) of young gay bisexual men at risk for HIV AIDS transmission. The
Personal Experience Screening Questionnaire (PESQ; K. C. Winters,. 1992)
revealed favorable evidence of internal consistency reliability (coefficient
alpha) and convergent validity with alternative measures of problem severity
and delinquency behaviors. Nearly 20% of the sample had scale scores in
the elevated range. The PESQ was highly associated with risky sexual behaviors,
including using drugs during sex, engaging in unprotected sex, sad having
multiple sex partners. Study results are discussed in terms of the content
and structural similarity of drug abuse among male gays bisexuals relative
of male heterosexuals and in terms of the need for early drug abuse intervention
for young gay bisexual men engaging in risky sexual behaviors.
McKirnan DJ, Peterson PL (1989).
and drug use among homosexual men and women: epidemiology and population
characteristics. Addictive Behaviors, 14(5), 545-53.
Abstract by authors: Homosexual
men and women have been described as at high risk for alcohol and drug
abuse, due to psychosocial variables such as stress levels or the cultural
importance of bar settings. However, there are few actual data in this
regard. This paper presents the findings of a large (n = 3400) survey of
a homosexual population regarding population characteristics and patterns
of alcohol and drug use. Psychosocial variables that may account for substance
use patterns both generally and in this population are discussed in an
accompanying paper. Substantially higher proportions of the homosexual
sample used alcohol, marijuana, or cocaine than was the case in the general
population. Contrary to other reports, this was not accompanied by higher
rates of heavy use, although homosexuals did show higher rates of alcohol
problems. In the general population women consume less drugs and alcohol
than do men, and substance use substantially declines with age. Neither
of these patterns were found for the homosexual sample, thus creating overall
higher rates of substance abuse. This may reflect differences between homosexuals
and the general population in their adherence to sex-role stereotypes and
age-related social role changes, as well as culturally specific stressors
and vulnerability to substance use.
NOTE: A history of alcohol or drug
abuse/treatment was not taken.
Hughes TL, Wilsnack SC (1997).
of alcohol among lesbians: research and clinical implications.
American Journal of Orthopsychiatry, 67 (1) : 20-36. (wrong title)
Abstract by authors: Clinical
studies have found elevated rates of childhood sexual abuse (CSA) in women
for alcohol or drug abuse, and elevated
rates of alcohol and drug disorders among female psychiatric patients with
histories of CSA. The present study examines the relationship of CSA to
women's use of alcohol and other drugs in a large, nationally representative
sample of U.S. women. Method: As part of a national survey of women's drinking,
1,099 women were asked about sexual experiences occurring before age 18.
Women who reported sexual experiences classified as abusive were compared
to women without histories of CSA on nine measures of substance use, self
perception of anxiousness, the occurrence of one or more lifetime depressive
episodes, five measures of sexual dysfunction, and early onset of masturbation
and consensual sexual intercourse. Results: Results of legit analyses,
controlling for age, ethnicity and parental education, indicated that women
with histories of CSA were significantly more likely than women without
CSA histories to report recent alcohol use, intoxication, drinking related
problems and alcohol dependence symptoms lifetime use of prescribed psychoactive
drugs and illicit drugs; depression and anxiety; pain that prevented intercourse;
and consensual sexual intercourse before age 15. Conclusions. Findings
from this U.S. national sample support those of previous clinical studies
and suggest that women's experience of sexual abuse in childhood may be
an important risk factor for later substance abuse, psychopathology and
sexual dysfunction. Implications of these findings for future research,
treatment and prevention are discussed.
Additional Information: A
review of the literature on the prevalence of alcohol use and problems
among lesbians reveals that the few studies yielding information on this
population are beset by design and methodological problems, Those factors
possibly associated with higher risk status of lesbians are identified,
as are gaps in the literature, and implications for clinical practice and
research are discussed.
TO, Mongeon JE, Eds. (1985). Alcoholism and Homosexuality. Also published
in the Journal of Homosexuality, Vol. 7(4), 1982.
Access the full references
& links to abstracts.
Paper titles: - Alcoholism
and homosexuality: a theoretical perspective. - Preventing alcohol abuse
in the gay community: toward a theory and model. - Alcoholics Anonymous
and the gay alcoholic. - A gay-identified alcohol treatment program: a
follow-up study. - Specific approaches and techniques in the treatment
of gay male alcohol abusers. - Counseling the homosexual alcoholic. - The
ties that bind: strategies for counseling the gay male co-alcoholic. -
Alcoholism and the homosexual community. - Who should be doing what about
the gay alcoholic? - Working together: the National Association of Gay
The development of these GLBT information web pages were made possible
through the collaboration of Richard Ramsay (Professor, Faculty of Social
Work, University of Calgary) and Pierre Tremblay (independent researcher,
writer, and GLBT children and youth advocate) who both recognize that often
needed social changes occur as the result of knowledge availability and
dissemination. Additional Information at: Warning,
Info-Pages were located at the University of Southampton from 2000
to 2003, this being the result of a collaboration with Dr. Chris Bagley,
of Social Work Studies, University of Southampton.
Graphics are compliments of Websight West. The Synergy Centre donated computer/Internet
time to facilitate the construction of this GLBT information site. Both
are owned by a Chris Hooymans, a friend, and former publisher of a gay
& lesbian magazine in Calgary, Alberta, Canada. Chris continues to
offer his expertise whenever needed and he has supplied, free of charge,
the hosting of the site - Youth
Suicide Problems: A Gay / Bisexual Male Focus - at which a smaller
Education Section - and the Internet Resource Page for this subject
time was also supplied by Rick Reist & Glenn Lynas, and Glenn also
supplied other forms of assistance.
Many thanks to Wendy Stephens from The
Department of Communications Media, University
of Calgary. She communicated with publishers of many academic
journals (an ongoing time-consuming process) for permission to reproduce
abstracts from papers and studies on these GLBT information web pages.
information made available on this web page does not represent all the
relevant information available on the Internet, nor in professional journals
and in other publications.
This web page was constructed to supply a spectrum of information for individuals
seeking to understand one or more of the many gay, lesbian, bisexual,
queer and transgender issues.