{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:25:01Z","timestamp":1755224701032,"version":"3.43.0"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T00:00:00Z","timestamp":1747094400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["R21AA030350"],"award-info":[{"award-number":["R21AA030350"]}],"id":[{"id":"10.13039\/100000027","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":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>This study examined an intersectional perspective on alcohol use disparities within transgender and nonbinary (TGNB) adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We examined the data from the 2015\u2009U.S. Transgender Survey (<jats:italic>N<\/jats:italic>\u2009=\u200927,715), a cross\u2010sectional, nationwide survey of TGNB adults. The number of drinking days and the number of binge\u2010drinking days were primary outcomes. Analyses followed a multilevel analysis of individual heterogeneity and discriminatory accuracy approach to examine alcohol disparities across gender identities (transgender, nonbinary and crossdresser) and intersections with race\/ethnicity, age, sex assigned at birth and dis\/ability status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant identity\u2010related differences existed within TGNB communities across all facets of identity. Relative to the sample average, individuals at the intersection of White and crossdressers reported elevated levels of alcohol use. Further, effects were most pronounced across combinations of transgender, nonbinary, White and Black participants to accurately describe alcohol risk in subpopulations relative to examining risk associated with each one of these identities independently.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Disparities in alcohol use among TGNB adults are best understood from an intersectional perspective. Affirming public health initiatives for alcohol use should consider identity\u2010related differences across TGNB communities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Scientific Significance<\/jats:title><jats:p>Results provide the first evidence that alcohol use disparities exist across gender and intersecting identities in a large sample of TGNB adults. Findings lay the groundwork for future research examining mechanisms responsible for these disparities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.14077","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T09:32:40Z","timestamp":1748338360000},"page":"1374-1383","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Alcohol Use Disparities Among Transgender and Nonbinary Adults: An Intersectional Investigation"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0927-3959","authenticated-orcid":false,"given":"Ryan C.","family":"Shorey","sequence":"first","affiliation":[{"name":"Department of Psychology University of Wisconsin\u2010Milwaukee  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. A.","family":"Briley","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Illinois  Champaign\u2010Urbana Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Hereth","sequence":"additional","affiliation":[{"name":"Department of Social Work University of Wisconsin\u2010Milwaukee  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"michael","family":"munson","sequence":"additional","affiliation":[{"name":"FORGE  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaclyn S.","family":"Fishbach","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Illinois  Champaign\u2010Urbana Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph R.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Illinois  Champaign\u2010Urbana Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,13]]},"reference":[{"issue":"1","key":"e_1_2_11_2_1","first-page":"3","article-title":"From Construction to Context: Gender Through the Eyes of the Transgendered","volume":"28","author":"Bockting W. O.","year":"1999","journal-title":"SIECUS Report"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2017.06.024"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2020.106544"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.36512"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2016.08.011"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000778"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2016.0037"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2018.01.016"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2307\/1229039"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0891243212461299"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467\u20109558.2010.01370.x"},{"volume-title":"Theorizing Intersectionality and Sexuality","year":"2011","author":"Taylor Y.","key":"e_1_2_11_13_1"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci12030366"},{"volume-title":"The Report of the 2015 U.S. Trans\u2010Gender Survey","year":"2015","author":"James S. E.","key":"e_1_2_11_15_1"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000752"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2020.1717538"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0361684316647953"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.112499"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2017.12.026"},{"volume-title":"Drinking Levels Defined","year":"2023","author":"National Institute on Alcohol Abuse and Alcoholism","key":"e_1_2_11_21_1"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2021.10.009"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2022.09.088"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2018.10.019"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2021.105066"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1037\/met0000024"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10648\u2010023\u201009733\u20105"},{"volume-title":"Mplus User's Guide [Computer Software]. Version 8.0","year":"1998","author":"Muth\u00e9n L. K.","key":"e_1_2_11_28_1"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705511.2017.1402334"},{"volume-title":"Transgender 101: A Simple Guide to a Complex Issue","year":"2012","author":"Teich N. M.","key":"e_1_2_11_30_1"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/hsw\/hlab029"},{"volume-title":"The Future is Non\u2010Binary: Investigating the Genesis of the Non\u2010Binary Movement in Amsterdam and Beyond","year":"2019","author":"Karp S.","key":"e_1_2_11_32_1"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/0361684313501644"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10935\u2010017\u20100469\u20104"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0032239"},{"volume-title":"\u201cThat's a Man\u201d: How Trans Men in the South Bolster Their Claims to Manhood","year":"2020","author":"Phillips M. Y.","key":"e_1_2_11_36_1"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2022.101290"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.03.018"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2016.11.015"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.14370"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmqr.2024.100399"}],"container-title":["Drug and Alcohol Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dar.14077","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T01:24:34Z","timestamp":1755048274000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dar.14077"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,13]]},"references-count":40,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1111\/dar.14077"],"URL":"https:\/\/doi.org\/10.1111\/dar.14077","archive":["Portico"],"relation":{},"ISSN":["0959-5236","1465-3362"],"issn-type":[{"type":"print","value":"0959-5236"},{"type":"electronic","value":"1465-3362"}],"subject":[],"published":{"date-parts":[[2025,5,13]]},"assertion":[{"value":"2025-01-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}