Psychology of Sexual Orientation and Gender Diversity最新文献

{"title":"Gender Minority Stress and Resilience Factors Associated With Persistent Depressive Symptoms Among Transgender and Gender Diverse Adolescents and Young Adults Accessing Gender-Affirming Medical Care.","authors":"Bridgid Mariko Conn, Ramón Durazo-Arvizu, Carolyn F Wong, Amy E West, Diane Chen, Yee-Ming Chan, Diane Ehrensaft, Robert Garofalo, Marco A Hidalgo, Stephen M Rosenthal, Johanna Olson-Kennedy","doi":"10.1037/sgd0000965","DOIUrl":"https://doi.org/10.1037/sgd0000965","url":null,"abstract":"<p><p>While many transgender and gender diverse (TGD) youth experience improved mental health after initiating gender-affirming hormone therapy (GAHT), some continue to experience persistent depressive (PD) symptoms. We examined associations of risk factors (e.g., negative expectations for the future, internalized transphobia) and protective factors (e.g. self-efficacy) for PD among TGD youth accessing GAHT. We used data from the Trans Youth Care U.S. Study, a national longitudinal prospective cohort study of TGD youth ages 12-20 years (N=315 at baseline). Experiencing PD, gender minority stress, resilience, and other factors were assessed at four timepoints (baseline, 6, 12, 18, and 24-months). After identifying two groups based on reported PD, we estimated differences at baseline and change over time of risk and protective factors using linear mixed-effects models. We also examined the association between these rates and experiencing PD using logistic regression. Two groups of PD youth (n=62) and non-PD youth (non-PD; n=253) were identified. Greater negative expectation at baseline was associated with increased odds of PD, while the opposite was observed for greater self-efficacy. Increased rate of change in body esteem was associated with decreased odds of PD. There was an interaction effect between negative expectation and self-efficacy. While self-efficacy was a protective factor, this effect lost its strength as perceived negative expectation increased. These findings identify important areas of assessment and intervention for TGD youth who experience PD despite accessing GAHT. Addressing these factors in treatment appears vital to ensuring adequate treatment for PD.</p>","PeriodicalId":52125,"journal":{"name":"Psychology of Sexual Orientation and Gender Diversity","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13714780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149302122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement of Gender Expression among U.S. Adolescents: Improvements in Assessing Gender Diversity in Survey Research.","authors":"Christopher Hansen, Melissa Heim Viox, Michelle M Johns, Erin Fordyce, Sabrina Avripas, Sarahjane Dube, Masha Ivanova","doi":"10.1037/sgd0000958","DOIUrl":"https://doi.org/10.1037/sgd0000958","url":null,"abstract":"<p><p>The measurement of gender expression is an evolving area of sexual orientation and gender identity research. Extant research has assessed bipolar and unipolar measures of femininity and masculinity among adults; however, no known research has evaluated their use among adolescents. This study presents results of a split-ballot experiment that compared bipolar and unipolar responses to femininity and masculinity and examines differences in concurrent validity. In 2021, 279 U.S. adolescents ages 13-17 were surveyed using a probability-based household panel. Youth were asked, \"How do you describe yourself?\" at two points in the survey. Response scales were either a bipolar, seven-point scale from <i>Very masculine</i> to <i>Very feminine</i> or two unipolar, seven-point scales, one asking about femininity and one about masculinity, from <i>Not at all</i> to <i>Very</i>. The order of items (bipolar or unipolar first) was randomly assigned. The sample included 49.9% cisgender boys, 44.4% cisgender girls, and 5.5% transgender and gender nonbinary adolescents. For all genders, unipolar scales captured more diversity of gender expression than the corresponding bipolar scale. Unipolar measures showed statistically significant associations with mental distress, parental acceptance, bullying victimization, self-kindness, and self-judgment, whereas bipolar measures were associated with only mental distress, parental acceptance, and bullying victimization. Findings indicate that unipolar measures capture more diversity in gender expression than bipolar measures. Regression analyses suggest this diversity is meaningful beyond methodological variance. Future research may consider using unipolar measures to enhance measurement quality when assessing gender expression among adolescents.