OBJECTIVE Alcohol and other drug (AOD) use increases substantially from adolescence to emerging adulthood, and recent longitudinal studies show disparities in AOD-related outcomes by racial and ethnic, as well as sexual and gender minority (SGM), identities. Greater insight is needed into how individual, social, and environmental contexts interact and affect such disparities, as well as why disparate outcomes are found across different domains (e.g., social, educational, economic), even after accounting for intensity of use. This commentary addresses these important and timely issues. METHOD We provide a brief overview of the literature, including our own team's work over the last 14 years, to identify and understand disparities in AOD-related outcomes during adolescence and emerging adulthood across individuals with different racial and ethnic, and sexual and gender, identities. We then discuss paths forward to advance research and build a stronger evidence base, leading to the development and identification of effective interventions that can help mitigate disparities among historically marginalized adolescents and emerging adults. RESULTS Existing research highlights the need for further longitudinal work in several areas, including addressing contextual factors at various levels (e.g., individual, social, environmental) that may contribute to outcomes for different groups of individuals, developing and testing culturally appropriate AOD-related services, giving greater consideration to intersectionality of multiple minority identities, and using novel statistical approaches to help improve the estimation of differences across smaller subgroups of individuals in existing cohorts. CONCLUSIONS To inform prevention programming and policy for improving health and well-being of historically marginalized populations, it is important to continue our efforts to understand disparities in AOD-related outcomes using multidisciplinary, equity, and intersectionality lenses. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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揭示青春期和成年初期种族、族裔、性别和性别少数群体之间物质相关结果的差异。

目的 从青春期到成年初期，酒精和其他药物 (AOD) 的使用大幅增加，最近的纵向研究显示，不同种族和民族以及性别少数 (SGM) 身份的 AOD 相关结果存在差异。需要更深入地了解个人、社会和环境背景如何相互作用和影响这种差异，以及为什么即使在考虑了使用强度之后，在不同领域（例如社会、教育、经济）也会发现不同的结果。本评论解决了这些重要且及时的问题。方法 我们对文献进行了简要概述，包括我们自己的团队在过去 14 年的工作，以识别和理解不同种族和民族、性取向和性别、身份的个体在青春期和成年初期与 AOD 相关结果的差异。然后，我们讨论推进研究和建立更强有力的证据基础的前进道路，从而制定和确定有效的干预措施，帮助缩小历史上边缘化的青少年和新兴成年人之间的差距。结果 现有研究强调需要在多个领域开展进一步的纵向工作，包括解决各个层面（例如个人、社会、环境）的背景因素，这些因素可能有助于不同人群的结果，开发和测试文化上适当的 AOD 相关服务，更多地考虑多个少数群体身份的交叉性，并使用新颖的统计方法来帮助改进对现有群体中较小的个体亚组之间差异的估计。结论 为了为改善历史上边缘化人群的健康和福祉的预防规划和政策提供信息，重要的是继续努力使用多学科、公平和交叉的视角来了解 AOD 相关结果的差异。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。