{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T20:15:53Z","timestamp":1793736953057,"version":"4.6.1"},"reference-count":53,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,8,11]],"date-time":"2024-08-11T00:00:00Z","timestamp":1723334400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>There is a dire paucity of research into the burden, correlates and motives of substance use among trans young people in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Using data from a national survey of Australian trans young people (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009859,\n                      <jats:italic>M<\/jats:italic>\n                      <jats:sub>age<\/jats:sub>\n                      \u2009=\u200919.4), we estimated prevalence of past 6\u2010month substance use (tobacco, alcohol, cannabis, other drugs) and lifetime substance use disorder diagnoses. Covariate\u2010adjusted multivariate logistic regression models tested associations between substance use types with 18 interpersonal factors. Open\u2010ended responses regarding substance use motives (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009489) were qualitatively analysed using thematic analysis with an interpretative phenomenological approach.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Prevalence of lifetime substance use disorder diagnosis was 13.5% (95% confidence interval [CI] 11.1, 16.1). Alcohol use was most reported (72.4%; 95% CI 68.9, 75.6) followed by tobacco (31.1%; 95% CI 27.7, 34.6) and cannabis (30.6%; 95% CI 27.2, 34.2). Trans women reported highest rates of alcohol and cannabis use; use of other drugs was highest among trans men. Highest risk of substance use was observed among trans youth who experienced discrimination, intimate partner abuse, peer rejection and lack of family support (adjusted odds ratios ranging 1.5 to 3.0). Four multi\u2010levelled themes of substance use motives were identified: circumstantial use, somatic use, feeling better about oneself and one's life, and harm reduction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>While substance use among trans young is largely circumstantial, hedonistic and altruistic, facilitating self\u2010exploration, friendship and community connectedness, substance use among trans young people is highly prevalent and may be used to cope with sleep difficulties, depression\/anxiety and cisnormativity, including delays and waitlists for accessing gender\u2010affirming care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dar.13915","type":"journal-article","created":{"date-parts":[[2024,8,11]],"date-time":"2024-08-11T13:00:17Z","timestamp":1723381217000},"page":"1940-1953","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Substance use among trans and gender diverse young people in Australia: Patterns, correlates and motivations"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5625-7970","authenticated-orcid":false,"given":"Sasha","family":"Bailey","sequence":"first","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashleigh","family":"Lin","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angus","family":"Cook","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Winter","sequence":"additional","affiliation":[{"name":"School of Population Health Curtin University  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Watson","sequence":"additional","affiliation":[{"name":"Western Australian Department of Health, YouthLink North Metropolitan Area Health Service  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dani","family":"Wright\u2010Toussaint","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma L.","family":"Barrett","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6305-2623","authenticated-orcid":false,"given":"Nicola","family":"Newton","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yael","family":"Perry","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4466-7731","authenticated-orcid":false,"given":"Lucinda","family":"Grummitt","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Penelope","family":"Strauss","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia  Perth Australia"},{"name":"Telethon Kids Institute University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2022.103811"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2022.103747"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2017.06.024"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2019.0066"},{"key":"e_1_2_8_6_1","unstructured":"Australian Institute of Health and Welfare.Alcohol tobacco and other drugs.2021. 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