Correlates of hazardous alcohol drinking among trans and non-binary people in Canada: A community-based cross-sectional study.

Autor: Tran GM; School of Public Health and Social Policy, University of Victoria, ​3800 Finnerty Road, Victoria, BC  V8P 5C2, Canada; Center for Community Health Promotion, Suite 313-314, Block E1, Trung Tu Diplomatic Compound, Dong Da, Hanoi, Viet Nam. Electronic address: gioitran@uvic.ca., Lachowsky N; School of Public Health and Social Policy, University of Victoria, ​3800 Finnerty Road, Victoria, BC  V8P 5C2, Canada; Canadian Institute for Substance Use Research, University of Victoria, Technology Enterprise Facility Room 273, 2300 McKenzie Avenue, Victoria, BCV8P 5C2, Canada., Urbanoski KA; School of Public Health and Social Policy, University of Victoria, ​3800 Finnerty Road, Victoria, BC  V8P 5C2, Canada; Canadian Institute for Substance Use Research, University of Victoria, Technology Enterprise Facility Room 273, 2300 McKenzie Avenue, Victoria, BCV8P 5C2, Canada., Scheim AI; Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, 3215 Market Street, Philadelphia, PA19104, United States; Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Canada; Li Ka Shing Knowledge Institute, Unity Health Toronto, Canada., Bauer GR; Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Canada; Institute for Sexual and Gender Health, University of Minnesota Medical School, 1300 South 2nd Street, Minneapolis, MN55455, United States.
Jazyk: angličtina
Zdroj: Drug and alcohol dependence [Drug Alcohol Depend] 2023 Sep 01; Vol. 250, pp. 110872. Date of Electronic Publication: 2023 Jun 24.
DOI: 10.1016/j.drugalcdep.2023.110872
Abstrakt: 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.
Competing Interests: Declaration of Competing Interest No conflict declared.
(Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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