National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Addict Behav. 2023 Oct;145:107779. doi: 10.1016/j.addbeh.2023.107779. Epub 2023 Jun 18.
Transgender and non-binary people use more alcohol and report a greater need for help to reduce their consumption than their cisgender counterparts. They experience anticipated and enacted discrimination when seeking alcohol reduction healthcare. This study aimed to identify any alcohol reduction interventions for trans and non-binary people.
A systematic scoping review was completed according to PRISMA-ScR guidelines. Following an extensive search across five databases, two independent reviewers carried out abstract screening, full-text screening, data extraction and quality assessment. Findings were synthesised narratively.
The search generated 1399 unique records. Ten texts were reviewed in full, and the final sample comprised six studies of moderate quality. Included records all reported adaptations of various psychosocial interventions including individual therapies, group therapy, a trans-affirmative clinical environment, and a specialist inpatient rehabilitation service. Four interventions resulted in alcohol reduction with modest effect size. However, the change in alcohol consumption was not statistically significant in two studies. Trans women were disproportionately investigated through the lens of HIV risk reduction.
Interventions developed for one population cannot be presumed effective in another, particularly those as heterogeneous as trans and non-binary communities. There is some suggestion that psychosocial interventions adapted for the needs of the trans community are effective in achieving alcohol reduction. However, it is unclear how these will fare with trans men and non-binary people and specialist interventions may be needed.
跨性别者和非二元性别者比顺性别者使用更多的酒精，并报告更需要帮助来减少饮酒量。当他们寻求减少酒精摄入的医疗保健时，会经历预期和实施的歧视。本研究旨在确定针对跨性别者和非二元性别者的任何减少酒精摄入的干预措施。
根据 PRISMA-ScR 指南进行了系统的范围综述。在五个数据库中进行了广泛搜索后，两名独立审查员进行了摘要筛选、全文筛选、数据提取和质量评估。结果以叙述方式进行综合。
搜索产生了 1399 条独特的记录。对 10 篇全文进行了审查，最终样本包括 6 项质量中等的研究。纳入的记录均报告了各种心理社会干预措施的适应性改变，包括个体治疗、小组治疗、跨性别肯定的临床环境和专门的住院康复服务。四项干预措施导致了适度的酒精减少效果。然而，两项研究中酒精消耗的变化没有统计学意义。研究主要通过 HIV 风险降低的视角来调查跨性别女性。
不能假定为一个群体开发的干预措施对另一个群体有效，特别是像跨性别者和非二元性别者这样多样化的群体。有一些证据表明，为满足跨性别者群体的需求而改编的心理社会干预措施在实现酒精减少方面是有效的。然而，尚不清楚这些干预措施对跨性别男性和非二元性别者的效果如何，可能需要专门的干预措施。
