Monday, July 14, 2025

Bisexual Patients in LA Health System Face Elevated Cannabis Use and Mental Health Challenges

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A recent study conducted within a Los Angeles university health system has unveiled significant disparities in cannabis use and mental health diagnoses among sexual minority individuals. Focusing on nearly 10,000 patients who identified as lesbian, gay, or bisexual, researchers analyzed electronic health records from June 2020 to May 2023 to uncover critical trends and associations.

Cannabis Use Among Sexual Minorities

Findings indicate that bisexual individuals, both male and female, exhibit a higher propensity for cannabis use compared to their gay and lesbian counterparts. Specifically, bisexual females were 1.67 times more likely, and bisexual males were 1.47 times more likely to use cannabis during the past three months. These elevated odds suggest a need for targeted interventions within primary care settings to address substance use in this population.

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Mental Health Correlates and Cannabis Dependency Risks

The study also revealed that bisexual males are particularly at risk, showing a 1.86-fold increase in depression diagnoses and a 1.48-fold rise in the likelihood of developing cannabis use disorder (CUD) compared to gay males. Additionally, bisexual females reported a 2.44 times higher incidence of severe stress diagnoses than gay or lesbian females, highlighting the intricate link between mental health challenges and substance use within these groups.

  • Bisexual individuals are more likely to use cannabis as a coping mechanism for mental health symptoms.
  • The intersection of sexual identity and gender plays a crucial role in the risk of developing CUD.
  • Primary care providers must integrate mental health and substance use assessments tailored to bisexual patients.

The correlation between increased cannabis use and mental health disorders among bisexual patients underscores the complexity of healthcare needs in sexual minority populations. Bisexual individuals may experience unique stressors, such as stigma and discrimination, which contribute to both substance use and mental health challenges.

This study emphasizes the necessity for healthcare systems to implement comprehensive screening and support mechanisms that specifically address the intertwined nature of mental health and substance use in bisexual patients. By recognizing these distinct patterns, primary care providers can better tailor their approaches to effectively support the well-being of all sexual minority individuals.

Addressing the heightened risks faced by bisexual patients not only improves individual health outcomes but also fosters a more inclusive and responsive healthcare environment. Future research should continue to explore the nuanced experiences of sexual minorities to inform policies and practices that mitigate health disparities and promote equitable care for all.

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