ArticlePsychiatry research2023
Prevalence of substance use and mental health problems among transgender and cisgender U.S. adults: Results from a national probability sample.
Article in Psychiatry research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 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
32 citing papers in PubMed, 46 citations in OpenAlex.
- Mental Health, Gender Dysphoria, and Quality of Life in Trans Individuals Following Top Surgery: Protocol for a Prospective Cohort Study.JMIR research protocols · 2026Article
- A Comparison of Post-Traumatic Stress and Depressive Symptoms by Suicidal Ideation Among Black Transgender Women.Research in nursing & health · 2026Article
- 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
- At-Risk Substance Use Among Trans and Gender Diverse Adults in Australia: Findings From the Private Lives 3 Survey.Drug and alcohol review · 2026Article
- A Daily Diary Study of Discrimination and Substance Use in Transgender and Nonbinary Adults.Psychology of sexual orientation and gender diversity · 2026Article
- Behavioral Health Assessments and Surgical Readiness Letters for Gender-affirming Surgery: Current Literature, Standards of Care, and Practical Guidance.Current psychiatry reports · 2026Review
- Provider Trust in a Sample of Transgender Latinas in the US South.Health behavior and policy review · 2026Article
- Healthcare experiences and barriers as predictors of suicidal thoughts and behaviors among transgender adults: an elastic net regression analysis.Social psychiatry and psychiatric epidemiology · 2026Article
- Kidney Health and Gender-Affirming Hormone Therapy for Transgender and Gender Diverse Individuals.Clinical journal of the American Society of Nephrology : CJASN · 2026Review
- Gender-affirming health care needs, barriers to care, and health and wellbeing in a broad nationwide sample of transgender people in Norway.BMC public health · 2025Article
- Advances in biomonitoring technologies for women's health.Nature communications · 2025Review
- From rejection by others to affirmation of self: Understanding the dynamics of cissexism-based stress, resilience factors, and suicidal ideation among bi+ transgender and gender diverse adults.Psychology of sexual orientation and gender diversity · 2025Article
- Mental Health Outcomes AmongInternational journal of environmental research and public health · 2025Review
- Experiences of Transformation: The Challenges of Gender Transition for Transgender Women in Pakistan.Archives of sexual behavior · 2025Article
- The Association Between Sexual Violence and Suicidal Ideation Among Transgender Women and the Role of Gender-Affirming Healthcare Providers in Seven Urban Areas in the United States, 2019 to 2020.Journal of interpersonal violence · 2025Article
- Navigating the Maze: Caregiver Perspectives on Pathways to Mental Health Care for U.S. Youth at Clinical High Risk for Psychosis.Early intervention in psychiatry · 2025Article
- Avoidant/restrictive food intake disorder (ARFID) symptoms in gender diverse adults and their relation to autistic traits, ADHD traits, and sensory sensitivities.Journal of eating disorders · 2025Article
- Investigating mental health disparities in rural sexual and gender minority adults: protocol for the rural exploration and approaches to LGBTQ + Mental Health (REALM) prospective cohort study.BMC public health · 2025Article
- Exposure to intimate partner violence and subsequent substance use among a nationwide sample of LGBTQIA+ people: results of The PRIDE Study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- Prevalence and Correlates of Nonsuicidal Self-Injury Among Transgender People: Results from a U.S. Probability Sample.Psychology of sexual orientation and gender diversity · 2025Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
Transgender individuals experience numerous health disparities relative to cisgender individuals. However, most transgender-health studies have focused on convenience samples with limited generalizability. This study utilized data from the 2016-2018 TransPop Study, the first national probability sample of transgender adults (n=274) with a cisgender comparison sample (n=1162). Using multivariable logistic regression, adjusted for demographics, we compared the prevalence of hazardous drinking, problematic drug use, serious psychological distress, suicidality, and non-suicidal self-injury between transgender and cisgender individuals and among transgender men (n=78), transgender women (n=120), and transgender nonbinary individuals (n=76). Among transgender individuals, 28.2% (95%CI 21.2-35.2) and 31.2% (95%CI 23.8-38.7) reported hazardous drinking and problematic drug use, respectively; 44.4% (95% CI 35.8-53.0) reported recent suicidal ideation, 6.9% (95% CI 2.3-11.5) reported a recent suicide attempt, and 21.4% (95% CI 14.5%-28.4%) reported recent non-suicidal self-injury. In their lifetime, 81.3% (95%CI 75.1-87.5) of transgender respondents had suicidal ideation, 42.0% (95%CI 34.2-49.8) had attempted suicide, and 56.0% (95% CI 48.2-63.8) reported non-suicidal self-injury. Most (81.5%; 95%CI 75.5-87.5) had utilized formal mental health care and 25.5% (95%CI 18.5-32.4) had sought informal mental health support. There were no differences in alcohol or drug-use outcomes between transgender and cisgender adults. Compared to cisgender adults, transgender adults had higher odds of serious psychological distress (aOR=3.1; 95%CI 1.7-5.7), suicidal ideation (recent: aOR=5.1, 95%CI 2.7-9.6); lifetime: aOR=6.7, 95%CI 3.8-11.7), lifetime suicide attempts (aOR=4.4, 95%CI 2.4-8.0), and non-suicidal self-injury (recent: aOR=13.0, 95%CI 4.8-35.1); lifetime: aOR=7.6, 95%CI 4.1-14.3). Transgender nonbinary adults had the highest odds for all outcomes, including substance use outcomes. Findings from these national probability samples support those of earlier convenience-sample studies showing mental health disparities among transgender adults relative to cisgender adults, with nonbinary individuals at highest risk. These findings also highlight variations in risk across sub-groups of transgender individuals.
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