The Effects of Gender- and Sexuality-Based Harassment on Lesbian, Gay, Bisexual, and Transgender Substance Use Disparities

Coulter, Robert W. S.; Bersamin, Melina; Russell, Stephen T.; Mair, Christina

doi:10.1016/j.jadohealth.2017.10.004

Cited by 122 publications

(103 citation statements)

References 36 publications

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“…Numerous studies have identified links between minority stress and increased likelihood of substance use. [13][14][15][16][17][18][19] Initially limited to sexual minority groups, this framework was expanded to gender minority populations 20 and suggests similar adverse health outcomes among gender minority individuals (e.g., transgender, gender nonbinary persons) may result from increased exposure to stigma and discrimination related to one's gender identity (i.e., someone's internal sense of their gender) and/or gender expression (i.e., how someone chooses to reflect their gender) compared to non-gender minority (i.e., cisgender 1 ) populations. 20,21 Research examining substance use across a diverse spectrum of sexual orientations and gender identities, however, remains limited.…”

Section: Introductionmentioning

confidence: 99%

Characterization of Substance use among Underrepresented Sexual and Gender Minority Participants in the Population Research in Identity and Disparities for Equality (PRIDE) Study

et al. 2021

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Background: Profiles of substance use among less commonly described subgroups of sexual and gender minority (SGM) people (e.g., queer, genderqueer) remain largely unknown. Objective(s): To identify substance use differences among less commonly described SGM identity-based subgroups. Methods: The PRIDE Study is a national, online, longitudinal cohort study of self-identified SGM adults living in the U.S. Between 2015-2017, an iPhone application was used to administer three cross-sectional health questionnaires to participants, one of which included questions about binge alcohol, marijuana, and other drug use (substance use). This study was a secondary data analysis of participant responses to substance use survey items. Logistic regression and generalized linear modeling assessed relationships between sexual orientation or gender and use of or reported problems with substances within the past year. Results: Among the 1790 participants included in this study, 51.0% reported binge alcohol use, 39.8% reported marijuana use, and 19.7% reported other drug use (65.9% endorsed use of one or more of these) within the past year. Over 30% indicated substance use had been a problem in their life. Asexual individuals had lower odds of reporting past year binge alcohol and marijuana use (aOR: 0.27, 95% CI: 0.12-0.61; aOR: 0.38, 95% CI: 0.15-0.96, respectively), and queer participants had higher odds of reporting past year marijuana use (aOR: 2.52, 95% CI: 1.58-4.03) compared to lesbian participants. Gender nonbinary participants had lower odds of reporting past year binge alcohol use (aOR: 0.48, 95% CI: 0.32-0.71) and transmasculine participants had higher odds of reporting past year marijuana use (aOR: 2.18, 95% CI: 1.10-4.31) compared to cisgender women. Conclusions: Substance use heterogeneity exists between SGM groups. Comprehensive assessment of sexual orientation and gender may improve understanding of substance use and increase equity within support and treatment services for SGM populations. HIGHLIGHTS We examined substance use among less represented sexual and gender minority groups. Alcohol and other drug use were examined by both sexual orientation and gender identity. Analyses included identities such as queer, pansexual, genderqueer and nonbinary. Alcohol use differed across asexual, genderqueer and gender nonbinary groups. Marijuana use differed across queer, asexual and transmasculine groups.

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Section: Introductionmentioning

confidence: 99%

Characterization of Substance use among Underrepresented Sexual and Gender Minority Participants in the Population Research in Identity and Disparities for Equality (PRIDE) Study

et al. 2021

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“…Although the present study did not have sufficient power to examine mediators, heavier smoking among transgender young adults may be due to transgender-specific stressors. For example, smoking is associated with later initiation of gender-affirming medical treatment (Menino, Katz-Wise, Vetters, & Reisner, 2018) and experiencing SGM identity-based harassment (Coulter, Bersamin, Russell, & Mair, 2018). Further research is needed to clarify the role of stress in the transgender community's high smoking prevalence.…”

Section: Discussionmentioning

confidence: 99%

Sexual and gender minority young adults' smoking characteristics: Assessing differences by sexual orientation and gender identity

Vogel

Humfleet

Meacham

et al. 2019

Addictive Behaviors

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“…Cross-lagged analyses indicate that as sexual orientation-related victimization declines across adolescence and into early adulthood, emotional distress decreases [26]. Cross-sectional studies are consistent with these findings [19], indicating, for example, that bias-based victimization mediates associations between sexual orientation and academic achievement and truancy among LGBQ youth [33] and between sexual orientation and gender identity and substance use for TGD youth [56,39]. …”

Section: Introductionmentioning

confidence: 94%

Bullying Victimization Among LGBTQ Youth: Critical Issues and Future Directions

Gower

Rider

McMorris

et al. 2018

Curr Sex Health Rep

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Purpose of review: This paper examines recent research on bullying victimization among lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth to identify critical issues and advocate for future research priorities. Recent findings: Recent studies have begun to document the importance of bullying in general, and bias-based bullying (rooted in stigma) in particular, on the health and wellbeing of this vulnerable subgroup of adolescents, as well as drivers of disparities. Current research demonstrates the role of multiple identities for and important differences among LGBTQ youth and has begun to identify protective factors for youth who are the targets of bullying. Summary: Researchers, clinicians, and those working with and on behalf of LGBTQ youth must measure and acknowledge the multiple reasons for which LGBTQ youth are the targets of bullying. Intervention and prevention efforts should focus on improving the supportiveness of the climates within which LGBTQ youth live.

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The Effects of Gender- and Sexuality-Based Harassment on Lesbian, Gay, Bisexual, and Transgender Substance Use Disparities

Abstract: Gender- and sexuality-based harassment at school independently or interactively produced LGBT disparities in substance use. Reducing these types of discrimination in schools will likely mitigate these disparities.

Cited by 122 publications

References 36 publications

Characterization of Substance use among Underrepresented Sexual and Gender Minority Participants in the Population Research in Identity and Disparities for Equality (PRIDE) Study

Characterization of Substance use among Underrepresented Sexual and Gender Minority Participants in the Population Research in Identity and Disparities for Equality (PRIDE) Study

Sexual and gender minority young adults' smoking characteristics: Assessing differences by sexual orientation and gender identity

Bullying Victimization Among LGBTQ Youth: Critical Issues and Future Directions

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