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We investigated the role of multilevel factors contributing to alcohol use among these groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed data collected from HIV\u2010negative participants in the Neighborhoods and Network (N2) cohort study in Chicago, IL (<jats:italic>N<\/jats:italic>\u2009=\u2009138). Participants completed a social network inventory (November 2018\u2013April 2019) and reported alcohol use (frequency, quantity, and frequency of binge drinking) during a quantitative assessment. We used stepwise negative binomial regression to identify associations with social network and individual\u2010level alcohol use while controlling for sociodemographic variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most participants drank alcohol in the past month (68%), with a mean of 2.5 drinks (SD\u2009=\u20091.9) per drinking day. Participants nominated 377 confidants (<jats:italic>M<\/jats:italic><jats:sub>nominated<\/jats:sub>\u2009=\u20092.7), of whom 93% were Black and 78% were friends\/family. Among the confidants, 30% drank alcohol at least several times per week. Identifying as Latine (RR\u2009=\u20092.21; 95% CI: 1.44\u20133.10), having a higher Generalized Anxiety Disorder\u20107 score (RR\u2009=\u20091.03; 95%CI: 1.00\u20131.05), living with a problem drinker during one's childhood (RR\u2009=\u20091.80; 95% CI: 1.39\u20132.34), and having a greater proportion of regular drinkers in one's social network (RR\u2009=\u20091.49; 95% CI: 1.02\u20132.17) were positively associated with alcohol use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Black SGM exposed to social network alcohol use during childhood and adulthood reported increased alcohol use. Interventions targeting Black SGM should address social norms around alcohol, intersectional discrimination, and mental health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.70009","type":"journal-article","created":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T10:01:29Z","timestamp":1743328889000},"page":"783-791","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Social network alcohol use is associated with individual\u2010level alcohol use among Black sexually minoritized men and gender\u2010expansive people: Findings from the Neighborhoods and Networks (<scp>N<\/scp>2) cohort study"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3500-8507","authenticated-orcid":false,"given":"Cho\u2010Hee","family":"Shrader","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Mailman School of Public Health Columbia University  New York New York USA"},{"name":"Edson College of Nursing and Health Innovation Arizona State University  Phoenix Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dustin T.","family":"Duncan","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Mailman School of Public Health Columbia University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5738-0735","authenticated-orcid":false,"given":"Anthony","family":"Santoro","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elvin","family":"Geng","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine Washington University in St. Louis  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1018-0450","authenticated-orcid":false,"given":"Henry R.","family":"Kranzler","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"},{"name":"Mental Illness Research, Education and Clinical Center, Crescenz Veterans Affairs Medical Center  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Hasin","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Mailman School of Public Health Columbia University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donna","family":"Shelley","sequence":"additional","affiliation":[{"name":"Department of Public Health Policy and Management, School of Global Public Health New York University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan","family":"Kutner","sequence":"additional","affiliation":[{"name":"Psychiatry Research Institute at Montefiore Einstein (PRIME), Department of Psychiatry and Behavioral Sciences Albert Einstein College of Medicine  Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott E.","family":"Sherman","sequence":"additional","affiliation":[{"name":"Department of Population Health, Grossman School of Medicine New York University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yen\u2010Tyng","family":"Chen","sequence":"additional","affiliation":[{"name":"Edward J. 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