Tasuku Okui, Jinsang Park
Analysis of the regional distribution of road traffic mortality and associated factors in Japan
Injury epidemiology
research identified persistent disparities alcohol ecigarette marijuana use sexual orientation gender identity raceethnicity using intersectionality framework present study analyzes three large datasets identify intersecting social positions bearing highest burden substance use data adolescents grades 912 three samples 2019 minnesota student survey 20172019 california healthy kids survey 2017 national teen survey harmonized analysis n 602470 chisquared automatic interaction detection analysis compared prevalence four types substance use across combinations four social positions six racialethnic identities five sexual orientations three gender identities two sexes assigned birth substance 10 intersectional groups highest prevalence use examined full sample 1214 participants reported past 30day alcohol ecigarette marijuana use 7 reported past 30day binge drinking several intersecting marginalized social positions consistently found bear high burden substance use example transgender gender diverse tgd latinaxo young people particularly assigned male birth high prevalence groups alcohol use binge drinking marijuana use black tgd genderquestioning youth commonly high prevalence groups findings suggest support resources structural changes specifically tailored youth multiple marginalized identities especially tgd may needed results argue intersectional efforts explicitly address racialethnic cultural differences also integrating awareness understanding sexual gender diversity