University of Kentucky, 520 College of Nursing, Lexington, KY 40536.
University of Florida, College of Pharmacy, 1225 Center Drive, Gainesville, FL 32610.
J Sch Health. 2019 Mar;89(3):219-225. doi: 10.1111/josh.12731. Epub 2019 Jan 13.
Tobacco, alcohol, and illicit drug use among lesbian, gay, and bisexual (LGB) high school students as well as related environment and school-level risk and protective factors were examined.
Data was acquired from the 2015 CDC's Youth Behavior Risk Survey for Kentucky (N = 2577). Prevalence of substance use was calculated for all high school respondents by reported sexual orientation. Multivariate analyses estimated the relationship between school and environmental-level factors (eg, having an adult to talk to) and tobacco, alcohol, and illicit drug use via logistic regressions. Sexual orientation, gender, age, and race/ethnicity were covariates.
LGB students used tobacco, alcohol, and illicit drugs more frequently than their heterosexual counterparts. More LGB teens report facing school risk factors (eg, 37% LGB vs 20% heterosexual bullied at school, p ≤ .001; 17% LGB vs 5% heterosexual ever threatened or injured at school, p < .001; 13% LGB vs 7% heterosexual involved in a school fight, p = .001). Adjusting for school related risk factors, having an adult to talk to was associated with a reduced likelihood of daily smoking (adjusted odds ratio [aOR]: 0.43; 95% confidence interval [CI]: 0.26-0.73), past 30-day alcohol use (aOR: 0.71; 95% CI: 0.50-0.95), and ever marijuana use (aOR: 0.71; 95% CI: 0.50-1.00).
Innovative strategies are needed to create safe, supportive school environments. These strategies are particularly needed in predominately rural states like Kentucky.
研究了女同性恋、男同性恋和双性恋（LGB）高中生中的烟草、酒精和非法药物使用情况，以及相关的环境和学校层面的风险和保护因素。
数据来自 2015 年美国疾病控制与预防中心（CDC）对肯塔基州的青少年行为风险调查（N=2577）。通过报告的性取向，对所有高中生的物质使用情况进行了计算。通过逻辑回归，多变量分析估计了学校和环境层面因素（例如，与成年人交谈）与烟草、酒精和非法药物使用之间的关系。性取向、性别、年龄和种族/民族是协变量。
LGB 学生比异性恋学生更频繁地使用烟草、酒精和非法药物。更多的 LGB 青少年报告面临学校风险因素（例如，37%的 LGB 学生在学校受到欺凌，而 20%的异性恋学生受到欺凌，p≤0.001；17%的 LGB 学生在学校受到威胁或伤害，而 5%的异性恋学生受到威胁或伤害，p<0.001；13%的 LGB 学生参与学校打架，而 7%的异性恋学生参与学校打架，p=0.001）。在校相关风险因素调整后，与成年人交谈与每日吸烟（调整后的优势比 [aOR]：0.43；95%置信区间 [CI]：0.26-0.73）、过去 30 天饮酒（aOR：0.71；95% CI：0.50-0.95）和曾使用大麻（aOR：0.71；95% CI：0.50-1.00）的可能性降低有关。
需要创新策略来创建安全、支持性的学校环境。这些策略在像肯塔基这样的以农村为主的州尤其需要。
