Research Participation Program at the Centers for Disease Control and Prevention, Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee, USA.
Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
LGBT Health. 2022 Aug-Sep;9(6):393-400. doi: 10.1089/lgbt.2021.0258. Epub 2022 May 3.
Transgender and gender expansive (TGE) youth experience elevated risk for substance use and other health inequities compared to cisgender peers. The purpose of this study was to examine associations between protective environments-perceived community tolerance, perceived family support, and housing stability-and recent binge drinking, lifetime high-risk substance use (HRSU; cocaine, methamphetamines, and/or heroin), and self-rated health in a sample of TGE youth. This secondary analysis of 1567 TGE youth aged 13-24 years draws from the Centers for Disease Control and Prevention's 2018 web-based , which used a nonprobabilistic recruiting strategy via social media. Logistic regression was used to test the associations between protective environments and substance use and health outcomes. Overall, 28.1% of participants reported that people who lived near them were tolerant of transgender people, 32.8% reported that their family was at least somewhat supportive of their TGE identity, and 77.0% were stably housed. In the logistic regression models, community tolerance and housing stability were associated with lower odds of self-rated poor health. Housing stability was associated with lower odds of recent binge drinking and lifetime HRSU. Perceived community tolerance and housing stability were associated with several health outcomes among TGE youth in this study. Protective factors, including safe, stable, nurturing relationships and environments, are critical to youth health and wellbeing. The findings in this study highlight the need for prevention strategies to promote protective environments and reduce known substance use and overall health inequities among TGE youth.
跨性别和性别扩展（TGE）青年与顺性别同龄人相比，经历更高的物质使用和其他健康不平等风险。本研究的目的是检验保护环境——感知社区宽容、感知家庭支持和住房稳定——与 TGE 青年样本中的近期狂饮、终身高风险物质使用（可卡因、冰毒和/或海洛因）和自我报告健康之间的关联。这项对 1567 名年龄在 13-24 岁的 TGE 青年的二次分析来自疾病控制和预防中心的 2018 年基于网络的调查，该调查使用了通过社交媒体进行的非概率招募策略。逻辑回归用于检验保护环境与物质使用和健康结果之间的关联。总体而言，28.1%的参与者表示，住在他们附近的人容忍跨性别者，32.8%的参与者表示他们的家庭至少在一定程度上支持他们的 TGE 身份，77.0%的人住房稳定。在逻辑回归模型中，社区宽容度和住房稳定性与自我报告健康状况不佳的几率较低有关。住房稳定性与近期狂饮和终身高风险物质使用的几率较低有关。在这项研究中，感知社区宽容度和住房稳定性与 TGE 青年的几个健康结果有关。保护因素，包括安全、稳定、培养的关系和环境，对青年的健康和幸福至关重要。本研究的结果强调了需要制定预防策略，以促进保护环境，减少 TGE 青年中已知的物质使用和整体健康不平等。
