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Evaluating the Determinants of Substance Use in LGBTQIA+ Adolescents: A Scoping Review

Author

Listed:
  • Eric Brown

    (Program of Public Health, Department of Health and Education, Torrens University Australia, Sydney, NSW 2010, Australia)

  • Erini Abdelmassih

    (School of Pharmacy, University of Tasmania, Grosvenor St., Sandy Bay, Hobart, TAS 7001, Australia)

  • Fahad Hanna

    (Program of Public Health, Department of Health and Education, Torrens University Australia, Melbourne, VIC 3000, Australia
    Higher Education College, Chisholm Institute, Melbourne, VIC 3000, Australia)

Abstract

Background: Research has consistently shown increased drug use among lesbian, gay, bisexual, transgender, intersex, queer/questioning, and asexual (LGBTQIA+) individuals. This is particularly the case among LGBTQIA+ adolescents. Substance use within this vulnerable community can propagate mental health issues, leading to psychiatric disorders, self-harm, and even suicide. Therefore, the objective of this scoping review was to evaluate the determinants of drug use among LGBTQIA+ adolescents. Methods: A comprehensive search of mainly primary research was conducted, using several databases. Peer-reviewed articles published between 2018 and 2023 were included. The scoping review was conducted using the framework outlined by Joanna Briggs Institute (JBI) and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses—Extension for Scoping Reviews (PRISMA-ScR) statement. Results: A total of 29 articles (including 400,194 participants) were included in the analysis. The articles reported that the main determinants of drug use among LGBTQIA+ adolescents include homelessness, peer–peer interactions, mental health, and protective factors. The articles reported that mental health issues, which were mainly triggered by rejection, were the main determinants of drug use among LGBTQIA+ adolescents. Conclusions: Findings from this scoping review provide relatively reliable evidence that homelessness, mental health, peer–peer interactions, and protective factors are the main determinants of illicit drug use among LGBTQ+ adolescents. Rigorous studies including large sample sizes and systematic reviews are needed to further confirm these findings and assist in developing interventions to combat the unusually high level of drug use among this group.

Suggested Citation

  • Eric Brown & Erini Abdelmassih & Fahad Hanna, 2024. "Evaluating the Determinants of Substance Use in LGBTQIA+ Adolescents: A Scoping Review," IJERPH, MDPI, vol. 21(12), pages 1-21, November.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:12:p:1579-:d:1530934
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    References listed on IDEAS

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    1. András Költő & Alina Cosma & Honor Young & Nathalie Moreau & Daryna Pavlova & Riki Tesler & Einar B. Thorsteinsson & Alessio Vieno & Elizabeth M. Saewyc & Saoirse Nic Gabhainn, 2019. "Romantic Attraction and Substance Use in 15-Year-Old Adolescents from Eight European Countries," IJERPH, MDPI, vol. 16(17), pages 1-21, August.
    2. Robert Andrew Yockey & Tracey E. Barnett, 2023. "Past-Year Blunt Smoking among Youth: Differences by LGBT and Non-LGBT Identity," IJERPH, MDPI, vol. 20(7), pages 1-8, March.
    3. Brodie Fraser & Nevil Pierse & Elinor Chisholm & Hera Cook, 2019. "LGBTIQ+ Homelessness: A Review of the Literature," IJERPH, MDPI, vol. 16(15), pages 1-13, July.
    4. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    5. April Joy Damian & Delilah Ponce & Angel Ortiz-Siberon & Zeba Kokan & Ryan Curran & Brandon Azevedo & Melanie Gonzalez, 2022. "Understanding the Health and Health-Related Social Needs of Youth Experiencing Homelessness: A Photovoice Study," IJERPH, MDPI, vol. 19(16), pages 1-16, August.
    6. Kenneth W. Griffin & Lisa L. Lindley & Elaine Cooper Russell & Tori Mudd & Christopher Williams & Gilbert J. Botvin, 2022. "Sexual Violence and Substance Use among First-Year University Women: Differences by Sexual Minority Status," IJERPH, MDPI, vol. 19(16), pages 1-12, August.
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