Minority stress and drug use among transgender and gender diverse adults: A daily diary study.
Minority stress and drug use among transgender and gender diverse adults: A daily diary study.
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DOI：
10.1016/j.drugalcdep.2021.108508
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发表时间：
2021-03-01
影响因子：
4.2
通讯作者：
Stuart GL
中科院分区：
文献类型：
--
作者：
Wolford-Clevenger C;Flores LY;Bierma S;Cropsey KL;Stuart GL
变性人和不同性别的人比顺性同龄人患药物使用和药物使用障碍的风险更高。理论和研究表明，外部少数群体应激源(如歧视、暴力和拒绝)和内部少数群体应激源(如内在性跨性别恐惧症)可能导致这种健康差距。然而，很少有研究研究少数族裔压力和药物使用之间的近距离(例如，同一天)的联系。本研究对居住在东南部两个城市的38名变性人和不同性别的参与者进行了药物使用与外部和内部少数族裔应激源的同一天相关性测试。参与者报告了他们前一天在30天内遇到的少数民族压力和药物使用的经历。共收集每日调查836份(遵从率73.3%)。多水平模型显示，外部少数民族压力(即暴力、骚扰、歧视、拒绝)，而不是内化的污名，与在特定日期使用药物的几率增加有关，同时控制了时间、当天的抑郁情绪和认知、当天的性别焦虑症症状、人口统计学和基线药物使用水平。这些发现表明，外部少数群体压力与同一天的药物使用有关。未来的实证和理论工作可能会研究可能缓和这些联系的因素。与变性人和不同性别的人一起工作的临床医生应该评估少数民族的压力和可能的相关药物使用行为。
Transgender and gender-diverse people are at higher risk for drug use and drug use disorder than their cisgender peers. Theory and research has suggested that external minority stressors (e.g., discrimination, violence, and rejection) and internal minority stressors (e.g., internalized transphobia) may contribute to this health disparity. However, few studies have examined the proximal (e.g., same-day) association between minority stress and drug use. The present study tested the same-day association of external and internal minority stressors with use of drugs in a sample of 38 transgender and gender-diverse participants residing in two Southeastern cities. Participants reported their previous day’s experiences with minority stress and drug use over the course of 30 days. A total of 836 daily surveys were collected (73.3% compliance rate). Multilevel modeling revealed that external minority stress (i.e., violence, harassment, discrimination, rejection), but not internalized stigma, was associated with increased odds of drug use on a given day, while controlling for time, same-day depressive affect and cognition, same-day gender dysphoria symptoms, demographics, and baseline levels of drug use. These findings suggest that external minority stress is associated with drug use on the same day. Future empirical and theoretical work may examine factors that could moderate these associations. Clinicians working with transgender and gender-diverse individuals should assess for minority stress and possible related drug use behavior.
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