Journal Article


Discrimination, gender dysphoria, drinking to cope and alcohol harms in the UK trans and non-binary community

Abstract

Background Trans and non-binary people may be at increased risk of alcohol harms, but little is known about motives for drinking in this community. Aims This study explored the relationship between risk of alcohol dependence, experience of alcohol harms, drinking motives, dysphoria and discrimination within a United Kingdom sample of trans and non-binary people with a lifetime history of alcohol use. Methods A cross-sectional survey was co-produced with community stakeholders and administered to a purposive sample of trans and non-binary people from 1st February until 31st March 2022. A total of 462 respondents were included - 159 identified as non-binary and/or genderqueer (identities outside the man/woman binary), 135 solely as women, 63 solely as men, 15 as another gender identity, 90 selected multiple identities. Results Higher levels of reported discrimination were associated with higher risk of dependence and more reported harms from drinking. Coping motives, enhancement motives, and drinking to manage dysphoria were associated with higher AUDIT scores. Social, coping, and enhancement motives alongside discrimination and drinking to have sex were associated with harms. The relationship between discrimination and risk of dependence was mediated by coping motives and drinking to manage dysphoria. Conclusions: Further to these associations, we suggest that reducing discrimination against trans and non-binary communities might reduce  alcohol harms in this population. Interventions should target enhancement motives, coping motives and gender dysphoria. Social and enhancement functions of alcohol could be replaced by alcohol free supportive social spaces. 



The fulltext files of this resource are currently embargoed.
Embargo end: 2024-10-18

Authors

Davies, Emma L.
Ezquerra-Romano, Ivan
Thayne, Beth
Holloway, Zhi
Bayliss, Jacob
O'Callaghan, Stewart
Connolly, Dean J.

Oxford Brookes departments

Department of Psychology, Health and Professional Development

Dates

Year of publication: 2023
Date of RADAR deposit: 2023-08-25




Related resources

This RADAR resource is the Accepted Manuscript of Discrimination, gender dysphoria, drinking to cope, and alcohol harms in the UK trans and non-binary community
This RADAR resource is the Accepted Manuscript of [PsyArXiv preprint] Discrimination, gender dysphoria, drinking to cope and alcohol harms in the UK trans and non-binary community

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