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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.

Transgender and gender diverse (TGD) adults are at elevated risk of problematic substatranssexual addictionnce use. While understanding substance use disparities in TGD youth is crucial for informing early。

Transgender people were more likely to use tobacco (odds ratio (OR) = 1.65; 95% CI [1.37, 1.98]), have used substances throughout their lives (OR = 1.48; 95% CI [1.30, 1.68]), and present。

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