ArticleDrug and alcohol dependence2020
Association of transphobic discrimination and alcohol misuse among transgender adults: Results from the U.S. Transgender Survey.
Article in Drug and alcohol dependence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Interventions to Reduce Alcohol Use and HIV Risk among Sexual and Gender Minority Populations: a Systematic Review.Current HIV/AIDS reports · 2023Pooled it
- Prevalence of elevated mental health symptoms, hazardous alcohol and other drug use, and their co-occurrence across sexual and gender identity in a national probability sample.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026Article
- Identifying dominant factors that impact hazardous alcohol use among sexual and gender minority groups.Addictive behaviors reports · 2026Article
- Exploring alcohol use and harm reduction techniques among transgender and gender diverse youth in Canada: A qualitative study.International journal of transgender health · 2026Article
- Alcohol Use, Cannabis Use, and Discrimination by Sexual Orientation and Gender Identity Within theLGBT health · 2026Article
- Intersectional discrimination and alcohol problems among transfeminine people of color: The moderating role of financial instability.Journal of health psychology · 2026Article
- Impact of structurally transphobic policy environment on harmful alcohol and substance use among transgender and nonbinary adults.Scientific reports · 2025Article
- Transphobia in the United Kingdom: a public health crisis.International journal for equity in health · 2025Article
- Rising transphobia and disparities in drug-related harm experienced by transgender and gender-diverse people.Harm reduction journal · 2025Review
- The Relationship Between Anti-Transgender Experiences (A Proxy for Minority Stress) and Heavy Alcohol Use Among Transgender Adults.Behavioral sciences (Basel, Switzerland) · 2025Article
- Transgender and Gender-Diverse Minority Stress and Substance Use Frequency and Problems: Systematic Review and Meta-Analysis.Transgender health · 2025Review
- Binge drinking in American Indian Alaskan Native college attending students.Ethnicity & health · 2025Article
- Shortcomings of transgender identity concealment research: a scoping review of associations with mental health.International journal of transgender health · 2025Review
- Epidemiological dynamics and molecular characteristics of HIV-1 among transgender women in the Central-West region of Brazil.Frontiers in public health · 2025Article
- How Experiences of Stigma and Discrimination at Various Points in the Queer Life Course Interrelate with Alcohol Use: Views from Sexually and Gender Diverse Youth.International journal of environmental research and public health · 2024Article
- Participant diversity in ACER: 2010-2022.Alcohol, clinical & experimental research · 2024Article
- Daily and Momentary Associations Between Gender Minority Stress and Resilience With Alcohol Outcomes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Article
- Oppression-Based Stress and Alcohol Inequities Among Sexual and Gender Minority People: An Intersectional Multilevel Framework.Alcohol research : current reviews · 2024Review
- "I Think Providers See Trans People as Unstable Patients": Exploring Substance Use Communication Experiences of Transgender and Gender Diverse Adults During Primary Care Encounters.Psychology of sexual orientation and gender diversity · 2023Article
- Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 3 countries.
Funding
Abstract
backgroundAlcohol misuse remains a leading preventable risk factor for morbidity and mortality in the United States. Evidence suggests that alcohol misuse is more prevalent among transgender populations. This study examined the association between transphobic discrimination and alcohol use/misuse among a large sample of transgender people.
methodsUsing the 2015 U.S. Transgender Survey (N = 27,715), logistic regression models were conducted to estimate the adjusted odds ratios (AOR) and 95 % confidence intervals (CI) of current alcohol use, past-month binge drinking (≥1 occasion of consuming ≥5 alcoholic beverages within the past month), and past-month frequent binge drinking (≥5 occasions of binge drinking within the past month) among transgender people.
resultsOf the respondents, 60.4 % reported current alcohol use, 24.3 % reported past-month binge drinking, and 8.5 % reported past-month frequent binge drinking. The majority (70.1 %) had experienced some form of past-year transphobic discrimination. Experiencing 3+ forms of transphobic discrimination was significantly associated with past-month binge drinking (AOR = 1.49, 95 % CI = 1.37-1.62) and past-month frequent binge drinking (AOR = 1.57, 95 % CI = 1.37-1.79) than individuals who did not experience transphobic discrimination. Persons who cross-dress showed higher odds of current alcohol use (AOR = 1.52, 95 % CI = 1.32-1.74), past-month binge drinking (AOR = 2.51, 95 % CI = 2.21-2.85), and past-month frequent binge drinking (AOR = 4.13, 95 % CI = 3.45-4.94) than transgender women. Discrimination within public spaces and housing domains had the most robust associations with alcohol misuse.
conclusionsExperiencing transphobic discrimination increased the odds of alcohol misuse among transgender people. Stakeholders and providers should be cognizant of the multifaceted nature of transphobic discrimination as unique social stressors that many transgender persons experience.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.