Evidence map›Paper›PMID 42241081›Full record

ArticlePsychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors2026

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.

Emily C Helminen, Kriti Behari, Jillian R Scheer, Molly Magill

Abstract read
In one paragraph

Article in Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Emily C HelminenCenter for Alcohol and Addiction Studies, Brown University School of Public Health.ORCID 0000-0002-3884-9603
Kriti BehariDepartment of Psychology, Syracuse University.
Jillian R ScheerDepartment of Psychology, University of Rhode Island.
Molly MagillCenter for Alcohol and Addiction Studies, Brown University School of Public Health.

Funding

Substance Abuse Intervention/Outcome Research TrainingT32DA016184 · NIDA · BROWN UNIVERSITY · PI Damaris J. Rohsenow, JENNIFER W. TIDEY · 2003 to 2026
$6.1M
Testing a Biopsychosocial Model of Violence Exposure, Minority Stressors, and Hazardous Drinking among Sexual Minority WomenK01AA028239 · NIAAA · UNIVERSITY OF RHODE ISLAND · PI SCHEER, JILLIAN R · 2021 to 2025
$1.0M
U.S. Transgender Population Health SurveyR01HD090468 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MEYER, ILAN H · 2017 to 2018
$828k
Eunice Kennedy Shriver National Institute of Child Health and Human DevelopmentNational Institutes of Health; Office of Social and Behavior ScienceNIAAA NIH HHS K01 AA028239NICHD NIH HHS R01 HD090468NIDA NIH HHS T32 DA016184
6 · The paper itself

Abstract

objectiveThis study examined heterogeneity in the prevalence estimates of mental health, alcohol, and drug use outcomes across cisgender heterosexual subgroups and sexual and gender minority subgroups using a national probability sample.

methodWe conducted a secondary data analysis with the U.S. Transgender Population Health Survey (

resultsSuicidality was significantly higher across all sexual and gender minority subgroups compared with cisgender heterosexual subgroups. Cisgender sexual minority women, transgender sexual minority men and women, and nonbinary sexual minority people-subgroups with both oppressed sexual and gender identities who likely experience both sexual- and gender-based forms of oppression (e.g., homophobia, transphobia, sexism)-were significantly more likely than cisgender heterosexual subgroups to report most outcomes, including serious psychological distress, elevated posttraumatic stress disorder symptoms, and hazardous drug use. Nonbinary sexual minority people and cisgender sexual minority women consistently exhibited the largest disparities compared with cisgender heterosexual subgroups across most outcomes and co-occurring outcomes.

conclusionsFindings highlight the importance of disaggregating across sexual and gender identity in probability samples to understand heterogeneity in prevalence estimates of mental health, alcohol, and drug use outcomes and identify subgroups in need of targeted health equity efforts. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Indexed as

AlcoholismGender IdentityMental DisordersPsychological DistressSexual and Gender MinoritiesStress Disorders, Post-TraumaticSubstance-Related DisordersSuicide, AttemptedAdolescentAdultFemaleGender-Nonconforming PersonsHealth SurveysHumansMaleMiddle Aged

Identifiers

PMID42241081
PMCPMC13240649

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Registered trials

None linked

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.