The Intersections Between Sexual Orientation, Latine Ethnicity, Social Determinants of Health, and Lifetime Suicide Attempts in a Sample Being Assessed for Entry to Co-Occurring Mental Health and Substance Use Disorder Treatment.

Journal: Journal of primary care & community health

Volume: 15

Issue: 

Year of Publication: 2024

Affiliated Institutions:  University of Denver, Denver, CO, USA. Community-Led Solutions, LLC, Boston, MA, USA. Casa Esperanza, Inc., Roxbury, MA, USA. Brandeis University, Waltham, MA, USA.

Abstract summary 

Few studies have examined the relationship between the intersections of lesbian, gay, and bisexual (LGB) sexual orientation, Latine ethnicity, and lifetime suicide attempts in Latine individuals with substance use disorder. This study examines this intersection and controls for social determinants of health, mental health disorder symptoms, and substance use disorder symptoms in a sample of Latine adults entering treatment for co-occurring disorders.Bivariate statistics and multivariate logistic regression were used to analyze assessment data (n = 360) from a bilingual/bicultural integrated behavioral health system serving Latine communities in Massachusetts to examine the relationship between sexual orientation, Latine ethnicity, and history of lifetime suicide attempts. We controlled for social determinants of health, mental health disorders, and substance use disorder (SUD) factors significantly associated with lifetime suicide attempts at the bivariate level.Over 27% of the sample and 35% of Puerto Ricans (PR) reported lifetime suicide attempts. The logistic regression identified that PR clients were 78% more likely to have attempted suicide in a lifetime compared to non-PR clients. Clients identifying as LGB were 3.2 times more likely to report having attempted suicide in their lifetime compared to heterosexual clients. Unemployed clients were 2.4 times more likely to report having attempted suicide in their lifetime compared to employed clients.Findings identify high rates of lifetime suicide attempts among LGBs and PRs entering SUD treatment. Targeted outreach and treatment efforts designed to address intersectionality for this underserved population are needed.

Authors & Co-authors:  Modeste-James Fitzgerald Stewart De Jesus Canuto Guzman Mateo D'lppolito Lundgren

Study Outcome 

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Statistics
Citations :  Centers for Disease Control and Prevention. Web-based Injury Statistics Query and Reporting System (WISQARS): Fatal injury data, leading causes of death reports 1981- 2019. 2019. Accessed August 22, 2023. https://www.cdc.gov/injury/wisqars/fatal.html
Authors :  9
Identifiers
Doi : 21501319241240425
SSN : 2150-1327
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Latine ethnicity;intersectionality;lifetime suicide attempts;social determinants of health;substance use disorder
Study Design
Study Approach
Country of Study
Publication Country
United States