Drug and Alcohol Dependence Reports,
Journal Year:
2023,
Volume and Issue:
8, P. 100185 - 100185
Published: Aug. 18, 2023
Sexual
and
gender
minority
(SGM)
people
are
more
likely
than
their
cisgender,
heterosexual
counterparts
to
report
negative
alcohol-related
outcomes.
Although
the
association
between
individual-
interpersonal-level
stressors
outcomes
among
SGM
is
well-established,
structural-level
understudied.
This
systematic
review
examined
stigma
inform
future
research,
interventions,
policy.
We
used
five
electronic
databases
search
for
studies
published
January
2010
May
2022
that
associations
structural
alcohol
use
adults
in
United
States.
Peer-reviewed,
quantitative
available
English
were
included.
conducted
quality
appraisal
using
Joanna
Briggs
Institute
checklist.
The
final
sample
included
11
studies.
Overall,
there
was
moderate
strong
support
a
positive
people,
with
differences
by
gender,
sexual
identity,
race,
ethnicity.
All
cross-sectional
designs,
nearly
half
utilized
non-probability
samples.
Transgender
nonbinary
of
color,
identity
subgroups
beyond
gay,
lesbian,
underrepresented.
Structural
most
commonly
measured
as
state-level
index.
Alcohol
measures
heterogeneous.
Multilevel
resiliency
factors
Addressing
critical
reducing
inequities
people.
Research
needed
includes
probability
samples,
longitudinal
samples
reflect
diversity
Future
should
examine
influence
multilevel
on
International Review of Psychiatry,
Journal Year:
2022,
Volume and Issue:
34(3-4), P. 292 - 359
Published: May 19, 2022
Several
lines
of
evidence
indicate
the
prevalence
mental
health
disorders
in
Transgender
(TG)
individuals
is
higher
than
that
cisgender
or
general
population.
In
this
systematic
review,
we
aim
to
propose
a
summary
some
most
significant
research
investigating
disorders'
among
We
performed
double-blind
review
using
Preferred
Reporting
Items
for
Systematic
Reviews
and
Meta-analyses
reporting
(PRISMA)
on
PUBMED/MEDLINE
SCOPUS,
specifically
peer-reviewed
articles
examining
status
transgender
individuals.
This
did
not
exclude
any
based
publication
date.
The
last
search
was
February
2022.
employed
strategy
led
selection
165
articles.
majority
these
papers
presented
cross-sectional
design
with
self-reported
diagnoses
symptoms,
signaling
amongst
TG
Individuals.
Of
reviewed
articles,
72
examined
mood
anxiety
disorders;
8
eating
43
suicidal
self-harm
ideation
behaviors;
5
trauma
stress-related
10
frequency
personality
44
substance
use
9
autism
spectrum
disorder.
Finally,
22
studies
reported
diagnosed
co-morbid
unspecified
disorders.
Our
findings
coincide
existing
research,
which
indicates
do
experience
population
However,
further
needed
address
gaps
knowledge.
Annual Review of Public Health,
Journal Year:
2021,
Volume and Issue:
43(1), P. 503 - 523
Published: Dec. 9, 2021
Transgender
(trans)
communities
in
the
USA
and
globally
have
long
organized
for
health
social
equity
but
only
recently
gained
increased
visibility
within
public
health.
In
this
review,
we
synthesize
evidence
demonstrating
that
trans
adults
are
affected
by
disparities
physical
mental
access
to
care,
relative
cisgender
(nontrans)
persons.
We
draw
on
theory
data
situate
these
their
contexts,
explicating
roles
of
gender
affirmation,
multilevel
intersectional
stigmas,
policies
reproducing
or
ameliorating
disparities.
Until
recently,
were
largely
made
invisible
exclusionary
collection
practices.
highlight
importance
of,
methodological
considerations
for,
collecting
inclusive
sex
data.
Moving
forward,
recommend
routine
identity
data,
an
emphasis
intervention
research
achieve
equity,
policy
advocacy,
investment
supporting
gender-diverse
leadership.
Brain Sciences,
Journal Year:
2022,
Volume and Issue:
12(3), P. 366 - 366
Published: March 10, 2022
(1)
Background:
This
meta-analysis
aimed
to
assess
the
relationship
between
identifying
as
transgender
and
substance
use.
(2)
Methods:
We
searched
for
relevant
studies
in
PubMed,
Scopus,
Web
of
Science,
PsycINFO
on
21
July
2021.
(3)
Results:
Twenty
comparing
cisgender
people
were
included
this
work,
accounting
a
total
2,376,951
participants
(18,329
whom
transgender).
These
articles
data
current
tobacco
use,
use
disorder,
alcohol
lifetime
(all)
(excluding
alcohol),
specific
substances
including
cocaine,
amphetamines,
methamphetamines,
ecstasy,
stimulants,
heroin,
opiates,
cannabis,
marijuana,
LSD,
hallucinogens,
steroids,
inhalants,
sedatives,
Ritalin
or
Adderall,
diet
pills,
cold
medicine,
prescription
medications,
polysubstance,
other
club
drugs,
illegal
drugs),
disorder
alcohol).
used
ORs
their
95%
CIs
state
association
those
variables.
