ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2021
Developmental Differences in Sexual Orientation and Gender Identity-Related Substance Use Disparities: Findings From Population-Based Data.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A meta-analysis of sexual orientation inequities in substance use among youth.Addiction (Abingdon, England) · 2026Pooled it
- Estimation of Sexual and Gender Diversity Among People Aged 15 Years and Older in Japan: A Descriptive Epidemiological Study Using a Nationwide Cross-Sectional Internet Survey.Archives of sexual behavior · 2026Observational
- Beliefs About Toxic Interactions Between Alcohol and PrEP Predict Less Initiation and More Discontinuation: Results from the RADAR Cohort Study.AIDS and behavior · 2026Article
- Experiences in Gender-Sexuality Alliances and School-Based Victimization Show Limited Differences in Alcohol Use Among Sexual and Gender Minority Adolescents.Journal of studies on alcohol and drugs · 2026Article
- Substance use and sexual orientation among adolescents: Differences by age group and sex in the 2023 National Survey of Drug Use and Health.The American journal on addictions · 2026Article
- Differences in Substance Use and Mental Health by Sexual Identity Among U.S. Adolescents and Young Adults.LGBT health · 2026Article
- What Is Known about Substance Use in Hawai'i: A Scoping Review.Hawai'i journal of health & social welfare · 2026Article
- How do substance and polysubstance use trajectories differ by sexual attraction from ages 17 to 24? A community-based longitudinal cohort study in Switzerland.BMJ public health · 2026Article
- Planned versus Unplanned Daily Substance Use among Sexual Minority Youth: The Moderating Role of Social Norms.Clinical psychological science : a journal of the Association for Psychological Science · 2025Article
- Mental Health and Substance Use Disparities by Sexual Orientation and Gender Identity Among Delaware Youth.Delaware journal of public health · 2025Article
- An ecological momentary assessment study of predictors for alcohol outcomes in transgender and gender diverse youth.Alcohol, clinical & experimental research · 2025Article
- Examining tobacco use at the intersection of gender, sexual orientation, race, and ethnicity using national U.S. data of sexual and gender diverse youth.Addictive behaviors · 2025Article
- Sex-specific differences in brain activity dynamics of youth with a family history of substance use disorder.Nature. Mental health · 2025Article
- A Higher Education: Age, Sex, and Sexual Orientation as Indicators of Positive Cannabis Use Consequences Among College Students.Substance use & misuse · 2025Article
- Association between gender diversity and substance use experimentation in early adolescents.Drug and alcohol dependence · 2024Article
- Psychosocial Syndemic Burden, Sexual Behaviors, and Engagement in HIV Prevention Care Among Sexual and Gender Minority Youths: United States, 2022.American journal of public health · 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
- Doomscrolling: Prospective associations between daily COVID news exposure, internalizing symptoms, and substance use among sexual and gender minority individuals assigned female at birth.Psychology of sexual orientation and gender diversity · 2024Article
- Oppression-Based Stress and Alcohol Inequities Among Sexual and Gender Minority People: An Intersectional Multilevel Framework.Alcohol research : current reviews · 2024Review
- Parental openness and communication regarding cannabis and alcohol use with their children.The American journal on addictions · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
purposeDespite well-established substance use disparities between sexual and gender minority adolescents and their heterosexual, cisgender peers, there remain questions about whether there are developmental differences in the onset and progression of these disparities across adolescence. These perspectives are critical for prevention efforts. We therefore estimate age-based patterns of five substance use behaviors across groups of adolescents defined by sexual orientation and gender identity (SOGI).
methodsData are from the 2013-2015 cycles of the California Healthy Kids Survey (N = 634,454). Substance use was assessed with past 30-day e-cigarette use, combustible cigarette use, alcohol use, heavy episodic drinking, and marijuana use. Two- and three-way interactions were used to assess differences in age-specific prevalence rates of each substance by (1) sex and sexual identity; and (2) gender identity.
resultsAcross all substances, SOGI differences in past 30-day use were present by age 12 years. Most disparities persisted to age 18 years and older. SOGI disparities in combustible and e-cigarette use were wider in late adolescence. Analyses by sexual identity show that sexual minority girls reported the highest rates of substance use across age, followed by sexual minority boys.
conclusionsSOGI differences in substance use emerged in early adolescence and appeared to persist and accelerate by late adolescence. Sexual minority girls had the highest rates of substance use across all ages. The findings underscore the urgent need for screening and prevention strategies to reduce substance use for sexual and gender minority youth.
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Registered trials
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