Persisting inequalities in past-year drug use by sexual identity: trends across England's 2007, 2014 and 2024 Adult Psychiatric Morbidity Surveys

Introduction Sexual minority people experience disproportionate discrimination and minority stress, contributing to poorer health and health-related behaviours, including drug use. Increasing drug potency and adulteration may heighten associated harms. UK evidence on sexual identity inequalities in drug use is dated, and whether inequalities have changed over time is unclear. Methods Adult Psychiatric Morbidity Surveys 2007 (N=7403), 2014 (N=7546) and 2024 (N=6912) provide repeated cross-sectional probability samples of the household population of England. Weighted prevalence of past-year drug

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