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2-201 - Findings on adolescent substance use when diversity and inclusion are prioritized

Fri, March 22, 3:00 to 4:30pm, Hilton Baltimore, Floor: Level 1, Johnson A

Session Type: Paper Symposium

Integrative Statement

What we know about adolescent substance use largely pertains to White, heterosexual, cisgender youth – that is, researchers have not prioritized diversity and inclusion in sampling frames or analyses. When diversity is accounted for, it does not typically consider with-group variation. Thus, critical questions remain about the extent of variation in substance use epidemiology and etiology across and within racial-ethnic, gender minority, and sexual orientation, subgroups. We present four papers that focus on substance use prevalence and disparities among underrepresented groups using U.S. national-, state-, and community-level data. Findings from paper one, using Monitoring the Future data, show that adolescent Mexican, Puerto Rican, Cuban, and ‘Other Hispanic’ groups differ in their marijuana, cigarette, and cocaine use. Paper two, using genetic and neighborhood risk data, reveals that genetic risk for alcohol use significantly interacts with adolescents’ conduct problems. The third paper, using California population-based data, shows that sexual orientation related disparities in substance use significantly vary by adolescent age. The final paper demonstrates nuanced differences in self-reported substance use across transgender identity subgroups by sexual orientation and race/ethnicity. All four studies show significant variation in substance use by subgroups (ethnicity, gender identity, and sexual orientation). Together, the presentations address key gaps in understanding variation in substance use as a function of important racial/ethnic, gender, and sexual identities; groups that have been historically underrepresented and understudied in research. The Chair will summarize overarching themes and key implications regarding diversity in substance use epidemiology and etiology in effort to stimulate audience involvement.

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