Why cannabis research must center LGBTQIA+ youth voices

This participatory research study addressed a critical gap in cannabis science: the lack of evidence-based strategies tailored to LGBTQIA+ youth, who consistently report higher cannabis use rates and cannabis-related problems compared to their heterosexual and cisgender peers. Researchers conducted a World Café consultation—a collaborative dialogue method—that brought together LGBTQIA+ youth, community organizations, researchers, and public health practitioners to identify what research on cannabis harm reduction should prioritize for this vulnerable population. The process revealed that existing cannabis education and harm reduction approaches often fail to account for the unique social contexts and lived experiences of LGBTQIA+ individuals.

The study identified four comprehensive community-informed research priorities: (1) developing a compassionate understanding of cannabis harm reduction that doesn't rely on stigmatizing approaches; (2) adopting a holistic approach that recognizes cannabis use doesn't exist in isolation but intersects with mental health, identity issues, and social stressors; (3) leveraging research to create actionable interventions and policy changes that directly improve health outcomes; and (4) advancing an equitable evidence base that analyzes cannabis use through an intersectional lens—meaning research must account for how race, gender identity, sexual orientation, and socioeconomic status shape cannabis experiences.

These findings have practical implications for harm reduction practitioners, policymakers, and researchers developing cannabis-related health programs. Rather than one-size-fits-all approaches, the research underscores the need for culturally responsive, youth-informed cannabis strategies that address why LGBTQIA+ youth may turn to cannabis (often related to stress, discrimination, and mental health challenges) and how services can better support this population.