Comparing intentions to reduce substance use and willingness to seek help among transgender and cisgender participants from the Global Drug Survey
Comparing intentions to reduce substance use and willingness to seek help among transgender and cisgender participants from the Global Drug Survey
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DOI：
10.1016/j.jsat.2020.03.001
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发表时间：
2020-05-01
影响因子：
3.9
通讯作者：
Gilchrist, Gail
中科院分区：
文献类型：
--
作者：
Connolly, Dean;Davies, Emma;Gilchrist, Gail
简介：跨性别者（trans-people）经历与其少数民族身份相关的压力，这些压力与精神活性物质使用率和相关伤害的增加有关。尽管如此，除了一小部分文献描述了一般物质滥用服务中的跨性别敌意文化之外，缺乏与使用精神活性物质的跨性别者的治疗需求有关的证据。本文旨在描述和比较跨性别和顺性别（顺）参与者之间的精神活性物质滥用求助从一个大型跨国横断面survey.Methods：超过180，000名参与者，从世界上最大的药物使用年度调查招募-全球药物调查-在2018年和2019年期间，报告了一系列精神活性物质的使用在过去的12个月。五个性别群体（118，157名顺式男性，64，319名顺式女性，369名跨式男性，353名跨式女性和1857名非二元人群）在与减少使用精神活性物质的愿望和寻求帮助以实现这一目标的必要性相关的项目上进行了比较。跨性别受访者（n = 1710）到GDS 2018报告使用非法物质的可能性明显更高（OR = 1.66-2.93）、大麻依赖（OR = 2.39）和酒精依赖（OR = 3.28）。在GDS 2018和2019的合并数据集中，反式（n = 2579）和顺式（n = 182，476）参与者在减少物质使用的愿望方面没有显着差异。然而，在那些谁不想使用较少的报告，跨参与者更有可能希望帮助实现这一点。结论：跨受访者报告了更大的需要帮助减少物质使用比顺式受访者。鉴于对跨性别精神活性物质使用者的专业服务不足，有必要更深入地了解他们参与一般药物滥用服务的障碍和促进因素。在此期间，药物滥用服务提供者需要关于性别少数地位的教育，以帮助满足跨性别客户的需求。
Introduction: Transgender (trans) people experience stressors related to their minority status which have been associated with increased rates of psychoactive substance use and related harm. Despite this, there is a paucity of evidence relating to the treatment needs of trans people who use psychoactive substances, beyond a small body of literature describing a culture of transphobic hostility in general substance misuse services. This paper aims to describe and compare psychoactive substance misuse help-seeking among trans and cisgender (cis) participants from a large multi-national cross-sectional survey.Methods: Over 180,000 participants, recruited from the world's largest annual survey of drug use - the Global Drug Survey - during 2018 and 2019, reported use of a range of psychoactive substances in the preceding 12 months. Five gender groups (118,157 cis men, 64,319 cis women, 369 trans men, 353 trans women and 1857 non-binary people) were compared on items relating to the desire to use less psychoactive substances and the need to seek help to achieve this.Results: Trans respondents (n = 1710) to GDS 2018 were significantly more likely to report use of illicit substances (OR = 1.66-2.93) and dependence on cannabis (OR = 2.39) and alcohol (OR = 3.28). In the combined GDS 2018 and 2019 dataset, there were no significant differences between trans (n = 2579) and cis (n = 182,476) participants on the desire to reduce substance use. However, among those who did report wanting to use less, trans participants were more likely to want help to achieve this.Conclusion: Trans respondents reported a greater need for help with reducing substance use than cis respondents. Given the deficit of specialist services for psychoactive substance users who are trans, there is a need for a more thorough understanding of the barriers and facilitators to their engagement in general substance misuse services. In the interim, substance misuse service providers require education about gender minority status to help meet the needs of trans clients.