Concern for Gay, Lesbian, and Bisexual (GLB) adolescents has led to research assessing substance use among this population. The purpose of this review was to conduct a comprehensive review of the literature and examine substance use in GLB adolescents as well as the factors that are related to this use. Limitations of current research include problematic sampling, classification of sexual minorities, definition discrepancies, gender and diversity differences, and the interpretation of ages for adolescents. There is still a need to establish if GLB adolescents are in fact at a higher risk of substance use then their heterosexual counterparts. To achieve this, the sample of GLB adolescents needs to be more specific when looking at substance use in GLB youth. Further, such studies need to specifically assess substance use only, not in relation to other risk factors.
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