</p>","PeriodicalId":52125,"journal":{"name":"Psychology of Sexual Orientation and Gender Diversity","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13727296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149327401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intermediate Outcomes of a Randomized Controlled Trial of an Online Group Program to Prevent Dating Violence and Alcohol Use Among Sexual and Gender Minority Teens.","authors":"Heather Littleton, Katie M Edwards, Lorey A Wheeler, Joseph Gardella, Weiman Xu","doi":"10.1037/sgd0000969","DOIUrl":"https://doi.org/10.1037/sgd0000969","url":null,"abstract":"<p><p>LGBTQ+ teens are more likely than their heterosexual and cisgender peers to experience teen dating violence (TDV) and engage in substance use. Despite these increased risks, there is a dearth of prevention programming tailored for LGBTQ+ teens. The current study evaluated intermediate outcomes from a pilot randomized controlled trial of an affirming 9-session online group dating violence and alcohol use prevention program for LGBTQ+ teens, the Promoting Resilient Youth with Strong Hearts and Minds (PRYSHM) program. A total of 304 LGBTQ+ teens (ages 15-18) were randomized to complete PRYSHM (<i>n</i> = 213) or to a waitlist (<i>n</i> = 101) between September 2022 and February 2023 and completed surveys at baseline, post-test, and 3-month follow-up. PRYSHM participants were divided into three dosage groups based on number of sessions attended (low 0-2, moderate 3-5, high 6-9), with each group compared to waitlist. As compared to teens assigned to waitlist, teens in the high dosage group (<i>n</i> = 114) had significantly greater sense of LGBTQ+ community (post <i>d</i> = 0.8, 3-month <i>d</i> = 0.5), lower perceived LGBTQ+ peer norms for TDV perpetration (3-month <i>d</i> = 0.4), and greater self-efficacy to engage in alcohol use protective behavioral strategies (post <i>d</i> = 0.3). Results supported that the PRYSHM program led to changes in several proposed intermediate outcomes, but only among teens who received a higher program dose. Given the promise of PRYSHM, future work should evaluate the impact of the program utilizing a longer-term follow-up and consider ways to increase program engagement.</p>","PeriodicalId":52125,"journal":{"name":"Psychology of Sexual Orientation and Gender Diversity","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13651634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developmental Asset Profiles as Moderators of the Association Between Intersectional Discrimination and Mental Health Among Black Sexual Minority Men.","authors":"Donte T Boyd, Addie Weaver, Xin Feng, Hans Oh","doi":"10.1037/sgd0000968","DOIUrl":"10.1037/sgd0000968","url":null,"abstract":"<p><p>This cross-sectional study examined whether developmental assets moderate the relationship between intersectional discrimination and mental health among Black sexual minority men (BSMM) aged 14 to 24. BSMM (<i>N</i> = 541; <i>M</i> age = 17.00, <i>SD</i> = 2.85) residing in three Midwestern cities completed an online Qualtrics survey conducted between December 2023 and January 2024. The mental health outcomes assessed included depressive symptoms, anxiety, and suicidal behaviors. Intersectional discrimination was modeled as a latent factor characterized by three indicators: anticipated, day-to-day, and major discrimination. Eight developmental asset indicators (both external and internal) informed a latent profile analysis (LPA); moderation was examined using the Bolck-Croon-Hagenaars approach in Mplus, while controlling for age, household income, homelessness, and sexual identity disclosure. The LPA revealed a four-class solution: low assets (25.5%), moderate assets (30.5%), inconsistent assets (27.4%), and high assets (16.6%). Discrimination was positively associated with depressive symptoms across all profiles, with the exception of the high assets group; the strongest effect was noted in the inconsistent assets category, while the weakest was in the high assets group. Regarding anxiety, discrimination was positively correlated with low, moderate, and inconsistent assets but negatively associated with high assets. Additionally, discrimination was positively related to suicidal behavior across all profiles, with the strongest effect observed in the moderate assets group. Younger age and housing instability were consistently linked to poorer mental health outcomes. These findings suggest that developmental assets can buffer some-but not all-of the mental health impacts of discrimination, suggesting that uneven asset patterns may heighten risk.