Intersectional Oppression-Based Stress, School Safety, and Substance Use Among Sexual and Gender Minority Adolescents Who Are Black, Indigenous, and People of Color.

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Title: Intersectional Oppression-Based Stress, School Safety, and Substance Use Among Sexual and Gender Minority Adolescents Who Are Black, Indigenous, and People of Color.
Authors: Abramson, Jessica R. (AUTHOR), Arumugam, Ashwathi (AUTHOR), Vanlandingham, Hannah G. (AUTHOR), Watson, Ryan J. (AUTHOR), Mereish, Ethan H. (AUTHOR)
Source: Substance Use & Misuse. 2026, Vol. 61 Issue 10, p1693-1701. 9p.
Subjects: Substance abuse risk factors, Safety, Risk assessment, Cross-sectional method, Research funding, African Americans, People of color, Schools, Hispanic Americans, Questionnaires, Logistic regression analysis, Minority stress, Chi-squared test, Descriptive statistics, Analysis of variance, Sexual minorities, Data analysis software, Confidence intervals, Adolescence
Geographic Terms: United States
Abstract: Objective: This study investigated the association between intersectional oppression-based stressors and substance use among sexual and gender minority (SGM; queer and transgender [QT]) adolescents who are Black, Indigenous, and People of Color (QTBIPOC) and examined the potential moderating role of school safety. Method: Data were a subset of QTBIPOC adolescents (N = 3,563) from a dataset of SGM adolescents in the United States ages 13–18 years old. Results: Intersectional oppression-based stressors (OBS) were associated with greater likelihood of recent use of alcohol, cigarettes, cannabis, vaping, and other drugs; nonmedical use of prescription pain medicine; and heavy alcohol use. School safety was associated with lower likelihood of recent use of cigarettes, cannabis, vaping, and other drugs; nonmedical use of prescription pain medicine; and heavy alcohol use. School safety buffered the association between intersectional OBS and heavy alcohol use, but not other substances. Conclusions: Intersectional OBS are prevalent in the lives of QTBIPOC adolescents and these experiences are associated with greater likelihood of recent substance use. Although higher levels of school safety were generally associated with lower likelihood of substance use, school safety does not appear to be a robust protective factor against substance use for QTBIPOC adolescents experiencing OBS. This study highlights the need for interventions reducing intersectional OBS and research identifying factors that protect against substance use in this population. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd 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: Intersectional Oppression-Based Stress, School Safety, and Substance Use Among Sexual and Gender Minority Adolescents Who Are Black, Indigenous, and People of Color.
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2026, Vol. 61 Issue 10, p1693-1701. 9p.
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– Name: Abstract
  Label: Abstract
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  Data: Objective: This study investigated the association between intersectional oppression-based stressors and substance use among sexual and gender minority (SGM; queer and transgender [QT]) adolescents who are Black, Indigenous, and People of Color (QTBIPOC) and examined the potential moderating role of school safety. Method: Data were a subset of QTBIPOC adolescents (N = 3,563) from a dataset of SGM adolescents in the United States ages 13–18 years old. Results: Intersectional oppression-based stressors (OBS) were associated with greater likelihood of recent use of alcohol, cigarettes, cannabis, vaping, and other drugs; nonmedical use of prescription pain medicine; and heavy alcohol use. School safety was associated with lower likelihood of recent use of cigarettes, cannabis, vaping, and other drugs; nonmedical use of prescription pain medicine; and heavy alcohol use. School safety buffered the association between intersectional OBS and heavy alcohol use, but not other substances. Conclusions: Intersectional OBS are prevalent in the lives of QTBIPOC adolescents and these experiences are associated with greater likelihood of recent substance use. Although higher levels of school safety were generally associated with lower likelihood of substance use, school safety does not appear to be a robust protective factor against substance use for QTBIPOC adolescents experiencing OBS. This study highlights the need for interventions reducing intersectional OBS and research identifying factors that protect against substance use in this population. [ABSTRACT FROM AUTHOR]
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  Label:
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  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd 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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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/10826084.2026.2619021
    Languages:
      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 1693
    Subjects:
      – SubjectFull: Substance abuse risk factors
        Type: general
      – SubjectFull: Safety
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: African Americans
        Type: general
      – SubjectFull: People of color
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      – SubjectFull: Schools
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      – SubjectFull: Hispanic Americans
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      – SubjectFull: Questionnaires
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      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Minority stress
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      – SubjectFull: Chi-squared test
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Analysis of variance
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      – SubjectFull: Sexual minorities
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      – SubjectFull: Data analysis software
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Adolescence
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      – SubjectFull: United States
        Type: general
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      – TitleFull: Intersectional Oppression-Based Stress, School Safety, and Substance Use Among Sexual and Gender Minority Adolescents Who Are Black, Indigenous, and People of Color.
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              Text: 2026
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