Substance use and food challenges facing transgender college students

Prevalence of substance use and food insecurity among transgender and gender diverse college students.

Journal of American college health : J of ACH • • Moderately Relevant
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AI Summary

A recent large-scale study examining 102,802 undergraduate students reveals significant disparities in substance use and food insecurity among transgender and gender diverse (TGD) college students. The research highlights that TGD students are at higher risk for substance use compared to their cisgender peers, with notably increased rates of cannabis, cocaine, hallucinogen, and prescription stimulant consumption.

The study found statistically significant differences in substance use patterns, with TGD students experiencing higher odds of using various substances. Specifically, the likelihood of cannabis use was 1.58 times higher compared to cisgender students. Moreover, TGD students reported more substantial problems related to their substance use, indicating potential underlying challenges with mental health, social support, and personal well-being.

Beyond substance use, the research uncovered a critically important finding of increased food insecurity among TGD college students. These interconnected challenges underscore the need for targeted support programs that address the unique experiences and vulnerabilities of transgender and gender diverse young adults in educational settings.

💡 Key Findings

1
TGD students had 1.58 times higher odds of cannabis use compared to cisgender peers
High
85%
2
Higher proportion of substance-related problems reported by TGD students across multiple drug categories
Good
75%
3
Significant prevalence of food insecurity among transgender and gender diverse college students
High
80%

📄 Original Abstract

To determine the prevalence of food insecurity and substance use among U.S. transgender and gender diverse (TGD) college students in comparison with cisgender counterparts. Secondary data from 102,802 undergraduates responding to the Fall 2020 and Spring 2021 American College Health Association's National College Health Assessments was used. The five most commonly used substances on college campuses including alcohol, cannabis, cocaine, hallucinogens, and prescription stimulants were selected for the analyses of substance use. Logistic regression analysis was performed to examine the relationship between substance use and food insecurity, and gender identification. After controlling for confounding factors, TGD students had significantly higher odds of using hallucinogens, cannabis, prescription stimulants, and cocaine (OR = 1.87, 1.58, 1.32, and 1.24, respectively) compared to cisgender peers, and a significantly higher proportion of cannabis, cocaine, and hallucinogen users in TGD students reported consequent problems caused by their substance use (p < .001). Lastly, a significantly higher prevalence of food insecurity was found in TGD students after controlling for the covariates (p < .05). Our findings suggest the need for effective prevention programs and treatment strategies that are specific to TGD college students for addressing the disparities in substance use and food insecurity.

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