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

Tran, Gioi Minh; Lachowsky, Nathan; Urbanoski, Karen A; Scheim, Ayden I; Bauer, Greta R

Tran, Gioi Minh; Lachowsky, Nathan; Urbanoski, Karen A; Scheim, Ayden I; Bauer, Greta R.

Afiliación

Tran GM; School of Public Health and Social Policy, University of Victoria, â3800 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, â3800 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, â3800 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 Knowle
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.

Drug Alcohol Depend ; 250: 110872, 2023 09 01.

Article en En | MEDLINE | ID: mdl-37406573

RESUMEN

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.

Asunto(s)

Consumo de Bebidas Alcohólicas; Identidad de Género; Minorías Sexuales y de Género; Transexualidad; Adolescente; Adulto; Femenino; Humanos; Masculino; Persona de Mediana Edad; Adulto Joven; Consumo de Bebidas Alcohólicas/epidemiología; Consumo de Bebidas Alcohólicas/psicología; Canadá/epidemiología; Estudios Transversales; Minorías Sexuales y de Género/psicología; Minorías Sexuales y de Género/estadística & datos numéricos; Apoyo Social; Personas Transgénero/psicología; Personas Transgénero/estadística & datos numéricos; Transexualidad/psicología; Factores Sociodemográficos; Estrés Psicológico

Palabras clave

Community-based research; Hazardous alcohol drinking; Minority stress; Non-binary; Transgender

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Transexualidad / Consumo de Bebidas Alcohólicas / Minorías Sexuales y de Género / Identidad de Género Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Drug Alcohol Depend Año: 2023 Tipo del documento: Article Pais de publicación: Irlanda

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