Substance Use Among Transgender Students in California Public Middle and High Schools
Substance Use Among Transgender Students in California Public Middle and High Schools
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DOI：
10.1111/josh.12499
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发表时间：
2017-05-01
影响因子：
2.2
通讯作者：
Esqueda, Monica Christina
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文献类型：
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作者：
De Pedro, Kris Tunac;Gilreath, Tamika D.;Esqueda, Monica Christina
背景跨性别青少年在家庭和学校面临巨大的社会压力，这往往导致行为健康差异。本研究评估了跨性别青少年的物质使用率是否高于非跨性别青少年。 方法本研究是 2013-2015 年加州健康儿童调查 (CHKS) 的二次数据分析，旨在调查跨性别青少年的物质使用率是否高于非跨性别青少年。参与者包括加州几乎所有学区的初中和高中的 4778 名跨性别学生和 630,200 名非跨性别学生。研究结果包括终生、近期和在校内使用香烟、烟草、酒精、大麻、可卡因和摇头丸的情况，以及处方止痛药、减肥药、利他林或阿得拉以及感冒药的非医疗使用情况。结果跨性别学生一生中使用可卡因/甲基苯丙胺的可能性是非跨性别学生的 2-1/2 倍（比值比 [OR] = 2.53；95% 置信区间 [CI] = 2.18-2.95），报告过去 30 天吸入剂使用的可能性约为 2.8 倍（OR = 2.80；95% CI = 2.41-3.26）。跨性别学生报告过去 30 天使用处方止痛药的可能性是其两倍多（OR = 2.19；95% CI = 1.90-2.53），在学校吸烟的可能性是其三倍多（OR = 3.37；95% CI = 2.84-3.99）。结论该研究的结果表明，需要采取社区和学校干预措施来减少跨性别学生的物质使用跨性别青年。
BACKGROUNDTransgender adolescents face tremendous social stress in families and schools, which often leads to behavioral health disparities. This study assessed whether rates of substance use were higher among transgender adolescents when compared to nontransgender adolescents.METHODSThis study is a secondary data analysis of the 2013-2015 California Healthy Kids Survey (CHKS) that examines whether rates of substance use are higher among transgender youth when compared to nontransgender youth. Participants included 4778 transgender and 630,200 nontransgender students in middle and high schools in nearly all school districts in California. The study outcomes were lifetime, recent, and in-school use of cigarettes, tobacco, alcohol, marijuana, cocaine, and ecstasy as well as nonmedical use of prescription painkillers, diet pills, Ritalin or Adderall, and cold medicine.RESULTSTransgender students were about 2-1/2 times more likely as nontransgender students to use cocaine/methamphetamine in their lifetime (odds ratio [OR] = 2.53; 95% confidence interval [CI] = 2.18-2.95) and about 2.8 times as likely to report past 30-day inhalant use (OR = 2.80; 95% CI = 2.41-3.26). Transgender students were more than twice as likely to report past 30-day prescription pain medication use (OR = 2.19; 95% CI = 1.90-2.53) and more than 3 times as likely to use cigarettes in school (OR = 3.37; 95% CI = 2.84-3.99).CONCLUSIONSThe study's findings indicate a need for community- and school-based interventions that reduce substance use among transgender youth.