Academic performance and substance use: Findings from a state survey of public high school students

Academic performance and substance use: Findings from a state survey of public high school students
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DOI:
10.1111/j.1746-1561.2007.00179.x
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发表时间:
2007-03-01
影响因子:
2.2
通讯作者:
Bender, Daniel R.
Bender, Daniel R.
中科院分区:
医学4区
文献类型:
--
作者:
Cox, Regan G.;Zhang, Lei;Bender, Daniel R.

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此前的调查显示,学习成绩差的人更有可能吸烟、喝酒、吸食大麻和其他违禁药物。本研究调查了密西西比州公立高中学生学习成绩与药物使用之间的关系。2003年密西西比州青少年危险行为调查的抽样框架是从密西西比州教育部获得的。两阶段整群样本设计产生了密西西比州公立学校9-12年级学生的代表性样本。在2003年春季,45所抽样学校中有34所(75.6%)参与了调查。在1672名抽样学生中,共有1488人(89.0%)完成了87项问卷,总回复率为67.3%。在调查前的12个月里,学习成绩差(大部分成绩在c或c以下)的学生在男性、非西班牙裔黑人、经常吸烟、酗酒和吸食大麻的人中更为普遍。逻辑回归发现,性别、种族、频繁吸烟和大麻使用是与学业成绩低下几率增加相关的统计显著因素。酗酒者与其他学生的校正比值比为1.2,非西班牙裔黑人学生与非西班牙裔白人学生的校正比值比为2.6。目前的调查结果突出了密西西比州公立高中学生中香烟、酒精和大麻的广泛使用。因为学习成绩差的学生在参与这些物质使用行为的学生中更为普遍,所以多方面的方法可以鼓励高水平的学习成绩,同时劝阻学生参与危险/问题行为,既可以改善低水平的学习成绩,又可以减少导致成年后健康状况不佳的行为。
Previous investigations have shown that low academic achievers are more likely to smoke cigarettes, drink alcohol, and use marijuana and other illicit drugs. This study investigated the relationship between academic performance and substance use among public high school students in Mississippi.The sampling frame for the 2003 Mississippi Youth Risk Behavior Survey was obtained from the Mississippi Department of Education. A 2-stage cluster sample design produced a representative sample of Mississippi students in grades 9-12 who attended public schools. During the spring 2003, 34 of the 45 sampled schools (75.6%) participated.A total of 1488 from the 1672 sampled students (89.0%) completed an 87-item questionnaire (overall response rate 67.3%). Low academic performance (students with mostly Cs or below) during the 12 months preceding the survey was more prevalent among males, non-Hispanic blacks, frequent smokers, binge drinkers, and marijuana users. Logistic regression identified gender, race, frequent smoking, and marijuana use as statistically significant factors associated with increased odds for low academic performance. Adjusted odds ratios were 1.2 for binge drinkers versus other students to 2.6 for non-Hispanic black students versus non-Hispanic white students.The present findings highlight the extensive use of cigarettes, alcohol, and marijuana among Mississippi public high school students. Because poor academic achievers are more prevalent among students who participate in these substance-use behaviors, multifaceted approaches that encourage high levels of academic performance, while dissuading student involvement in risky/problem behaviors, may both improve low levels of academic achievement and reduce behaviors that contribute to poor health in adulthood.