美国女同性恋、男同性恋、双性恋和疑问青少年的物质使用情况，2015 年。
Substance Use Among Lesbian, Gay, Bisexual, and Questioning Adolescents in the United States, 2015.
机构信息
Theodore L. Caputi is with the School of Public Health, College of Medicine and Health, University College Cork, Cork, Republic of Ireland. Laramie R. Smith and Steffanie A. Strathdee are with the Division of Infectious Disease and Global Public Health, School of Medicine, University of California, San Diego. John W. Ayers is with the Graduate School of Public Health, San Diego State University.
出版信息
Am J Public Health. 2018 Aug;108(8):1031-1034. doi: 10.2105/AJPH.2018.304446.
OBJECTIVES
To provide current national estimates of lesbian, gay, bisexual, and questioning (LGBQ) adolescents' (grades 9-12) substance use risks.
METHODS
The 2015 national Youth Risk Behavior Survey included questions for 19 substance use outcomes covering 15 substances. LGBQ adolescents' substance use was described and their risk relative to heterosexual adolescents was estimated after controlling for sociodemographic confounders.
RESULTS
In controlled analyses, we found that LGBQ adolescents were 1.12 (95% confidence interval [CI] = 1.06, 1.19) times as likely as heterosexual adolescents to report any lifetime and 1.27 (95% CI = 1.14, 1.41) times as likely to report past 30-day substance use. LGBQ adolescents were at significantly greater risk for all but 1 studied substance, including alcohol, cigarettes, cigars, cocaine, ecstasy, electronic vapor usage ("vaping"), hallucinogens, heroin, inhalants, marijuana, methamphetamine, prescription drugs (without physician direction), steroids, and synthetic marijuana.
CONCLUSIONS
LGBQ adolescents are at substantially greater risk for substance use. Public Health Implications. Policymakers should invest in prevention and early intervention resources to address substance use risks among LGBQ adolescents.
目的
提供当前全国范围内关于女同性恋、男同性恋、双性恋和疑问（LGBQ）青少年（9-12 年级）物质使用风险的估计数据。
方法
2015 年全国青少年风险行为调查包括了 19 项物质使用结果的问题，涵盖了 15 种物质。描述了 LGBQ 青少年的物质使用情况，并在控制了社会人口统计学混杂因素后，估计了他们相对于异性恋青少年的风险。
结果
在对照分析中，我们发现 LGBQ 青少年报告任何一生中使用物质的可能性是异性恋青少年的 1.12 倍（95%置信区间[CI] = 1.06, 1.19），过去 30 天使用物质的可能性是异性恋青少年的 1.27 倍（95% CI = 1.14, 1.41）。LGBQ 青少年面临着除了 1 种研究物质之外的所有物质的显著更高风险，包括酒精、香烟、雪茄、可卡因、摇头丸、电子蒸汽使用（“ vaping”）、迷幻剂、海洛因、吸入剂、大麻、冰毒、处方药物（未经医生指导）、类固醇和合成大麻。
结论
LGBQ 青少年在物质使用方面面临着更大的风险。公共卫生意义。政策制定者应该投资于预防和早期干预资源，以解决 LGBQ 青少年的物质使用风险。
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