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Demographic Differences Among Adults and Emerging Adults With, Without, and in Recovery from Alcohol and Other Drug Use Disorders.

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Title: Demographic Differences Among Adults and Emerging Adults With, Without, and in Recovery from Alcohol and Other Drug Use Disorders.
Authors: Kelly, Lourah M. (AUTHOR), Flori, Jessica N. (AUTHOR), Sabella, Kathryn A. (AUTHOR), Zajac, Kristyn (AUTHOR)
Source: Substance Use & Misuse. 2026, Vol. 61 Issue 6, p818-828. 11p.
Subjects: Substance abuse, Cross-sectional method, Sexual orientation, Secondary analysis, Statistical significance, Research funding, Sex distribution, Logistic regression analysis, Age distribution, Descriptive statistics, Race, Odds ratio, Convalescence, Alcoholism, Sociodemographic factors, Public health, Sexual minorities, Data analysis software, Adults
Abstract: Background: Nearly two thirds of adults who have experienced a substance use disorder (SUD) are in recovery. Differences in recovery from SUD remain understudied. We examined demographic characteristics related to SUD and recovery in a nationally representative sample. Methods: Data were from the 2021 National Survey of Drug Use and Heath (unweighted N = 44,877). Binary logistic regressions compared demographic groups' odds of past-year SUD and lifetime recovery from SUD among adults and emerging adults (ages 18–25). Results: Among all adults, 17.2% reported past-year SUD and 8.4% reported being in recovery. Multiracial, Native American, and White adults had higher odds of SUD and recovery than other groups (ORs = 1.30–5.91). Bisexual and gay/lesbian adults had higher odds of SUD and recovery than heterosexual adults (ORs = 1.67–2.99). Older groups had lower odds of SUD (ORs = 0.42–0.78) and higher odds of recovery than emerging adults (ORs = 1.91–2.68). Men had higher odds of SUD (OR = 1.57) and recovery (OR = 1.75) than women. Among emerging adults, Native American and White adults had higher odds of SUD than other groups (ORs = 1.27–4.09). Multiracial, Hispanic, and White had higher odds of recovery than other groups (ORs = 1.61–4.81). Bisexual (OR = 2.25) and gay/lesbian (OR = 1.42) emerging adults had higher odds of SUD; bisexual emerging adults (OR = 2.76) had higher odds of recovery than heterosexual peers. Among emerging adults, men had higher odds of SUD than women (OR = 1.37). Conclusions: Findings suggest demographic differences in SUD and recovery. Results underscore disparities in SUD outcomes that have important implications for changes in public health strategies and individualized treatment and recovery support services. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Demographic Differences Among Adults and Emerging Adults With, Without, and in Recovery from Alcohol and Other Drug Use Disorders.
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  Data: <searchLink fieldCode="AR" term="%22Kelly%2C+Lourah+M%2E%22">Kelly, Lourah M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Flori%2C+Jessica+N%2E%22">Flori, Jessica N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sabella%2C+Kathryn+A%2E%22">Sabella, Kathryn A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zajac%2C+Kristyn%22">Zajac, Kristyn</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2026, Vol. 61 Issue 6, p818-828. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+orientation%22">Sexual orientation</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+significance%22">Statistical significance</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Alcoholism%22">Alcoholism</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+minorities%22">Sexual minorities</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Nearly two thirds of adults who have experienced a substance use disorder (SUD) are in recovery. Differences in recovery from SUD remain understudied. We examined demographic characteristics related to SUD and recovery in a nationally representative sample. Methods: Data were from the 2021 National Survey of Drug Use and Heath (unweighted N = 44,877). Binary logistic regressions compared demographic groups' odds of past-year SUD and lifetime recovery from SUD among adults and emerging adults (ages 18–25). Results: Among all adults, 17.2% reported past-year SUD and 8.4% reported being in recovery. Multiracial, Native American, and White adults had higher odds of SUD and recovery than other groups (ORs = 1.30–5.91). Bisexual and gay/lesbian adults had higher odds of SUD and recovery than heterosexual adults (ORs = 1.67–2.99). Older groups had lower odds of SUD (ORs = 0.42–0.78) and higher odds of recovery than emerging adults (ORs = 1.91–2.68). Men had higher odds of SUD (OR = 1.57) and recovery (OR = 1.75) than women. Among emerging adults, Native American and White adults had higher odds of SUD than other groups (ORs = 1.27–4.09). Multiracial, Hispanic, and White had higher odds of recovery than other groups (ORs = 1.61–4.81). Bisexual (OR = 2.25) and gay/lesbian (OR = 1.42) emerging adults had higher odds of SUD; bisexual emerging adults (OR = 2.76) had higher odds of recovery than heterosexual peers. Among emerging adults, men had higher odds of SUD than women (OR = 1.37). Conclusions: Findings suggest demographic differences in SUD and recovery. Results underscore disparities in SUD outcomes that have important implications for changes in public health strategies and individualized treatment and recovery support services. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/10826084.2025.2577281
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 818
    Subjects:
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Sexual orientation
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Statistical significance
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      – SubjectFull: Research funding
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      – SubjectFull: Sex distribution
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      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Age distribution
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Race
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      – SubjectFull: Odds ratio
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      – SubjectFull: Sexual minorities
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Adults
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    Titles:
      – TitleFull: Demographic Differences Among Adults and Emerging Adults With, Without, and in Recovery from Alcohol and Other Drug Use Disorders.
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            NameFull: Kelly, Lourah M.
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              Text: 2026
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              Y: 2026
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