?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F31075%2F&rft.title=Detecting%2C+explaining%2C+and+reducing+substance+use%2Cmental+health%2C+and+violence+inequities+for+sexual+and+gender+minority+youth+and+emerging+adults&rft.creator=Coulter%2C+Robert&rft.description=This+dissertation+extended+the+existing+scientific+literature+concerning+the+detection%2C+explanation%2C+and+reduction+of+substance+use%2C+mental+health%2C+and+violence+victimization+inequities+for+sexual+and+gender+minority+(SGM)+youth+and+emerging+adults+(people+aged+less+than+18+years+and+18-25+years%2C+respectively).+This+dissertation+aimed+to%3A+(1)+estimate+sexual-orientation+differences+in+longitudinal+alcohol+use+trajectories+(AUTs)+and+alcohol+use+disorders+(AUDs)+during+emerging+adulthood%2C+and+test+whether+AUTs+mediated+sexual-orientation+differences+in+AUDs%3B+(2)+investigate+sexual-orientation+differences+in+typologies+of+familial+and+non-familial+warmth+during+childhood+and+adolescence%2C+and+test+whether+these+differences+mediated+sexual-orientation+differences+in+AUTs+and+AUDs+during+emerging+adulthood%3B+and+(3)+systematically+review+the+peer-reviewed+scientific+literature+on+interventions+and+their+efficacy+in+preventing+or+reducing+substance+use%2C+mental+health+problems%2C+and+violence+victimization+among+SGM+youth.+In+Aim+1%2C+this+dissertation+found+that+several+sexual-minority+subgroups+had+higher+odds+of+belonging+to+heavier+AUTs+than+completely+heterosexuals.+These+differences+partially+explained+the+higher+risk+of+AUDs+among+sexual-minority+women+but+not+among+sexual-minority+men.+In+Aim+2%2C+sexual-minority+women+were+less+likely+to+report+having+familial+and+non-familial+warmth+during+childhood+and+adolescence%2C+which+partially+explained+why+they+have+greater+risk+of+AUDs.+However%2C+there+were+fewer+sexual-orientation+differences+in+warmth+for+men%2C+and+these+did+not+explain+the+sexual-orientation+differences+in+AUTs+and+AUDs+for+men.+In+Aim+3%2C+this+dissertation+found+that+6+interventions+were+evaluated+among+SGM+youth+for+reducing+mental+health+problems%2C+1+for+substance+use%2C+and+0+for+violence+victimization+in+the+extant+scientific+literature.+In+conclusion%2C+this+dissertation+used+the+life-course+perspective+to+advance+research+concerning+the+detection+and+explanation+of+sexual-orientation+inequities+in+AUTs+and+AUDs+during+emerging+adulthood.+This+dissertation+also+found+significant+gaps+in+intervention+research+for+SGM+youth.+Without+more+evidence-based+interventions%2C+SGM+youth+and+emerging+adults+will+likely+continue+to+experience+health+inequities+in+substance+use%2C+mental+health%2C+and+violence+victimization+across+the+life+course.+Despite+the+major+advances+in+public+health+research+on+SGM+populations%2C+intervention+research+is+sorely+lacking%E2%80%94but+essential%E2%80%94for+SGM+youth+and+emerging+adults+to+achieve+health+equity.&rft.date=2017-06-29&rft.type=University+of+Pittsburgh+ETD&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.language=en&rft.identifier=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F31075%2F1%2FDissertation_Coulter_4_2017.pdf&rft.identifier=++Coulter%2C+Robert++(2017)+Detecting%2C+explaining%2C+and+reducing+substance+use%2Cmental+health%2C+and+violence+inequities+for+sexual+and+gender+minority+youth+and+emerging+adults.++Doctoral+Dissertation%2C+University+of+Pittsburgh.++++(Unpublished)++