Substance use behaviours among sexual and gender minorities with a history of adverse childhood experiences: a systematic review and narrative-synthesis

Key Points

• Adverse childhood experiences are linked to harmful substance use outcomes in sexual and gender minorities.
• Findings indicate that multiple layers of marginalization may further complicate these associations.
• This systematic review synthesizes existing data on substance use and adverse experiences among sexual and gender minorities.
• Understanding these links highlights the complexity of support needed for individuals facing marginalization.