(Q30317)

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"To smoke feels gender": Exploring the transformative and emancipatory capacities of cannabis among transgender, non-binary and gender non-conforming (TGNC) youth. (English)
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Transgender, non-binary and gender non-conforming (herein, "TGNC") youth (15-24 years old) face overlapping minority stressors (e.g., gender discrimination, lack of access to gender-affirming care, rejection, violence) that contribute to mental health inequities. (English)
BACKGROUND (English)
Copyright © 2024. Published by Elsevier B.V. (English)
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TGNC youth also use substances at higher rates when compared to cisgender youth, including some of the highest rates of cannabis use in Canada. (English)
BACKGROUND (English)
Copyright © 2024. Published by Elsevier B.V. (English)
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This community-based participatory research study provides an in-depth qualitative, photovoice-based analysis examining how cannabis use features within the gender experiences of a sample of TGNC youth in British Columbia (BC). (English)
METHODS (English)
Copyright © 2024. Published by Elsevier B.V. (English)
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We conducted in-depth, semi-structured interviews with 27 TGNC youth (15-24 years old) from across British Columbia. (English)
METHODS (English)
Copyright © 2024. Published by Elsevier B.V. (English)
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Interviews were designed to elicit discussions about the photos youth had taken as well as various gender and mental health experiences related to their cannabis use. (English)
METHODS (English)
Copyright © 2024. Published by Elsevier B.V. (English)
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Analysis and identification of emergent themes was guided by social constructivist grounded theory as well as queer and trans theorizing and informed by community-based research approaches through regular meetings with our team's Substance Use Beyond the Binary Youth Action Committee comprised of TGNC youth who use substances. (English)
METHODS (English)
Copyright © 2024. Published by Elsevier B.V. (English)
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Three overarching themes pertaining to cannabis use and gender experiences amongst TGNC youth in our study were generated. (English)
RESULTS (English)
Copyright © 2024. Published by Elsevier B.V. (English)
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First, participants used cannabis purposefully and strategically to enact diverse gender expressions and embodiments. (English)
RESULTS (English)
Copyright © 2024. Published by Elsevier B.V. (English)
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Second, participants leveraged cannabis to support introspection whilst mobilizing identity discovery and development. (English)
RESULTS (English)
Copyright © 2024. Published by Elsevier B.V. (English)
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Finally, participants mobilized cannabis as a vehicle for accessing moments of gender euphoria and affirmation. (English)
RESULTS (English)
Copyright © 2024. Published by Elsevier B.V. (English)
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These findings identify how some TGNC youth use cannabis to purposefully and strategically facilitate their mental health, well-being, identity development and self-expression. (English)
CONCLUSIONS (English)
Copyright © 2024. Published by Elsevier B.V. (English)
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This research reveals critically important experiential and embodied dimensions of cannabis use that have not historically been considered in cannabis-related policy and the provision of care, including mental health and substance use-related care. (English)
CONCLUSIONS (English)
Copyright © 2024. Published by Elsevier B.V. (English)
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September 2024
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September 2024
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131
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104536
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104536
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S0955-3959(24)00214-7
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Declaration of competing interest We declare no conflicts of interest, financial or otherwise. (English)
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