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Substance use among trans and gender diverse young people in Australia: Patterns, correlates and motivations.

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Title: Substance use among trans and gender diverse young people in Australia: Patterns, correlates and motivations.
Authors: Bailey, Sasha (AUTHOR), Lin, Ashleigh (AUTHOR), Cook, Angus (AUTHOR), Winter, Sam (AUTHOR), Watson, Vanessa (AUTHOR), Wright‐Toussaint, Dani (AUTHOR), Barrett, Emma L. (AUTHOR), Newton, Nicola (AUTHOR), Perry, Yael (AUTHOR), Grummitt, Lucinda (AUTHOR), Strauss, Penelope (AUTHOR)
Source: Drug & Alcohol Review. Nov2024, Vol. 43 Issue 7, p1940-1953. 14p.
Subjects: Young adults, Transgender youth, Family support, Trans men, Trans women
Abstract: Introduction: There is a dire paucity of research into the burden, correlates and motives of substance use among trans young people in Australia. Method: Using data from a national survey of Australian trans young people (N = 859, Mage = 19.4), we estimated prevalence of past 6‐month substance use (tobacco, alcohol, cannabis, other drugs) and lifetime substance use disorder diagnoses. Covariate‐adjusted multivariate logistic regression models tested associations between substance use types with 18 interpersonal factors. Open‐ended responses regarding substance use motives (n = 489) were qualitatively analysed using thematic analysis with an interpretative phenomenological approach. Results: Prevalence of lifetime substance use disorder diagnosis was 13.5% (95% confidence interval [CI] 11.1, 16.1). Alcohol use was most reported (72.4%; 95% CI 68.9, 75.6) followed by tobacco (31.1%; 95% CI 27.7, 34.6) and cannabis (30.6%; 95% CI 27.2, 34.2). Trans women reported highest rates of alcohol and cannabis use; use of other drugs was highest among trans men. Highest risk of substance use was observed among trans youth who experienced discrimination, intimate partner abuse, peer rejection and lack of family support (adjusted odds ratios ranging 1.5 to 3.0). Four multi‐levelled themes of substance use motives were identified: circumstantial use, somatic use, feeling better about oneself and one's life, and harm reduction. Discussion and Conclusions: While substance use among trans young is largely circumstantial, hedonistic and altruistic, facilitating self‐exploration, friendship and community connectedness, substance use among trans young people is highly prevalent and may be used to cope with sleep difficulties, depression/anxiety and cisnormativity, including delays and waitlists for accessing gender‐affirming care. [ABSTRACT FROM AUTHOR]
Copyright of Drug & Alcohol Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Substance use among trans and gender diverse young people in Australia: Patterns, correlates and motivations.
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  Data: <searchLink fieldCode="AR" term="%22Bailey%2C+Sasha%22">Bailey, Sasha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lin%2C+Ashleigh%22">Lin, Ashleigh</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cook%2C+Angus%22">Cook, Angus</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Winter%2C+Sam%22">Winter, Sam</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Watson%2C+Vanessa%22">Watson, Vanessa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wright‐Toussaint%2C+Dani%22">Wright‐Toussaint, Dani</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barrett%2C+Emma+L%2E%22">Barrett, Emma L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Newton%2C+Nicola%22">Newton, Nicola</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Perry%2C+Yael%22">Perry, Yael</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Grummitt%2C+Lucinda%22">Grummitt, Lucinda</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Strauss%2C+Penelope%22">Strauss, Penelope</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Drug+%26+Alcohol+Review%22">Drug & Alcohol Review</searchLink>. Nov2024, Vol. 43 Issue 7, p1940-1953. 14p.
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  Data: <searchLink fieldCode="DE" term="%22Young+adults%22">Young adults</searchLink><br /><searchLink fieldCode="DE" term="%22Transgender+youth%22">Transgender youth</searchLink><br /><searchLink fieldCode="DE" term="%22Family+support%22">Family support</searchLink><br /><searchLink fieldCode="DE" term="%22Trans+men%22">Trans men</searchLink><br /><searchLink fieldCode="DE" term="%22Trans+women%22">Trans women</searchLink>
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  Data: Introduction: There is a dire paucity of research into the burden, correlates and motives of substance use among trans young people in Australia. Method: Using data from a national survey of Australian trans young people (N = 859, Mage = 19.4), we estimated prevalence of past 6‐month substance use (tobacco, alcohol, cannabis, other drugs) and lifetime substance use disorder diagnoses. Covariate‐adjusted multivariate logistic regression models tested associations between substance use types with 18 interpersonal factors. Open‐ended responses regarding substance use motives (n = 489) were qualitatively analysed using thematic analysis with an interpretative phenomenological approach. Results: Prevalence of lifetime substance use disorder diagnosis was 13.5% (95% confidence interval [CI] 11.1, 16.1). Alcohol use was most reported (72.4%; 95% CI 68.9, 75.6) followed by tobacco (31.1%; 95% CI 27.7, 34.6) and cannabis (30.6%; 95% CI 27.2, 34.2). Trans women reported highest rates of alcohol and cannabis use; use of other drugs was highest among trans men. Highest risk of substance use was observed among trans youth who experienced discrimination, intimate partner abuse, peer rejection and lack of family support (adjusted odds ratios ranging 1.5 to 3.0). Four multi‐levelled themes of substance use motives were identified: circumstantial use, somatic use, feeling better about oneself and one's life, and harm reduction. Discussion and Conclusions: While substance use among trans young is largely circumstantial, hedonistic and altruistic, facilitating self‐exploration, friendship and community connectedness, substance use among trans young people is highly prevalent and may be used to cope with sleep difficulties, depression/anxiety and cisnormativity, including delays and waitlists for accessing gender‐affirming care. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Drug & Alcohol Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/dar.13915
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        PageCount: 14
        StartPage: 1940
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      – SubjectFull: Transgender youth
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      – SubjectFull: Family support
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      – SubjectFull: Trans men
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              Text: Nov2024
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