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Prevalence and correlates of substance use among transgender adults: A systematic review

156 Citations2020
Dean J. Connolly, Gail Gilchrist

The sparse findings lend support to the minority stress model, but the overreliance of the literature on disproportionate investigation of transgender women with multiple intersectional disadvantages means there are significant gaps regarding the wider transgender community.

Abstract

The sparse findings lend support to the minority stress model. However, the overreliance of the literature on disproportionate investigation of transgender women with multiple intersectional disadvantages, means there are significant gaps regarding the wider transgender community. To ensure substance use treatment services are inclusive, gender identity should be recorded and targeted interventions available. Clinicians should be aware of the multiple, complex drivers of substance use and be prepared to ask about substance use and offer support. Given the high prevalence of trauma experienced by transgender people, trauma-informed psychosocial interventions may be useful in the management of problematic substance use in transgender adults.