</p>","PeriodicalId":52125,"journal":{"name":"Psychology of Sexual Orientation and Gender Diversity","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Findings from Two Online Experiments to Advance the Science on Sexual Orientation and Gender Identity Measurement: An Application to Estimating Cigarette Relighting Behaviors.","authors":"Ollie Ganz, Nishi J Gonsalves, Marisa Tomaino, Carolyn J Heckman, Michael B Steinberg, Michelle T Bover Manderski","doi":"10.1037/sgd0000963","DOIUrl":"10.1037/sgd0000963","url":null,"abstract":"<p><p>To better understand the impact of sexual orientation and gender identity (SOGI) measurement choices on estimates of hazardous health behaviors, we examined the impact of SOGI measurement choices on estimates of relighting, as an example hazardous health behavior. We embedded a 2×2×2 factorial experiment within a convenience sample of US adults ages 18-45 who smoke daily or some days (N=271) and a nationally representative sample of US adults ages 21+ who smoke regularly (20+ days per month and in past week; N=2020) to test three aspects of SOGI measurement: order of gender identity questions, wording of the heterosexual response option when assessing sexual orientation, and order of sexual orientation identity response options. We compared relighting prevalence among individuals classified as being a sexual or gender minority (SGM) across survey conditions. There were large statistically significant differences in relighting behavior by condition, but only in the convenience sample: prevalence was higher if gender identity was assessed by asking gender before sex (95.0% vs 66.7%, p=.029) and if ordering the sexual orientation response options by population prevalence (95.0% vs 66.7%, p=.029). SOGI measurement choices may impact estimates of cigarette relighting, but larger studies are needed to further evaluate this phenomenon.</p>","PeriodicalId":52125,"journal":{"name":"Psychology of Sexual Orientation and Gender Diversity","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Racism and Mental Health Among Asian American Sexual Minority Men: The Moderating Role of Internalized Racism.","authors":"Christopher Chiu, Ryan M Wade, Karen L Suyemoto, David W Pantalone","doi":"10.1037/sgd0000945","DOIUrl":"10.1037/sgd0000945","url":null,"abstract":"<p><p>Sexual racism reinforces a harmful racialized hierarchy of desirability and disproportionately affects Asian American sexual minority men (ASMM). Although researchers have demonstrated that sexual racism negatively impacts mental health, few quantitative studies have focused expressly on the experiences of ASMM using validated measures of sexual racism. The present study surveyed ASMM who use dating apps (<i>N = 155</i>) to explore the interrelations between sexual racism, internalized racism, and mental health. Participants, recruited online, reported on demographic information, sexual racism experiences, and mental health (depression, anxiety, stress symptoms & problematic alcohol use). Partial correlations, adjusting for age, income and education, revealed that sexual racism was significantly and positively correlated with anxiety, depression, and stress symptoms (<i>r</i>s = .24-.25, <i>p</i>s < .01). At the subscale level, higher reports of White rejection were significantly correlated with elevated anxiety, depression, and stress symptoms (<i>r</i>s = .22-.38, <i>p</i>s < .01). Same-race physical objectification (<i>r</i> = .22, <i>p</i> = .007) and degradation (<i>r</i> = .25, <i>p</i> = .002) were significantly correlated with anxiety symptoms. Moderation analyses demonstrated that the association between experiences of sexual racism and depression symptoms varied across levels of internalized racism, Δ<i>R</i> ^<i>2</i> = .033, <i>F</i>(1, 147) = 6.53, <i>p</i> = .012; elevated internalized racism amplified the association between sexual racism and depressive symptoms. Our study supplies evidence of the connections between sexual racism, internalized racism, and poorer mental health. These findings can inform multi-level prevention and intervention efforts to minimize experiences of sexual racism and mitigate its negative effects among ASMM.