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Journal article
Correlates of hazardous alcohol drinking among trans and non-binary people in Canada: A community-based cross-sectional study
Drug and alcohol dependence, v 250, 110872
01 Sep 2023
PMID: 37406573
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose: Transgender and non-binary people (TGNB) have a higher rate of heavy episodic drinking than cisgender people; however, extant knowledge about predictors of hazardous alcohol drinking (HAD) among different TGNB groups is limited. This study examined predictors of HAD in a national sample of TGNB people in Canada.
Methods: Logistic regression models were fit to examine the effects of 1) minority stressors and 2) stress-buffering factors on the likelihood of HAD, stratified by gender, among 2324 TGNB individuals from the Trans PULSE Canada survey, a cross-sectional survey conducted in 2019 among trans and non-binary people aged 14+ in Canada.
Results: Almost 17% of participants reported past-year HAD. Lifetime day-to-day and lifetime major discrimination were associated with higher odds of HAD in the full sample [(AOR=1.37, 95% CI: 1.30, 1.44) and (AOR=1.69, 95% CI: 1.55, 1.86) respectively], and across all gender groups. Social support was associated with lower odds of HAD in trans men, non-binary people assigned female at birth (NB-AFAB), and non-binary people assigned male at birth (NB-AMAB) groups, but with higher odds of HAD in the trans women group. Misgendering was associated with lower odds of HAD in trans men and NB-AFAB, but higher odds of HAD in trans women and NB-AMAB. Mixed effects of gender distress, gender positivity, and gender-affirming medical care were also reported across groups.
Conclusion: The study provided a more detailed understanding of the predictors of HAD across four TGNB groups. Public health interventions should focus on structural discrimination and social support for TGNB people.
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Details
- Title
- Correlates of hazardous alcohol drinking among trans and non-binary people in Canada: A community-based cross-sectional study
- Creators
- Gioi Minh Tran - University of VictoriaNathan Lachowsky - University of VictoriaKaren A. Urbanoski - University of VictoriaAyden I. Scheim - Drexel University, Urban Health CollaborativeGreta R. Bauer - Western University
- Publication Details
- Drug and alcohol dependence, v 250, 110872
- Publisher
- Elsevier
- Number of pages
- 9
- Grant note
- PJT-159690 / Canadian Institutes of Health Research; Canadian Institutes of Health Research (CIHR)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:001031775000001
- Scopus ID
- 2-s2.0-85164347262
- Other Identifier
- 991021861167604721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Psychiatry
- Substance Abuse