Intersectional discrimination and alcohol problems among transfeminine people of color: The moderating role of financial instability

This study examines the conditional indirect effect of discrimination on alcohol problems among transfeminine people of color, moderated by financial instability. An online cross-sectional survey (<i>N</i> = 80) was conducted from October 2021 to May 2022 with transfeminine adults of color with a history of alcohol problems. Using Hayes' PROCESS Macro, results showed that past-year discrimination was associated with higher drinking motives, greater alcohol use, and more alcohol-related problems. Among participants experiencing financial instability, past-year discrimination was associated with greater alcohol use and subsequent alcohol problems. Conversely, among financially stable participants, past-year discrimination was associated with <i>less</i> alcohol use and <i>fewer</i> alcohol problems. Findings highlight that economic deprivation amplifies the impact of discrimination-related stress on alcohol problems. Addressing basic needs is essential to mitigating these effects. This study underscores the importance of transgender inclusive policies while calling for further research on longitudinal outcomes.