Wang Richard C, Lipin Daniel I, Swoboda Thomas K, Sambamoorthi Usha
St. Mark's School of Texas, Dallas, TX, USA.
Associate Dean for Clinical Education, Roseman University, College of Medicine, Las Vegas, NY, USA.
Clin Child Psychol Psychiatry. 2025 Jul;30(3):752-766. doi: 10.1177/13591045251344043. Epub 2025 May 16.
Substance use among U.S. adolescents is a critical public health concern. This study evaluates risk and protective factors for substance use among high school students. Using data from the 2022 National Survey on Drug Use and Health, a cross-sectional analysis of 6,072 high school students was conducted. Multivariable logistic regression analyzed associations between substance use (alcohol, tobacco, illicit drugs) and adolescent-specific factors, adjusting for sex, grade, health insurance, and poverty status. Overall, 35.6% of students reported using alcohol, tobacco, or illicit drugs in the past year. Antisocial behavior significantly increased the odds of alcohol (AOR = 2.54, 95% CI = 2.02-3.19), tobacco (AOR = 2.36, 95% CI = 1.92-2.89), and illicit drug use (AOR = 2.66, 95% CI = 2.22-3.19; < .001). Religious involvement reduced the odds of alcohol (AOR = 0.79, 95% CI = 0.64-0.97, = .026), tobacco (AOR = 0.71, 95% CI = 0.56-0.90, = .006), and illicit drug use (AOR = 0.59, 95% CI = 0.45-0.77, < .001). One in three high school students reported substance use. Antisocial behaviors increase risk, while religious involvement offers protection. Interventions targeting these factors may reduce adolescent substance use.
美国青少年的物质使用是一个关键的公共卫生问题。本研究评估了高中生物质使用的风险和保护因素。利用2022年全国药物使用和健康调查的数据，对6072名高中生进行了横断面分析。多变量逻辑回归分析了物质使用（酒精、烟草、非法药物）与青少年特定因素之间的关联，并对性别、年级、医疗保险和贫困状况进行了调整。总体而言，35.6%的学生报告在过去一年中使用过酒精、烟草或非法药物。反社会行为显著增加了使用酒精（调整后比值比[AOR]=2.54，95%置信区间[CI]=2.02-3.19）、烟草（AOR=2.36，95%CI=1.92-2.89）和非法药物的几率（AOR=2.66，95%CI=2.22-3.19；P<.001）。宗教参与降低了使用酒精（AOR=0.79，95%CI=0.64-0.97，P=.026）、烟草（AOR=0.71，95%CI=0.56-0.90，P=.006）和非法药物的几率（AOR=0.59，95%CI=0.45-0.77，P<.001）。三分之一的高中生报告有物质使用行为。反社会行为会增加风险，而宗教参与则提供保护。针对这些因素的干预措施可能会减少青少年的物质使用。
