ReviewTransgender health2025
Transgender and Gender-Diverse Minority Stress and Substance Use Frequency and Problems: Systematic Review and Meta-Analysis.
Review in Transgender health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed.
- Latent profiles of mental health and care barriers among heterosexual and sexual minority adolescents.Israel journal of health policy research · 2026Article
- Identifying dominant factors that impact hazardous alcohol use among sexual and gender minority groups.Addictive behaviors reports · 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
- Post-operative outcomes for transmasculine and nonbinary individuals who received top surgery as minors.International journal of transgender health · 2026Article
- Subjective personal and collective benefits of alcohol use in UK trans and gender diverse communities: a cross-sectional survey.Alcohol and alcoholism (Oxford, Oxfordshire) · 2025Article
- Opioid Use Among Individuals in Intimate Relationships.Couple & family psychology · 2025Article
- Pronouns in English: a user's guide.Nature reviews. Urology · 2025Article
- Gender Minority Stressors, Hopelessness, and Their Associations with Internalizing and Externalizing Mental Health Outcomes in a Hungarian Trans Adult Sample.Archives of sexual behavior · 2025Article
- Rising transphobia and disparities in drug-related harm experienced by transgender and gender-diverse people.Harm reduction journal · 2025Review
- Using a Sober Curious Framework to Explore Barriers and Facilitators to Helping Sexual Minority Women Reduce Alcohol-Related Harms: Protocol for a Descriptive Study.JMIR research protocols · 2025Article
- "Seeing the balance in the two worlds in which I exist": Latinx trans and nonbinary individuals' experiences of within-culture gender minority stress and resilience.Journal of counseling psychology · 2025Article
- Relationships between structural stigma, societal stigma, and minority stress among gender minority people.Scientific reports · 2025Article
- Shortcomings of transgender identity concealment research: a scoping review of associations with mental health.International journal of transgender health · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The goal of this preregistered study was to systematically review and meta-analyze quantitative research examining relationships between minority stress (distal stress, expectations of gender-based rejection, concealment of gender identity, and internalized transphobia) and substance use (alcohol use frequency and problems, and drug use frequency and problems) in transgender and gender-diverse (TGD) samples. Searches of PsycInfo, MEDLINE, Gender Studies, and LGBTQ+ Source databases were conducted for quantitative articles that included effect sizes for cross-sectional associations between TGD-based minority stress and substance use outcomes. Random-effects meta-analyses were used to compute effect sizes for 16 minority stressor-substance use variable pairs. Moderator analyses were conducted for publication year and proportion of the sample assigned female sex at birth, identified as Black, Indigenous, or people of color (BIPOC), or identified as a sexual minority. Thirty-six studies with 76 effect sizes were included. Significant correlations were observed for relationships between distal stress and alcohol use frequency (
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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.