The
control
reference
category
all
cases
was
cisgender.
employed
random-effects
model.
Transgender
more
likely
(odds
ratio
(OR)
=
1.65;
CI
[1.37,
1.98]),
have
throughout
lives
(OR
1.48;
[1.30,
1.68]),
present
1.79;
[1.54,
2.07]).
When
general
tobacco,
alcohol,
disorders
specifically
considered,
likelihood
did
not
differ
from
that
people.
(4)
Conclusions:
presence
Considering
population
consumers
addicted
may
be
prejudice
perpetuates
stigma.
Nonetheless,
substances,
but
alcohol.
Hypothetically,
might
an
emotional
regulation
strategy,
maladaptive
mechanism
coping
with
traumatic
experiences,
could
respond
minority
stress,
produced
by
stigma,
prejudice,
discrimination,
harassment.
It
is
particular
importance
implement
policies
against
discrimination
stigmatisation
adapt
prevention
treatment
services
so
they
are
inclusive
2SLGBTQIA+
community.
Frontiers in Endocrinology,
Journal Year:
2023,
Volume and Issue:
14
Published: March 13, 2023
Introduction
The
objective
of
this
research
is
to
provide
national
estimates
the
prevalence
health
condition
diagnoses
among
age-entitled
transgender
and
cisgender
Medicare
beneficiaries.
Quantification
burden
across
sex
assigned
at
birth
gender
can
inform
prevention,
research,
allocation
funding
for
modifiable
risk
factors.
Methods
Using
2009–2017
fee-for-service
data,
we
implemented
an
algorithm
that
leverages
diagnosis,
procedure,
pharmacy
claims
identify
beneficiaries
stratify
sample
by
inferred
gender:
trans
feminine
nonbinary
(TFN),
masculine
(TMN),
unclassified.
We
selected
a
5%
random
individuals
comparison.
descriptively
analyzed
(means
frequencies)
demographic
characteristics
(age,
race/ethnicity,
US
census
region,
months
enrollment)
used
chi-square
t-tests
determine
between-
(transgender
vs.
cisgender)
within-group
differences
(e.g.,
TMN,
TFN,
unclassified)
difference
in
demographics
(p<0.05).
then
logistic
regression
estimate
examine
within-
between-group
predicted
probability
25
conditions,
controlling
age,
enrollment
length,
region.
Results
analytic
included
9,975
(TFN
n=4,198;
TMN
n=2,762;
unclassified
n=3,015)
2,961,636
(male
n=1,294,690,
female
n=1,666,946)
majority
samples
were
between
ages
65
69
White,
non-Hispanic.
largest
proportion
from
South.
On
average,
had
more
than
individuals.
In
adjusted
models,
aging
TFN
or
highest
each
studied
relative
males
females.
all
other
groups.
Discussion
These
findings
document
disparities
key
Future
application
these
methods
will
enable
study
rare
anatomy-specific
conditions
hard-to-reach
populations
interventions
policies
address
documented
disparities.
Substance Abuse Treatment Prevention and Policy,
Journal Year:
2024,
Volume and Issue:
19(1)
Published: Jan. 3, 2024
Abstract
Background
Lesbian,
gay,
bisexual,
transgender,
queer,
and
other
LGBTQ
populations
(LGBTQ+;
e.g.,
asexual
individuals)
have
higher
rates
of
substance
use
(SU)
disorders
(SUD)
compared
to
heterosexual
cisgender
populations.
Such
disparities
can
be
attributed
minority
stress,
including
stigma
discrimination
in
healthcare
settings.
LGBTQ+-affirming
SU
treatment
related
services
remain
limited.
The
purpose
this
exploratory
qualitative
descriptive
study
was
characterize
LGBTQ+
people’s
experiences
recommendations
for
LGBTQ+-
affirming
care.
Methods
We
conducted
demographic
surveys
(characterized
using
statistics)
individual
interviews
with
N
=
23
people.
employed
flexible
coding
a
thematic
analysis
approach
describe
participants’
stigma,
discrimination,
support
within
at
the
patient-,
staff-,
organizational-level;
participant
how
make
such
LGBTQ+-affirming.
highlighted
components
stress
mitigators
adverse
responses
throughout
our
analysis.
Results
Patient-level
included
bullying,
name-calling,
sexual
harassment,
physical
distancing
from
peers;
via
community-building
peers.
Staff-level
denial
services,
misgendering,
lack
intervention
peer
assumptions
about
sexuality;
staff
advocacy
patients,
holistic
models,
openly
staff.
Organizational-level
binary
gendered
program
structures;
programs
gender-affirming
groups
housing,
visual
cues
(e.g.,
rainbow
flags)
Stigma
led
processes
like
identity
concealment
coping
relapse;
facilitated
engagement
retention.
