ArticleHealth education & behavior : the official publication of the Society for Public Health Education2021
Adolescent Gender Identity, Sexual Orientation, and Cannabis Use: Potential Mediations by Internalizing Disorder Risk.
Article in Health education & behavior : the official publication of the Society for Public Health Education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The trial behind it
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Who cites it
10 citing papers in PubMed.
- Adolescent cannabis use and psychological distress from 2013 to 2023: A population-based study in Ontario, Canada.Addiction (Abingdon, England) · 2026Article
- Disparities in Exposure to Cannabis Marketing and Perceptions of Inequalities in Possession Treatment: Differences Across Intersections of Sociodemographic Subgroups.Journal of racial and ethnic health disparities · 2026Article
- Exploring Factors Shaping Tobacco and Marijuana Use Among Sexual Minority Adolescents.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- LGBT-THC: A Systematic Review of Psychosocial Mechanisms Linking Minority Stressors and Cannabis Use among Sexual and Gender Minoritized Individuals.Current addiction reports · 2024Article
- Association between gender diversity and substance use experimentation in early adolescents.Drug and alcohol dependence · 2024Article
- "To smoke feels gender": Exploring the transformative and emancipatory capacities of cannabis among transgender, non-binary and gender non-conforming (TGNC) youth.The International journal on drug policy · 2024Article
- Exploring differences in substance use behaviours among gender minority and non-gender minority youth: a cross-sectional analysis of the COMPASS study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024Article
- Mental ill-health and substance use among sexuality diverse adolescents: The critical role of school climate and teacher self-efficacy.The Australian and New Zealand journal of psychiatry · 2024Article
- Cannabis Practices Among a Gender-Diverse Sample of Young Adults.Drug and alcohol dependence reports · 2022Article
- A Review of Disparities in Cannabis Use and Cannabis Use Disorder Affecting Sexual and Gender Minority Populations and Evidence for Contributing Factors.Current addiction reports · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND/
aimsAdolescents who identify as nonbinary gender or as not heterosexual report higher levels of mental illness than their counterparts. Cannabis use is a commonly employed strategy to cope with mental illness symptoms among adolescents; however, cannabis use can have many deleterious health consequences for youth. Within the frame of minority stress theory, this study investigates the relationships between gender identity and sexual orientation, internalizing disorder symptoms, and cannabis use among adolescents.
methodA national cross-sectional survey of a generalizable sample of high school students in Canada from the 2017 wave (
resultsIndirect effects in all models show significantly higher levels of reported internalizing disorder symptoms for female (OR = 3.44, 95% CI [2.84, 4.18]) and nonbinary gender (OR = 3.75, 95% CI [2.16, 6.51]) compared with male students. Sexual minority adolescents had higher odds of internalizing disorder risk relative to non-sexual minority adolescents (OR = 3.13, 95% CI [2.63, 3.74]). Students who reported higher rates of internalizing disorder symptoms were more likely to have ever used cannabis. Patterns of partial mediation are also present among all groups. DISCUSSION/
conclusionsFindings can be used to better inform mental health interventions for adolescents. Future study should explore specific mental health stressors of vulnerable adolescent groups with respect to cannabis use as a coping mechanism.
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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.