INTRODUCTION: We aimed to identify socioenvironmental determinants of alcohol use among Black sexually minoritized men (SMM) and transgender women (TW).
METHOD: Data were from the Neighborhoods and Networks (N2) cohort study among Black SMM and TW (01/2018–08/2020). We used stepwise negative binomial regression to identify associations with alcohol use.
RESULTS: Among our sample of 142 Black SMM and TW (agemean=24 ± 4 years), 68% reported past month alcohol use. Adverse childhood experiences (IRR = 1.10; 95% CI = 1.03–1.18), GAD-7 (IRR = 1.03; 95% CI = 1.00–1.07), and community violence (IRR = 1.06; 95% CI = 1.02–1.10), were positively associated with alcohol use.
CONCLUSION: Multilevel alcohol reduction interventions can consider reducing community violence and increasing access to mental health services.
Socioenvironmental and mental health determinants of alcohol use among Black sexually minoritized men and transgender women: Findings from the N2 cohort study
Journal of Gay and Lesbian Mental Health [Epub 2025 Sep 18]. doi: 10.1080/19359705.2025.2502351.