Associations Between Community-Level LGBTQ-Supportive Factors and Substance Use Among Sexual Minority Adolescents.
Associations Between Community-Level LGBTQ-Supportive Factors and Substance Use Among Sexual Minority Adolescents.
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社区层面 LGBTQ 支持因素与性少数青少年物质使用之间的关联。
DOI：
10.1089/lgbt.2019.0205
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发表时间：
2020
期刊：
影响因子：
4.8
通讯作者：
Saewyc,ElizabethM
中科院分区：
文献类型：
--
作者：
Watson,RyanJ;Park,Minjeong;Taylor,AshleyB;Fish,JessicaN;Corliss,HeatherL;Eisenberg,MarlaE;Saewyc,ElizabethM
目的：利用具有代表性的学校数据和社区一级的原始数据，我们调查了环境因素（如学校和社区气候）如何在弱势青少年群体中预防物质使用行为。方法：我们使用学生层面的数据（不列颠哥伦比亚省青少年健康调查）和主要社区层面的数据（评估女同性恋、男同性恋、双性恋、变性人和酷儿[LGBTQ]特定社区和学校环境）对2678名性少数群体青少年样本进行分析。使用多层逻辑回归模型，我们检查了终生物质使用（酒精、非法药物、大麻、非医疗使用处方药和吸烟）与社区水平预测因子（社区和学校LGBTQ支持）之间的关系。结果：除了学生特征（例如，居住在加拿大的年龄和年限）之外，居住在LGBTQ支持更多的社区（即更支持性的气候）的性少数青少年终生非法使用药物（男孩和女孩），使用大麻（女孩）和吸烟（女孩）的几率更低。具体来说，在LGBTQ事件（如Pride事件）更频繁的社区，生活在这些社区的性少数青少年使用药物的几率比生活在LGBTQ支持较少的社区的同龄人要低。结论：LGBTQ社区组织、活动和项目的可用性可能是性少数青少年物质使用的保护因素。特别是，支持LGBTQ的社区因素与药物使用呈负相关，这对我们在社区项目、法律和组织方面的投资具有重要意义，这些项目、法律和组织旨在提高LGBTQ人群的知名度和权利。
Purpose:Using representative school-based data and community-level primary data, we investigated how environmental factors (e.g., school and community climate) might be protective against substance use behaviors among a vulnerable population of adolescents.Methods:We analyzed a sample of 2678 sexual minority adolescents using a combination of student-level data (British Columbia Adolescent Health Survey) and primary community-level data (assessing lesbian, gay, bisexual, transgender, and queer [LGBTQ]-specific community and school environments). Using multilevel logistic regression models, we examined associations between lifetime substance use (alcohol, illegal drugs, marijuana, nonmedical use of prescription drugs, and smoking) and community-level predictors (community and school LGBTQ supportiveness).Results:Above and beyond student characteristics (e.g., age and years living in Canada), sexual minority adolescents residing in communities with more LGBTQ supports (i.e., more supportive climates) had lower odds of lifetime illegal drug use (for boys and girls), marijuana use (for girls), and smoking (for girls). Specifically, in communities with more frequent LGBTQ events (such as Pride events), the odds of substance use among sexual minority adolescents living in those communities was lower compared with their counterparts living in communities with fewer LGBTQ supports.Conclusions:The availability of LGBTQ community-level organizations, events, and programs may serve as protective factors for substance use among sexual minority adolescents. In particular, LGBTQ-supportive community factors were negatively associated with substance use, which has important implications for our investment in community programs, laws, and organizations that advance the visibility and rights of LGBTQ people.
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影响因子：
3.6
作者：
Watson, Ryan J.;Wheldon, Christopher W.;Puhl, Rebecca M.
通讯作者：
Puhl, Rebecca M.
影响因子：
2.6
作者：
R. LeBeau;William A. Jellison
通讯作者：
William A. Jellison
影响因子：
4.2
作者：
Duncan, Dustin T.;Hatzenbuehler, Mark L.;Johnson, Renee M.
通讯作者：
Johnson, Renee M.
影响因子：
3.9
作者：
Poteat, V. Paul;Mereish, Ethan H.;Koenig, Brian W.
通讯作者：
Koenig, Brian W.
LGBT 年轻人的社会支持网络：积极调整的低成本策略
DOI：
--
发表时间：
2015
期刊：
影响因子：
--
作者：
Shannon D Snapp;R. Watson;S. Russell;R. Díaz;C. Ryan
通讯作者：
C. Ryan