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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Bibliographic Details
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]
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Database: Psychology and Behavioral Sciences Collection
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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]
ISSN:10826084
DOI:10.1080/10826084.2026.2619021