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A Daily Diary Study of Discrimination and Substance Use in Transgender and Nonbinary Adults
Evan J Basting1, Alisa R Garner2, Michael Munson3
1Department of Psychology & Neuroscience, University of Tennessee, Knoxville, TN.
Summary
Transgender and nonbinary adults experiencing anti-transgender and nonbinary discrimination reported increased same-day alcohol use, particularly heavy episodic drinking. Discrimination did not affect next-day alcohol or any cannabis use.
Area of Science:
- Psychiatry
- Public Health
- Sociology
Background:
- Alcohol and cannabis use rates are higher in transgender and nonbinary (TNB) adults compared to cisgender adults.
- Exposure to anti-TNB discrimination is linked to increased substance use in TNB populations.
- Temporal relationships between discrimination and substance use require further investigation.
Purpose of the Study:
- To examine the association between daily experiences of anti-TNB discrimination and same-day/next-day alcohol and cannabis use.
- To investigate if discrimination predicts heavy episodic drinking (HED) and overall alcohol consumption.
- To assess the impact of discrimination on cannabis use patterns.
Main Methods:
- A 60-day daily diary study involving 135 TNB adults (mean age = 29.1).
- Daily assessments of alcohol use (any drinking, number of drinks, HED) and cannabis use.
- Daily assessments of experiences of anti-TNB discrimination.
Main Results:
- Increased anti-TNB discrimination was associated with higher likelihood of HED and greater alcohol consumption on the same day.
- Anti-TNB discrimination did not predict any alcohol use outcomes on the subsequent day.
- No significant association was found between anti-TNB discrimination and same-day or next-day cannabis use.
Conclusions:
- TNB individuals may increase alcohol consumption on days they experience discrimination, possibly as a coping mechanism.
- Interventions focused on adaptive coping strategies for discrimination may help reduce alcohol use among TNB adults.
- Findings highlight the immediate impact of discrimination-related stress on alcohol consumption in TNB populations.
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