Abstract While a disproportionately large percentage of sexual minorities engage in illicit drug use, little research has specifically examined factors related to cocaine use among bisexual men and women. The present study sought to identify the potential association between affective/emotive states and previous substance use and lifetime cocaine use among a national sample of bisexual men and women. A secondary analysis of the 2017 National Survey on Drug Use and Health was conducted among 1,989 adults aged older than 18 years in the United States who identified as bisexual. One in five (20.5%) reported lifetime cocaine use. Significant factors included age, previous use of illicit substances, and feeling low/tired nearly every day. Feeling worthless was associated with a lower likelihood of lifetime cocaine use. Recommendations (e.g., focus groups, behavioral maintenance programs) for health professionals aimed at reducing substance abuse rates among sexual minority individuals are highlighted.

中文翻译：

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让它下雪：双性恋成年人中与可卡因使用相关的心理社会因素和以前的药物滥用

摘要 虽然性少数群体中有不成比例的大量使用非法药物，但很少有研究专门研究与双性恋男性和女性使用可卡因相关的因素。本研究旨在确定全国双性恋男性和女性样本中情感/情绪状态与既往物质使用和终生可卡因使用之间的潜在关联。对 2017 年全国药物使用和健康调查的二次分析是在美国 1,989 名被确定为双性恋的 18 岁以上成年人中进行的。五分之一 (20.5%) 报告终生使用可卡因。重要因素包括年龄、以前使用过非法药物以及几乎每天都感到低落/疲倦。感觉一文不值与终身使用可卡因的可能性较低有关。建议（例如，