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Alcohol Use Disparities Among Transgender and Nonbinary Adults: An Intersectional Investigation.
Ryan C Shorey1, D A Briley2, Jane Hereth3
1Department of Psychology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.
Drug and Alcohol Review
|May 13, 2025
Summary
Alcohol use disparities among transgender and nonbinary (TGNB) adults are complex. An intersectional approach reveals significant differences across gender identities and other demographic factors, informing targeted public health strategies.
Area of Science:
- Public Health
- Sociology
- Health Disparities Research
Background:
- Alcohol use disparities are a significant public health concern.
- The transgender and nonbinary (TGNB) population experiences unique health challenges.
- Existing research often overlooks the complex interplay of identities within the TGNB community.
Purpose of the Study:
- To examine alcohol use disparities within transgender and nonbinary (TGNB) adults.
- To apply an intersectional perspective to understand these disparities.
- To identify specific subpopulations at higher risk for alcohol use.
Main Methods:
- Utilized data from the 2015 U.S. Transgender Survey (N=27,715).
- Employed a multilevel analysis of individual heterogeneity and discriminatory accuracy approach.
- Analyzed primary outcomes of number of drinking days and binge-drinking days.
Main Results:
- Significant identity-related differences in alcohol use were found within TGNB communities.
- Individuals identifying as White and crossdressers reported elevated alcohol use.
- Intersectional analysis of gender identity, race/ethnicity, and other factors provided a more accurate risk profile than single-identity analysis.
Conclusions:
- Alcohol use disparities among TGNB adults are best understood through an intersectional lens.
- Public health initiatives must acknowledge and address identity-specific differences within TGNB communities.
- Findings provide foundational evidence for future research into the mechanisms driving these disparities.
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