Evidence map›Paper›PMID 40618293›Full record

ArticleAlcohol, clinical & experimental research2025

An ecological momentary assessment study of predictors for alcohol outcomes in transgender and gender diverse youth.

Sarah S Dermody, Stephanie M Penta, Theodore Forest Quinn, Alexandra Uhrig, Jeffrey D Wardell, Trevor A Hart, Christian S Hendershot, Elizabeth Saewyc, Alex Abramovich

Abstract read
In one paragraph

Article in Alcohol, clinical & experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Sarah S DermodyDepartment of Psychology, Toronto Metropolitan University, Toronto, Ontario, Canada.ORCID 0000-0003-4998-6803
Stephanie M PentaDepartment of Psychology, Toronto Metropolitan University, Toronto, Ontario, Canada.
Theodore Forest QuinnDepartment of Psychology, Toronto Metropolitan University, Toronto, Ontario, Canada.
Alexandra UhrigDepartment of Psychology, Toronto Metropolitan University, Toronto, Ontario, Canada.
Jeffrey D WardellDepartment of Psychology, York University, Toronto, Ontario, Canada.ORCID 0000-0001-9792-280X
Trevor A HartDepartment of Psychology, Toronto Metropolitan University, Toronto, Ontario, Canada.ORCID 0000-0001-5107-7452
Christian S HendershotDepartment of Population and Public Health Sciences and Institute for Addiction Science, Keck School of Medicine, University of Southern California, California, Los Angeles, USA.
Elizabeth SaewycSchool of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.
Alex AbramovichInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.

Funding

Canadian Institute of Health Research AI3 180919
6 · The paper itself

Abstract

BACKGROUND AND

aimsThis study examined how gender minority stressors and resilience experienced by transgender and gender diverse (TGD) youth relate to daily and momentary occurrences of alcohol use risk processes (e.g., alcohol craving, drinking motives, and distress), alcohol use, and alcohol-related harms. The feasibility of ecological momentary assessment (EMA) was evaluated.

methodsForty TGD youth (mean 22.42 years [SD = 3.03]; range 18-29) completed a baseline interview followed by 21 days of EMA. Daily morning surveys assessed stressors and resilience, alcohol risk processes, use and harms experienced "yesterday" and twice-daily random surveys assessed most of these experiences in the "past 30 min" or "right now."

resultsUsing multilevel models, at the daily (within-person) level, gender minority stressors were significantly related to increased alcohol use (incidence rate ratio (IRR) = 1.16, 95% confidence interval [CI]: 1.03-1.32), drinking to cope (B = 0.16, 95% CI: 0.06-0.26), psychological distress (B = 0.19, 95% CI: 0.03-0.35) and alcohol craving (B = 0.05, 95% CI: 0.01-0.10), but not alcohol harms or negative affect. At the momentary (within-person) level, gender minority stress was associated with increased drinking to cope (B = 0.76, 95% CI: 0.51-1.01), alcohol craving (B = 0.43, 95% CI: 0.31-0.55), and negative affect (B = 2.17, 95% CI: 1.31-3.02). Daily resilience was also associated with increased alcohol use (IRR = 1.32, 95% CI: 1.15-1.52), but not craving or negative affect. Momentary resilience was associated with reduced drinking to cope (B = -0.56, 95% CI: -0.88, -0.23) and negative affect (B = -0.52, 95% CI: -0.81, -0.23), but not craving. Adherence rates and participants' ratings about study acceptability were favorable.

conclusionsGender minority stressors are a risk factor for same-day alcohol use. Resilience factors may be associated with increased alcohol use through other mechanisms (e.g., drinking for social or conformity reasons). Interventions to reduce TGD youth's alcohol use should address gender minority stressors and support TGD youth to cope with these stressors.

Indexed as

Alcohol DrinkingEcological Momentary AssessmentSexual and Gender MinoritiesTransgender PersonsAdolescentAdultCravingFemaleHumansMaleResilience, PsychologicalStress, PsychologicalYoung Adultalcoholgender diverseminority stressresiliencetransgenderyoung adultsyouth

Identifiers

PMID40618293
PMCPMC12285917

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LicenceCC BY-NC-ND
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Registered trials

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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.