Racial/Ethnic Inequities in Polysubstance Use Among Online Help–Seeking Sexual and Gender Minoritized People in San Francisco From 2022 to 2025: Cross-Sectional Study

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Abstract

This research letter characterizes racial/ethnic disparities in polysubstance use among 409 online help–seeking sexual and gender minoritized people in San Francisco. Findings demonstrate the central role of tobacco as a co-occurring substance for participants who are Black, Indigenous, and people of color compared to their White counterparts.

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Maycott, J., & Arayasirikul, S. (2025). Racial/Ethnic Inequities in Polysubstance Use Among Online Help–Seeking Sexual and Gender Minoritized People in San Francisco From 2022 to 2025: Cross-Sectional Study. JMIR Public Health and Surveillance. JMIR Publications Inc. https://doi.org/10.2196/82313

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