Surveys at a Massachusetts high school used multiple items to identify gay,
lesbian, and bisexual teenagers. Students with consistent homosexual prefe
rences had greatly elevated rates of substance use. Those who displayed a h
omosexual preference but answered less consistently also had somewhat highe
r rates of substance use but were closer to heterosexual youths than to mor
e consistent homosexual youths. The differences in substance use were least
for alcohol use and greater for "hard" drugs. (C) 2001 by The Haworth Pres
s, Inc. All rights reserved.