</p>","PeriodicalId":52125,"journal":{"name":"Psychology of Sexual Orientation and Gender Diversity","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13464540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heterogeneity in sexual identity development among young sexual minority cisgender women: Associations with outness, victimization, and depression.","authors":"Brian A Feinstein, Gregory Swann, Lisa Godfrey, Shariell Crosby, Christina Dyar, Brian Mustanski, Michael E Newcomb, Sarah W Whitton","doi":"10.1037/sgd0000931","DOIUrl":"10.1037/sgd0000931","url":null,"abstract":"<p><p>Timing of sexual identity development has implications for victimization and health. Prior studies have primarily focused on men's same-gender attractions/experiences, and less is known about sexual minority, especially bisexual, women. The current study explored patterns of sexual identity development among 402 young sexual minority cisgender women and examined associations with outness, victimization, and depression. Latent class analysis identified six patterns: 1) gay/lesbian, early attractions; 2) gay/lesbian, late attractions; 3) bisexual, early attractions, more sexual experience; 4) bisexual, early attractions, less sexual experience; 5) bisexual, late attractions, more sexual experience; and 6) bisexual, late attractions, less sexual experience. Participants in \"gay/lesbian\" classes were more out than those in \"bisexual\" classes, while participants in the \"bisexual, late attractions, less sexual experience\" class were less out than those in other \"bisexual\" classes. Participants in the \"gay/lesbian, early attractions\" class reported more victimization than those in \"bisexual, less sexual experience\" classes; participants in the \"bisexual, early attractions, more sexual experience\" class reported more victimization than those in other \"bisexual\" classes; and participants in the \"bisexual, late attractions, more sexual experience\" class reported more victimization than those in \"bisexual, less sexual experience\" classes. Last, participants in the \"gay/lesbian, early attractions\" class reported more depression than those in \"late attractions\" classes, and participants in the \"bisexual, early attractions, more sexual experience\" class reported more depression than those in \"bisexual, late attractions\" classes. Findings highlight heterogeneity in sexual identity development among sexual minority cisgender women, which may have implications for identifying those at risk for negative outcomes.</p>","PeriodicalId":52125,"journal":{"name":"Psychology of Sexual Orientation and Gender Diversity","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13245714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in sexual identity and family support: A cohort analysis.","authors":"André Gonzales Real, Stephen T Russell","doi":"10.1037/sgd0000932","DOIUrl":"10.1037/sgd0000932","url":null,"abstract":"<p><p>Family support is critical for the well-being of sexual minority (SM) people. While research has identified that family support is not uniform across SM individuals with different sexual identities, it is unclear whether family support is impacted when individuals change sexual identity. This study explored associations between changes in sexual identity and trajectories of family support among U.S. SM individuals from three age cohorts, and whether these associations were moderated by cohort and directionality of identity change. Data come from a longitudinal study of a national probability sample of SM individuals. Latent Growth Curve Models were conducted to compare trajectories of family support of individuals who changed sexual identity to those who had consistent sexual identities. Multiple-group analysis examined whether these associations differed by cohort membership. Follow-up analyses examined how the direction of identity change influences the associations between changes in sexual identity and family support. Results showed that patterns of stability and change in sexual identity were not equally associated with trajectories of family support across cohort groups. Individuals in the middle cohort who changed sexual identities experienced less family support, especially when they changed from a monosexual to a plurisexual identity. Among individuals from the older cohort, sexual identity change was associated with levels of family support, but the effects were mixed depending on the direction of identity change. Changes in family support followed by changes in sexual identity vary based on age and/or cohort. More studies examining how identity change is associated with trajectories of social support are needed.