Another group that may be at particular risk for alcohol problems stemming from their experiences with discrimination are those in the lesbian, gay, bisexual, and transgender (LGBT) community, who experience high levels of discrimination related to sexual orientation and gender identification (Krieger and Sidney 1997). One study found that more than two-thirds of LGBT adults experienced discrimination, and individuals who reported discrimination based on race, gender, and sexual orientation were almost four times more likely to use alcohol and other substances (McCabe et al. 2010). This suggests that future studies and public health interventions should focus not only on racial and gender discrimination, but also sexual orientation and gender identification.