ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2022
Substance Use Behaviors Among LGBTQ+ Youth of Color: Identification of the Populations Bearing the Greatest Burden in Three Large Samples.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 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
- The Prevalence of Poor Behavioral Health Among University Students by Gender, Sexual Orientation, and Racial Identity: The Role of Discrimination and Microaggressions.International journal of environmental research and public health · 2026Article
- School Climate and Sleep Duration Among Adolescents at the Intersection of Multiple Social Positions.Journal of adolescence · 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
- Regular cannabis use and promotive attitudes among diverse adolescents in the United States: The role of age and intersecting social positions.Drug and alcohol dependence · 2025Article
- Adolescent health and the intersectionality of ethnicity/race, sex, and sexual orientation: A national probability sample from the Adolescent Brain Cognitive Development study.Developmental psychology · 2025Article
- Substance Use Prevalence Among Transgender and Gender Diverse Young Adults Across Identity and Life Experiences.Annals of LGBTQ public and population health · 2025Article
- Discomfort with asking the police for help: Patterns among 8Child & youth services · 2025Article
- Disparities in sleep among diverse adolescents in two large statewide samples: A need for intersectional interventions.Sleep health · 2025Article
- Transgender and Gender-Diverse Minority Stress and Substance Use Frequency and Problems: Systematic Review and Meta-Analysis.Transgender health · 2025Review
- Barriers, facilitators, and best practices for successful vaping prevention campaigns for sexual and gender minority youth.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- Alcohol Use Among Asian American Sexual and Gender Diverse Youth Enrolled in 9Substance use & misuse · 2025Article
- An analysis of intersectional disparities in alcohol consumption in the US.Social science & medicine (1982) · 2024Article
- Embracing Diversity Under the Latine LGBTQ+ Umbrella: Uniting in Public Health Advocacy.American journal of public health · 2024Article
- Multiple Discrimination and Substance Use Intention in Late Childhood: Findings From the Adolescent Brain Cognitive Development (ABCD) Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Interpersonal protective factors for LGBTQ+ youth at multiple intersecting social identities and positions.Annals of LGBTQ public and population health · 2024Article
- Bias-based bullying, self-esteem, queer identity pride, and disordered eating behaviors among sexually and gender diverse adolescents.The International journal of eating disorders · 2024Article
- Unaccompanied unstable housing among racially, ethnically, sexually, and gender diverse youth: Intersecting identities bearing the greatest burden.The American journal of orthopsychiatry · 2024Article
- Oppression-Based Stress and Alcohol Inequities Among Sexual and Gender Minority People: An Intersectional Multilevel Framework.Alcohol research : current reviews · 2024Review
- Emotional Distress Disparities Across Multiple Intersecting Social Positions: The Role of Bias-Based Bullying.Pediatrics · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeResearch has identified persistent disparities in alcohol, e-cigarette, and marijuana use, by sexual orientation, gender identity, and race/ethnicity. Using an intersectionality framework, the present study analyzes three large datasets to identify intersecting social positions bearing the highest burden of substance use.
methodsData from adolescents in grades 9-12 in three samples (2019 Minnesota Student Survey, 2017-2019 California Healthy Kids Survey, and 2017 National Teen Survey) were harmonized for an analysis (N = 602,470). A Chi-squared Automatic Interaction Detection analysis compared the prevalence of four types of substance use across all combinations of four social positions (six racial/ethnic identities, five sexual orientations, three gender identities, and two sexes assigned at birth). For each substance, 10 intersectional groups with the highest prevalence of use were examined.
resultsIn the full sample, 12%-14% of participants reported past 30-day alcohol, e-cigarette, or marijuana use and 7% reported past 30-day binge drinking. Several intersecting marginalized social positions were consistently found to bear a high burden of substance use. For example, transgender and gender diverse (TGD) Latina/x/o young people, particularly those assigned male at birth, were in the high prevalence groups for alcohol use, binge drinking, and marijuana use. Black TGD or gender-questioning youth were commonly in the high prevalence groups. DISCUSSION: Findings suggest that support, resources, and structural changes specifically tailored to youth with multiple marginalized identities (especially TGD) may be needed. The results argue for intersectional efforts that explicitly address racial/ethnic and cultural differences, while also integrating awareness and understanding of sexual and gender diversity.
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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.