</p>","PeriodicalId":52125,"journal":{"name":"Psychology of Sexual Orientation and Gender Diversity","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Disparities Between Stress-Related Mental Health Conditions and Chronic Physical Health Conditions Among Hispanic and Latinx Sexual and Gender Minority Individuals: Findings from the All of Us Research Program.","authors":"Caleb Esteban, Normarie Torres-Blasco, Mario Bermonti-Pérez, Lianel Rosario, Eddiel Hernández-López","doi":"10.1037/sgd0000902","DOIUrl":"10.1037/sgd0000902","url":null,"abstract":"<p><p>Sexual and gender minority individuals experience significant health disparities, including elevated rates of stress-related mental health conditions and chronic physical health conditions. Among Hispanic and Latinx populations, these disparities are particularly pronounced. They face intersecting minority stressors related to ethnicity, sexual orientation, and gender identity. This study examined the prevalence and association between stress-related mental health conditions and chronic physical health conditions among sexual and gender minorities in both a full sample and a Hispanic/Latinx subsample. Using data from 413,360 participants in the All of Us Research Program, we assessed the likelihood of reporting chronic physical health conditions among sexual and gender minorities with stress-related mental health conditions. Logistic regression analyses were performed, adjusting for age and body mass index, as these are known covariates. Findings indicate that, in the full sample, sexual and gender minorities were more likely to report chronic physical health conditions compared to their cisgender and heterosexual counterparts. Within the Hispanic/Latinx population, sexual minorities groups with stress-related mental health conditions were over twice as likely to report chronic physical health conditions compared to those without such conditions. The association between gender minority status and chronic physical health conditions was stronger than that observed for sexual minority status, underscoring the compounded health risks faced by gender minority individuals. These findings point the urgent need for targeted healthcare interventions. They also highlight important implications for public health policy and clinical practice, particularly the development of culturally responsive strategies to reduce health disparities among sexual and gender minority individuals.</p>","PeriodicalId":52125,"journal":{"name":"Psychology of Sexual Orientation and Gender Diversity","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13166103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Daily Diary Study of Discrimination and Substance Use in Transgender and Nonbinary Adults.","authors":"Evan J Basting, Alisa R Garner, Michael Munson, Ryan C Shorey, Gregory L Stuart","doi":"10.1037/sgd0000923","DOIUrl":"10.1037/sgd0000923","url":null,"abstract":"<p><p>Rates of alcohol and cannabis use are often higher among transgender and nonbinary (TNB) adults relative to cisgender adults. Prior studies indicate that increased exposure to anti-TNB discrimination may be associated with greater substance use in this population, yet few studies have investigated whether these are temporally related. This study examined whether daily experiences of anti-TNB discrimination were associated with same-day and next-day alcohol and cannabis use. We recruited 135 TNB adults (<i>M</i> _<i>age</i> = 29.1, <i>SD</i> = 8.6; 67.4% nonbinary, 24.4% men/male, 14.8% women/female, 8.9% other identities) for a 60-day daily diary study between January 2022 and July 2023 that assessed daily alcohol and cannabis use as well as experiences of anti-TNB discrimination. We examined whether experiencing anti-TNB discrimination was associated with alcohol use (any drinking, number of drinks, heavy episodic drinking [HED]) and cannabis use on the same-day and next-day compared to non-discrimination days. Participants experiencing more anti-TNB discrimination were more likely to engage in HED and reported consuming more alcoholic drinks on the same day. Anti-TNB discrimination did not predict any drinking outcomes on the subsequent day. Further, anti-TNB discrimination was not associated with cannabis use on the same-day or next-day. These findings suggest that TNB individuals might drink more alcohol on the same day as discrimination, potentially to cope with stress related to experiencing discrimination. Interventions that aim to improve adaptive coping with discrimination could reduce drinking among TNB adults.</p>","PeriodicalId":52125,"journal":{"name":"Psychology of Sexual Orientation and Gender Diversity","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13138730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}