Lesbian, Gay, and Bisexual Behavioral Health: Results from the 2021 and 2022 National Surveys on Drug Use and Health presents data on key substance use and mental health indicators by sexual identity and gender among adults aged 18 or older in the United States. Estimates are based on pooled data from the 2021 and 2022 National Surveys on Drug Use and Health (NSDUH) and are age-adjusted to facilitate comparisons between groups.