Recommendations
care
non-discrimination
policies,
LGBTQ+-specific
programming,
hiring
staff,
routine
sensitivity
training,
gender-inclusive
structures.
Conclusions
people
experience
services;
supportive
is
vital
reducing
barriers
promoting
positive
health
outcomes.
current
offers
concrete
deliver
care,
which
could
reduce
drug
overdose
mortality
overall.
Demography,
Journal Year:
2022,
Volume and Issue:
59(3), P. 1023 - 1043
Published: May 12, 2022
Abstract
Few
studies
have
analyzed
mortality
rates
among
transgender
(trans)
populations
in
the
United
States
and
compared
them
to
of
non-trans
populations.
Using
private
insurance
data
from
2011
2019,
we
estimated
age-specific
all-cause
a
subset
trans
people
enrolled
10%
randomly
selected
cohort.
Overall,
found
that
were
nearly
twice
as
likely
die
over
period
their
counterparts.
When
stratifying
by
gender,
key
disparities
within
populations,
with
on
feminine
nonbinary
spectrum
being
at
greatest
risk
males
females.
While
masculine
similar
overall
females,
rate
was
statistically
smaller
than
males.
These
findings
provide
evidence
some
experience
substantially
different
conditions
across
life
course
necessitate
further
study.
British Journal of General Practice,
Journal Year:
2023,
Volume and Issue:
73(732), P. e486 - e492
Published: June 5, 2023
Background
Transgender
and
gender
diverse
(TGD)
individuals
experience
an
incongruence
between
their
assigned
birth
sex
identity.
They
may
have
a
higher
prevalence
of
health
conditions
associated
with
cancer
risk
than
cisgender
people.
Aim
To
examine
the
several
factors
among
TGD
compared
individuals.
Design
setting
A
cross-sectional
analysis
was
conducted
using
data
from
UKs
Clinical
Practice
Research
Datalink
to
identify
19882020,
matched
20
men
women
on
index
date
(date
diagnosis
incongruence),
practice,
age
(age
at
date).
Assigned
determined
gender-affirming
hormone
use
procedures,
sex-specific
diagnoses
documented
in
medical
record.
Method
The
each
factor
calculated
ratio
by
identity
estimated
log
binomial
or
Poisson
regression
models
adjusted
for
year
study
entry,
obesity
where
appropriate.
Results
There
were
3474
transfeminine
(assigned
male
birth)
individuals,
3591
transmasculine
female
131
747
men,
827
women.
Transmasculine
people
had
highest
(27.5%)
ever
smoking
(60.2%).
Transfeminine
dyslipidaemia
(15.1%),
diabetes
(5.4%),
hepatitis
C
infection
(0.7%),
B
(0.4%),
HIV
(0.8%).
These
estimates
remained
elevated
populations
persons
multivariable
models.
Conclusion
Multiple
are
more
prevalent
Future
research
should
how
minority
stress
contributes
increased
this
population.
Journal of Medical Internet Research,
Journal Year:
2025,
Volume and Issue:
27, P. e65452 - e65452
Published: March 6, 2025
Background
Transgender
and
gender
diverse
(TGD)
individuals
are
disproportionately
impacted
by
suicidal
thoughts
behaviors
(STBs),
intersecting
demographic
psychosocial
factors
may
contribute
to
STB
disparities.
Objective
We
aimed
identify
associated
with
increased
risk
for
ideation,
intent,
plan,
attempts
in
the
US
transgender
population
health
survey
(N=274),
determine
age
of
onset
each
outcome
using
conditional
inference
trees
(CITs),
which
iteratively
partitions
subgroups
greater
homogeneity
respect
a
specific
outcome.
Methods
In
separate
analyses,
we
restricted
variables
those
typically
available
within
electronic
medical
records
(EMRs)
then
included
not
EMRs.
also
compared
results
CIT
analyses
logistic
regressions
Cox
proportional
hazards
models.
Results
younger
adults
endorsed
more
frequent
ideation
planning.
Adults
aged
≤26
years
who
identified
as
Black
or
another
race
listed
had
highest
followed
White,
Latine,
multiracial
≤39
sexual
minority
individuals.
suicide
Increased
intent
was
observed
among
multiracial,
whereas
no
were
previous
attempts.
EMR-specific
identity,
such
that
women
older
men
nonbinary
when
they
first
experienced
ideation;
attempts,
than
men.
expanded
including
additional
variables,
psychiatric
distress
High
combined
high
care
stereotype
threat
linked
Only
everyday
discrimination
lifetime
Ages
identity
intersection
drug
use
planning,
alone
No
variable
set.
The
analysis
traditional
comparable
ordinal
outcomes,
but
CITs
substantially
outperformed
outcomes.
Conclusions
this
preliminary
test
approach
TGD
risk,
primarily
influenced
age,
racial
well
distress,
threat,
discrimination.
Identifying
STBs
is
vital
early
detection
This
should
be
tested
on
larger
scale
EMR
data
facilitate
service
provision
at
STBs.