ArticleScientific reports2025
Impact of structurally transphobic policy environment on harmful alcohol and substance use among transgender and nonbinary adults.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- HIV prevention service disruption among transgender adults in the context of 2025 federal executive orders in the United States: a cross-sectional multi-state study.Lancet regional health. Americas · 2026Article
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Authors and funding
19 authors.
Funding
Abstract
Previous studies have demonstrated high prevalence of alcohol and substance use behaviors among transgender and gender-diverse (TGD) communities. Considering the recency of anti-trans policies in the US, it is critical to understand whether structural anti-trans factors are associated with substance use outcomes. To fill this gap, we examined the associations between factors that make up a structurally anti-trans policy environment and unhealthy alcohol use and drug use among TGD adults. Using data from the Priority Assessment in Trans Health (PATH) Project (n = 797), multivariable regression modeling using nonparametric bootstrapping methods (resampling = 1000) were used to assess associations between structurally anti-trans policy environment indicators and harmful alcohol use (HAU) and harmful drug use (HDU) (abuse, dependence, disorders, etc.). The sample was predominately comprised of young adult trans women (81.9%), ages 25-34 (81.7%). Over one-third identified as people of color (39.7%). Overall, 52.8% reported HAU and 5.6% reported HDU. Accurate knowledge of state-level anti-hate-crime laws was associated with reduced odds of HAU (OR = 0.69 [95% CI: 0.53, 0.90]; p = 0.006). In a separate model, higher awareness of anti-trans bills was associated with increased odds of reporting HDU (OR = 1.62 [95% CI: 1.09, 2.40]; p = 0.02). There were no significant differences between concerns about trans rights being taken away and alcohol or drug use. Findings indicate that awareness of anti-trans bills is associated with increased unhealthy drug use, while knowledge of state-level anti-hate-crime laws is associated with decreased unhealthy alcohol use. Protecting social safety should be prioritized for TGD individuals, as this may serve as a protective factor against risk behaviors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.