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Review
. 2017 Mar 1;2(1):45-59.
doi: 10.1089/trgh.2016.0037. eCollection 2017.

A Systematic Review of Interventions to Reduce Problematic Substance Use Among Transgender Individuals: A Call to Action

Affiliations
Review

A Systematic Review of Interventions to Reduce Problematic Substance Use Among Transgender Individuals: A Call to Action

Tiffany R Glynn et al. Transgend Health. .

Abstract

Persons who are transgender (i.e., individuals who are assigned one sex at birth, but who do not identify with that sex) are at elevated risk for developing problematic substance use. Recent studies indicate that transgender persons have high rates of alcohol use, illicit drug use, and nonmedical use of prescription drugs and evince more severe misuse of these substances compared with nontransgender individuals. Despite the high rates of substance use among transgender persons and the multiple conceptual and narrative recommendations for substance use treatments, there is a lack of consensus or awareness of empirically tested interventions and programs effective for this population. Thus, it is critical to examine current substance use interventions for transgender individuals to identify gaps in the field and to immediately put forth efforts to reduce problematic substance use. This systematic review is the first to attempt a comprehensive identification and synthesis of the available evidence on interventions for reducing problematic substance use among transgender persons. Reflective of the state of the field regarding transgender care for substance use, we found a deficiency of studies to include in this systematic review (n=2). Perhaps the most important conclusion of this review is that well-designed, theoretically informed culturally sensitive research focused on developing and rigorously testing interventions for substance use among transgender individuals is alarmingly scarce. This review discusses barriers to intervention design and synthesizes treatment recommendations for future work.

Keywords: alcohol; drug use; substance use interventions; substance use treatment; systematic review; transgender individuals.

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Conflict of interest statement

No competing financial interests exist.

Figures

<b>FIG. 1.</b>
FIG. 1.
Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart of systematic review.

References

    1. Institute of Medicine. The Health of Lesbian, Gay, Bisexual and Transgender People: Building a Foundation for Better Understanding. Committee on Lesbian, Gay Bisexual, and Transgender Health Issues and Research Gaps and Opportunities. Washington, DC: The National Academies Press, 2011 - PubMed
    1. World Health Organization. Substance abuse: terminology and classification. 2016. Available at www.who.int/substance_abuse/terminology/en
    1. National Institute on Alcohol Abuse and Alcoholism. Drinking Levels Defined. 2015. Available at www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-b...
    1. National Institute on Drug Abuse. Commonly Used Terms in Addiction Science. 2014. Available at www.drugabuse.gov/publications/media-guide/glossary
    1. American Psychological Association(APA). Statistical Manual of Mental Disorders: DSM-V. Washington, DC: APA, 2013

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