ArticlePrevention science : the official journal of the Society for Prevention Research2026
Characterizing Alcohol and Cannabis Co-use and Related Harms Among Transgender and Gender Diverse Youth.
Article in Prevention science : the official journal of the Society for Prevention Research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
5 authors.
Funding
Abstract
Transgender and gender diverse (TGD) youth are at increased risk of co-using alcohol and cannabis and experiencing related harms due to gender minority stress (GMS). This study aimed to characterize alcohol and cannabis co-use and related harms among TGD youth. Forty Canadian TGD youth who drink completed a 21-day ecological momentary assessment (EMA) period where they reported their substance use, corresponding harms, and GMS and resilience experienced each day. Participants reported 180 alcohol-only days, 104 cannabis-only days, and 41 co-use days during the EMA period. The number of alcoholic drinks consumed did not differ between co-use days and alcohol-only days, but the number of substance-related harms was greater on co-use days relative to alcohol-only days. On days when youth reported relatively greater GMS, they were more likely to engage in co-use than alcohol-only use. On days when youth reported relatively greater resilience (i.e., pride, community connectedness), they were more likely to co-use than cannabis-only use. Co-use should be considered when developing substance use policy and treatments for TGD youth.
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Registered trials
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