{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:04:40Z","timestamp":1789563880871,"version":"build-2803163510"},"reference-count":44,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T00:00:00Z","timestamp":1706572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003747","name":"Department of Health, State Government of Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003747","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015009","name":"Department of Premier and Cabinet, State Government of Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015009","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Prevalence and patterns of alcohol and other drug (AOD) use among specific lesbian, gay, bisexual, transgender (trans) and queer (LGBTQ+) subpopulations are well established. However, patterns of substance\u2010related risk have been less thoroughly explored. This study aimed to determine typologies AOD risk among LGBTQ+ adults in Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Latent class analyses were performed to determine distinct patterns of AOD risk (<jats:italic>n<\/jats:italic>\u2009=\u20096835), as measured by the Alcohol Use Disorder Identification Test and Drug Abuse Screening Tool. Demographic characteristics, experience of harassment, assault and\/or threats, mental wellbeing and LGBTQ+ connectedness were compared across emergent classes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>AOD risk was characterised as \u2018no risk\u2019 (13.3% of sample), \u2018low risk\u2019 (15.1%), \u2018moderate risk\u2019 (alcohol + other drugs; 30.1%), or \u2018moderate alcohol only risk\u2019 (41.5%). The \u2018moderate risk\u2019 class was the most likely class to report recent sexual assault, verbal abuse, harassment and physical threats compared to other classes, while those in the \u2018moderate alcohol only risk\u2019 group were least likely to report these experiences of all classes. However, both the \u2018moderate risk\u2019 and \u2018moderate alcohol risk only\u2019 classes reported greater mental wellbeing and LGBTQ+ connectedness compared to the \u2018no risk\u2019 and \u2018low risk\u2019 classes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Our findings indicate that level of AOD risk is not uniform among some LGBTQ+ adults, nor is the distribution of harms experienced by them. Tailored harm\u2010reduction interventions may be fruitful in attenuating harms based on risk profile; most specifically, LGBTQ+ individuals engaging in moderately risky concurrent AOD use.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13814","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T05:54:50Z","timestamp":1706680490000},"page":"551-561","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Typologies of alcohol and other drug\u2010related risk among lesbian, gay, bisexual, transgender (trans) and queer adults"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4773-4285","authenticated-orcid":false,"given":"Thomas","family":"Norman","sequence":"first","affiliation":[{"name":"Australian Research Centre in Sex, Health and Society La Trobe University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5299-8835","authenticated-orcid":false,"given":"Adam","family":"Bourne","sequence":"additional","affiliation":[{"name":"Australian Research Centre in Sex, Health and Society La Trobe University  Melbourne Australia"},{"name":"Kirby Institute UNSW Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Amos","sequence":"additional","affiliation":[{"name":"Australian Research Centre in Sex, Health and Society La Trobe University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Power","sequence":"additional","affiliation":[{"name":"Australian Research Centre in Sex, Health and Society La Trobe University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"Anderson","sequence":"additional","affiliation":[{"name":"Australian Research Centre in Sex, Health and Society La Trobe University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gene","family":"Lim","sequence":"additional","affiliation":[{"name":"Australian Research Centre in Sex, Health and Society La Trobe University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Carman","sequence":"additional","affiliation":[{"name":"Australian Research Centre in Sex, Health and Society La Trobe University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. 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