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Prevalence of substance use and food insecurity among transgender and gender diverse college students.

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Title: Prevalence of substance use and food insecurity among transgender and gender diverse college students.
Authors: Kane, Tyler (AUTHOR), Han, Ho (AUTHOR), Lee, Seunghwan (AUTHOR), Grant, Elysia (AUTHOR), McMaughan, Darcy Jones (AUTHOR), Jones, Richard (AUTHOR), Ryu, Yoonji (AUTHOR)
Source: Journal of American College Health. Jul2026, Vol. 74 Issue 6, p1786-1793. 8p.
Subjects: Substance abuse, Gender-nonconforming people, Cross-sectional method, Cocaine, Research funding, Secondary analysis, Food security, Transgender people, Statistical sampling, Logistic regression analysis, Questionnaires, Descriptive statistics, Hallucinogenic drugs, Surveys, Odds ratio, Cisgender people, Psychology of college students, Data analysis software, Confidence intervals, Cannabis (Genus), Psychosocial factors, Disease complications
Abstract: Objective: To determine the prevalence of food insecurity and substance use among U.S. transgender and gender diverse (TGD) college students in comparison with cisgender counterparts. Participants: Secondary data from 102,802 undergraduates responding to the Fall 2020 and Spring 2021 American College Health Association's National College Health Assessments was used. Methods: The five most commonly used substances on college campuses including alcohol, cannabis, cocaine, hallucinogens, and prescription stimulants were selected for the analyses of substance use. Logistic regression analysis was performed to examine the relationship between substance use and food insecurity, and gender identification. Results: After controlling for confounding factors, TGD students had significantly higher odds of using hallucinogens, cannabis, prescription stimulants, and cocaine (OR = 1.87, 1.58, 1.32, and 1.24, respectively) compared to cisgender peers, and a significantly higher proportion of cannabis, cocaine, and hallucinogen users in TGD students reported consequent problems caused by their substance use (p <.001). Lastly, a significantly higher prevalence of food insecurity was found in TGD students after controlling for the covariates (p <.05). Conclusion: Our findings suggest the need for effective prevention programs and treatment strategies that are specific to TGD college students for addressing the disparities in substance use and food insecurity. [ABSTRACT FROM AUTHOR]
Copyright of Journal of American College Health 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: Prevalence of substance use and food insecurity among transgender and gender diverse college students.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: To determine the prevalence of food insecurity and substance use among U.S. transgender and gender diverse (TGD) college students in comparison with cisgender counterparts. Participants: Secondary data from 102,802 undergraduates responding to the Fall 2020 and Spring 2021 American College Health Association&#39;s National College Health Assessments was used. Methods: The five most commonly used substances on college campuses including alcohol, cannabis, cocaine, hallucinogens, and prescription stimulants were selected for the analyses of substance use. Logistic regression analysis was performed to examine the relationship between substance use and food insecurity, and gender identification. Results: After controlling for confounding factors, TGD students had significantly higher odds of using hallucinogens, cannabis, prescription stimulants, and cocaine (OR = 1.87, 1.58, 1.32, and 1.24, respectively) compared to cisgender peers, and a significantly higher proportion of cannabis, cocaine, and hallucinogen users in TGD students reported consequent problems caused by their substance use (p &lt;.001). Lastly, a significantly higher prevalence of food insecurity was found in TGD students after controlling for the covariates (p &lt;.05). Conclusion: Our findings suggest the need for effective prevention programs and treatment strategies that are specific to TGD college students for addressing the disparities in substance use and food insecurity. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Journal of American College Health is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;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.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/07448481.2025.2611280
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 1786
    Subjects:
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Gender-nonconforming people
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Cocaine
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Food security
        Type: general
      – SubjectFull: Transgender people
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Hallucinogenic drugs
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Cisgender people
        Type: general
      – SubjectFull: Psychology of college students
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
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      – SubjectFull: Cannabis (Genus)
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      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Disease complications
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      – TitleFull: Prevalence of substance use and food insecurity among transgender and gender diverse college students.
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              M: 07
              Text: Jul2026
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              Y: 2026
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