{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:17:03Z","timestamp":1787728623589,"version":"build-2784847793"},"reference-count":50,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T00:00:00Z","timestamp":1712102400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use &amp;amp; Addiction Journal"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Substance use in adolescence is associated with multiple negative outcomes. Lesbian, gay, or bisexual or transgender or nonbinary (TNB) youth, and those who question their sexual orientation or gender, are more likely to engage in substance use than straight or cisgender youth. However, the extant literature largely considers sexual orientation and gender identity independently. Accordingly, this study examines the associations between the intersectional identities of sexual orientation and gender and substance use to identify those with the greatest need for prevention interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Data were from 36\u2009504 high school students aged 14 to 18\u2009years (mean\u2009=\u200915.7, SD\u2009=\u20091.18) enrolled in the 2019 Healthy Kids Colorado Survey using a statewide stratified random sampling design. Logistic regression models examined the associations between intersectional sexual orientation and gender on marijuana use, prescription drug misuse, and polysubstance use, as well as depression and violence victimization (eg, forced sex, partner violence).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Adjusted odds of substance use for sexual and gender minority youth varied by intersectional identity and substance. The largest effect sizes were seen for prescription drug misuse, especially among those questioning their gender and sexual orientation and heterosexuals either questioning their gender or who identified as TNB. Effect sizes for marijuana use and polysubstance use were highest for TNB and heterosexual participants. Depression and violence victimization were significantly associated with each substance use outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Interventions to reduce substance use in these populations may benefit from targeted interventions for youth with different intersectional identities, and a focus on violence prevention and depression screening and treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342241241398","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T05:20:56Z","timestamp":1712121656000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Adolescent Substance Use at the Intersection of Sexual Orientation and Gender Identity"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5062-276X","authenticated-orcid":false,"given":"Donald R.","family":"Gerke","sequence":"first","affiliation":[{"name":"Department of Social Work, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittanie","family":"Atteberry-Ash","sequence":"additional","affiliation":[{"name":"School of Social Work, Colorado State University, Fort Collins, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarrod","family":"Call","sequence":"additional","affiliation":[{"name":"School of Social Work and Criminal Justice, University of Washington Tacoma, Tacoma, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0981-7194","authenticated-orcid":false,"given":"C. Riley","family":"Hostetter","sequence":"additional","affiliation":[{"name":"Graduate School of Social Work, University of Denver, Denver, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,3]]},"reference":[{"key":"bibr1-29767342241241398","volume-title":"Youth Risk Behavior Survey: Data Summary & Trends Report 2009-2019","author":"Centers for Disease Control and Prevention","year":"2020"},{"key":"bibr2-29767342241241398","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2020.00298"},{"key":"bibr3-29767342241241398","volume-title":"Principles of Adolescent Substance Use Disorder Treatment: A Research-Based Guide","author":"National Institute on Drug Abuse","year":"2014"},{"key":"bibr4-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-2480"},{"key":"bibr5-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2009.06.005"},{"key":"bibr6-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-017-1546-1"},{"issue":"343","key":"bibr7-29767342241241398","first-page":"1","author":"Olaisen RH","year":"2019","journal-title":"NCHS Data Brief"},{"key":"bibr8-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2009.02531.x"},{"key":"bibr9-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2017.06.024"},{"key":"bibr10-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2017.04.013"},{"key":"bibr11-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1080\/19361653.2020.1727814"},{"key":"bibr12-29767342241241398","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304446"},{"key":"bibr13-29767342241241398","doi-asserted-by":"publisher","DOI":"10.9778\/cmajo.20180023"},{"key":"bibr14-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2015.10.014"},{"key":"bibr15-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2018.0149"},{"key":"bibr16-29767342241241398","unstructured":"Centers for Disease Control and Prevention. Youth risk behavior survey questionnaire. 2024. Accessed January 4, 2024. www.cdc.gov\/yrbs"},{"key":"bibr17-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1007\/s11121-013-0393-7"},{"key":"bibr18-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.129.5.674"},{"key":"bibr19-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-010-9302-6"},{"key":"bibr20-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1037\/a0038994"},{"key":"bibr21-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1037\/a0035085"},{"key":"bibr22-29767342241241398","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2008.69.520"},{"key":"bibr23-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1080\/10550887.2012.735564"},{"key":"bibr24-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1080\/17523281.2013.786750"},{"key":"bibr25-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1177\/0886260519881001"},{"issue":"2","key":"bibr26-29767342241241398","volume":"4","author":"Okafor C","year":"2020","journal-title":"Eur J Environ Public Health"},{"key":"bibr27-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2019.1618337"},{"key":"bibr28-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2019.100905"},{"key":"bibr29-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2014.11.023"},{"key":"bibr30-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-019-01533-9"},{"key":"bibr31-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1080\/00224499.2014.886321"},{"key":"bibr32-29767342241241398","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.su6901a5"},{"key":"bibr33-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12499"},{"key":"bibr34-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-013-9975-8"},{"key":"bibr35-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1089\/vio.2017.0041"},{"key":"bibr36-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.012809.103636"},{"key":"bibr37-29767342241241398","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300433"},{"key":"bibr38-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1016\/j.avb.2012.02.004"},{"key":"bibr39-29767342241241398","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2014.75.179"},{"key":"bibr40-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2018.08.011"},{"key":"bibr41-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2019.104403"},{"key":"bibr42-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1080\/19361653.2019.1614131"},{"key":"bibr43-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1080\/19317611.2019.1667938"},{"key":"bibr44-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2020.06.008"},{"key":"bibr45-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.13243"},{"key":"bibr46-29767342241241398","unstructured":"Colorado Department of Public Health and the Environment. Healthy Kids Colorado Survey Techical Documentation. 2019. Accessed December 20, 2023. https:\/\/cdphe.colorado.gov\/hkcs."},{"key":"bibr47-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1093\/swr\/30.1.19"},{"key":"bibr48-29767342241241398","volume-title":"Stata Statistical Software: Release 16","author":"StataCorp","year":"2019"},{"key":"bibr49-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2021.106905"},{"key":"bibr50-29767342241241398","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2018.01.012"}],"container-title":["Substance Use &amp;amp; Addiction Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29767342241241398","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/29767342241241398","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29767342241241398","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:49:35Z","timestamp":1777600175000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/29767342241241398"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,3]]},"references-count":50,"alternative-id":["10.1177\/29767342241241398"],"URL":"https:\/\/doi.org\/10.1177\/29767342241241398","relation":{},"ISSN":["2976-7342","2976-7350"],"issn-type":[{"value":"2976-7342","type":"print"},{"value":"2976-7350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,3]]},"article-number":"29767342241241398"}}