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Persons who are transgender (i.e., individuals who are assigned one sex at birth, but who do not identify with that sex) are at elevated risk for developing problematic substance use.

Gender abuse, in conjunction with depressive symptoms, is a pervasive and moderately strong risk factor for substance use among transgender women. Improved substance abuse。

Trans women appear to be at greatest risk of substance use and related problems. Substance use correlates identified among trans people support minority stress theories. More research。

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