Operario Don, King Wesley, Gamarel Kristi, Iwamoto Mariko, Tan Sandy, Nemoto Tooru
Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.
Transgend Health. 2024 Aug 16;9(4):317-325. doi: 10.1089/trgh.2022.0144. eCollection 2024 Aug.
The purpose of this research study was to describe and compare the prevalence of substance use behaviors in a sample of transgender and nonbinary young adults by gender subgroup (transgender men, transgender women, nonbinary people), and to examine relationships between substance use behaviors, racism, and antitransgender stigma.
This was an analysis of a cross-sectional sample of 215 transgender and nonbinary young adults recruited from the San Francisco Bay area between January 2019 and July 2021. We used multivariable regression models to examine associations between self-reported experiences of antitransgender stigma, racism, and substance use behaviors.
Approximately half of the total sample reported recent heavy episodic drinking (52.8%) and club drug use (50.5%); 19.2% reported daily tobacco use, and 35.7% reported daily marijuana use. There were no gender differences in substance use behaviors. Antitransgender stigma was associated with daily marijuana use, heavy episodic drinking, and club drug use (cocaine, amphetamines, hallucinogens). Black/African American participants were more likely to report daily tobacco use and recent heavy episodic drinking than White participants, and multiracial/multiethnic participants reported greater levels of daily tobacco use compared with White participants. In addition to these main effects, a significant interaction between antitransgender stigma and racism on daily marijuana was found, suggesting risk exacerbation due to intersecting stigmas for participants of color.
Findings demonstrate a need for prevention and treatment interventions addressing linkages between antitransgender stigma, racism, and substance use behaviors among transgender and nonbinary young adults.
本研究旨在描述并比较跨性别和非二元性别的年轻成年人样本中按性别亚组（跨性别男性、跨性别女性、非二元性别者）划分的物质使用行为的患病率，并研究物质使用行为、种族主义和反跨性别污名之间的关系。
这是一项对2019年1月至2021年7月从旧金山湾区招募的215名跨性别和非二元性别的年轻成年人的横断面样本的分析。我们使用多变量回归模型来研究自我报告的反跨性别污名、种族主义经历与物质使用行为之间的关联。
总样本中约一半报告近期有大量饮酒（52.8%）和使用俱乐部毒品（50.5%）；19.2%报告每日吸烟，35.7%报告每日使用大麻。物质使用行为不存在性别差异。反跨性别污名与每日使用大麻、大量饮酒和使用俱乐部毒品（可卡因、苯丙胺、致幻剂）有关。黑人/非裔美国参与者比白人参与者更有可能报告每日吸烟和近期大量饮酒，与白人参与者相比，多种族/多民族参与者报告的每日吸烟水平更高。除了这些主要影响外，还发现反跨性别污名和种族主义对每日使用大麻存在显著交互作用，这表明有色人种参与者因交叉污名而风险加剧。
研究结果表明需要开展预防和治疗干预措施来解决跨性别和非二元性别的年轻成年人中反跨性别污名、种族主义和物质使用行为之间的联系。
