When You Can't Hold on to Society, You Hold on to Something Else: A Mixed-Methods Study on Substance Use Among LGBTQIA plus People in Türkiye

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dc.contributor.authorKara, Yunus
dc.date.accessioned2026-04-25T14:20:07Z
dc.date.available2026-04-25T14:20:07Z
dc.date.issued2026
dc.departmentSinop Üniversitesi
dc.description.abstractBackgroundSubstance use among LGBTQIA+ people is shaped by complex psychosocial and structural factors, particularly within contexts of social marginalization. In T & uuml;rkiye, little is known about how intersecting identities affect the substance use risks.ObjectiveThis mixed-methods study explored the prevalence and contextual dynamics of substance use among LGBTQIA+ people in T & uuml;rkiye, integrating quantitative data (n = 570) and in-depth qualitative interviews (n = 24).ResultsQuantitative findings indicated that substance use risk significantly varied across gender identity and sexual orientation. Men, trans women, and gay participants exhibited higher scores on standardized screening tools (API-RSF-Alcohol, API-RSF-Drug, and ASSIST), suggesting the elevated vulnerability. Qualitative analysis identified three main themes: the emotional roots of substance use, its associated psychosocial challenges, and strategies of resilience and solidarity. Participants described substance use not as an isolated behavior but as a coping mechanism amid emotional turmoil, identity struggles, and systemic discrimination. They also reported facing institutional barriers in accessing formal support systems, while community-based solidarity emerged as a vital resource.ConclusionsFindings highlight the urgent need for intersectional and culturally responsive substance use interventions. Addressing both individual and structural dimensions-such as stigma, identity-based rejection, and service inaccessibility-is essential for effective prevention and care. The study fills a critical gap in T & uuml;rkiye's literature by centering LGBTQIA+ voices and offers actionable insights for mental health practitioners, harm reduction services, and policymakers.
dc.identifier.doi10.1080/10826084.2025.2575067
dc.identifier.endpage717
dc.identifier.issn1082-6084
dc.identifier.issn1532-2491
dc.identifier.issue5
dc.identifier.orcid0000-0002-7812-5845
dc.identifier.pmid41117283
dc.identifier.scopus2-s2.0-105019661287
dc.identifier.scopusqualityQ2
dc.identifier.startpage707
dc.identifier.urihttps://doi.org/10.1080/10826084.2025.2575067
dc.identifier.urihttps://hdl.handle.net/11486/8383
dc.identifier.volume61
dc.identifier.wosWOS:001597644200001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKara, Yunus
dc.language.isoen
dc.publisherTaylor & Francis Inc
dc.relation.ispartofSubstance Use & Misuse
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20260420
dc.subjectLGBTQIA plus health
dc.subjectmixed-methods research
dc.subjectsocial exclusion
dc.subjectsubstance use
dc.titleWhen You Can't Hold on to Society, You Hold on to Something Else: A Mixed-Methods Study on Substance Use Among LGBTQIA plus People in Türkiye
dc.typeArticle

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