Alcohol research with transgender populations: A systematic review and recommendations to strengthen future studies
| Autor: | Sari L. Reisner, Paul A. Gilbert, Lauren Pass, Alex S. Keuroghlian, Thomas K. Greenfield |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Alcohol Drinking 030508 substance abuse Binge drinking Alcohol use disorder Toxicology Transgender Persons Article 03 medical and health sciences 0302 clinical medicine Transgender medicine Humans Pharmacology (medical) 030212 general & internal medicine Research question Pharmacology Operationalization Clinical study design Public health medicine.disease Health equity Alcoholism Psychiatry and Mental health Female 0305 other medical science Psychology Clinical psychology |
| Zdroj: | Drug and Alcohol Dependence. 186:138-146 |
| ISSN: | 0376-8716 |
| Popis: | Background There is a recent and growing research literature on alcohol use and related harms among transgender and other gender minority populations; however, current definitions and measures of hazardous drinking do not consider the complexity of physiological sex characteristics and socially constructed gender, raising doubts regarding their validity, applicability, and use with these populations. To address this, we reviewed current research on alcohol-related outcomes in transgender populations and critically summarized key issues for consideration in future research. Methods We conducted a systematic review of transgender alcohol research in English language, peer-reviewed journals, published 1990–2017, and extracted key details (e.g., sample composition, alcohol measures, results). Results Forty-four studies met all inclusion criteria for the review, the majority of which were conducted in the United States. The prevalence of hazardous drinking was high; however, estimates varied widely across studies. We noted frequent methodological weaknesses, including few attempts to differentiate sex and gender, poor attention to appropriate definitions of hazardous drinking, and reliance on cross-sectional study designs and non-probability sampling methods. Conclusion Given findings that suggest high need for ongoing public health attention, we offer recommendations to improve future alcohol studies with transgender and other gender minority populations, such as being explicit as to whether and how sex and/or gender are operationalized and relevant for the research question, expanding the repertoire of alcohol measures to include those not contingent on sex or gender, testing the psychometric performance of established screening instruments with transgender populations, and shifting from descriptive to analytic study designs. |
| Databáze: | OpenAIRE |
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