ArticleChild abuse & neglect2023
Adolescent substance use at the intersections of foster care, sexual orientation and gender identity, racial/ethnic identity, and sex assigned at birth.
Article in Child abuse & neglect, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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
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Who cites it
4 citing papers in PubMed.
- The Human Rights Challenges Experienced by Queer Youth in Out-of-Home Care: A Systematic Scoping Review.Trauma, violence & abuse · 2026Article
- Disparities in sleep among diverse adolescents in two large statewide samples: A need for intersectional interventions.Sleep health · 2025Article
- Patterns of substance use among adolescents in and out of foster care: An analysis of linked health and child welfare administrative data.Child abuse & neglect · 2023Article
- Alcohol and psychoactive substance use in a cohort of children followed by child protection in France.Frontiers in psychiatry · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundLesbian, gay, bisexual, transgender, queer and questioning (LGBTQ) youth are overrepresented in foster care and report greater substance use during adolescence.
objectiveUsing an intersectional lens, the current study investigates differences in foster care placement and variation in substance use at the intersections of foster care and sexual orientation, gender identity, racial/ethnic identities, and sex assigned at birth. PARTICIPANTS AND SETTINGS: A sample of 121,910 LGBTQ youth (grades 6-12) completed either the Minnesota Student Survey in 2019, the California Healthy Kids Survey from 2017 to 2019, or the 2017 LGBTQ National Teen Study.
methodsYouth reported their substance use in the past 30 days (alcohol, binge drinking, cigarette, marijuana), social positions (sexual orientation, gender identity, racial/ethnic identities, sex assigned at birth), living arrangement (foster care or not), and grade in school. Logistic regression was used to examine the main and interaction effects of foster care and social positions on youth substance use.
resultsResults indicated significant differences in substance use at the intersection of foster care placement and youth social positions. Significant two-way interactions for foster care placement and social positions emerged predicting alcohol, binge drinking, and marijuana use.
conclusionsFindings show that LGBTQ youth in foster care are at higher risk for substance use than those not in foster care. Particular support is needed for lesbian, gay, and questioning youth, transgender youth, LGBTQ youth assigned male at birth, and Asian or Pacific Islander LGBTQ youth in foster care.
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