Associations between LGBTQ-affirmative school climate and adolescent drinking behaviors.
Associations between LGBTQ-affirmative school climate and adolescent drinking behaviors.
复制标题
DOI：
10.1016/j.drugalcdep.2016.02.022
复制
发表时间：
2016-04-01
影响因子：
4.2
通讯作者：
Stall RD
中科院分区：
文献类型：
--
作者：
Coulter RW;Birkett M;Corliss HL;Hatzenbuehler ML;Mustanski B;Stall RD
我们调查了青少年饮酒是否不那么频繁，如果他们生活在司法管辖区的学校气候，更肯定的女同性恋，男同性恋，双性恋，变性人，和质疑（LGBTQ）个人。来自2010年学校健康概况调查的数据，该调查测量了LGBTQ学校的气氛（例如，与2005年和2007年青年风险行为调查的汇总数据相关联，该调查测量了8个管辖区的性取向身份，人口统计学和酒精使用（饮酒天数，在学校饮酒天数和重度间歇性饮酒天数）。两级泊松模型测试了学校气候和酒精使用之间的关联，为每个性取向的亚组。生活在司法管辖区，（相对于较少）肯定的LGBTQ学校气候与以下因素显著相关：男同性恋/女同性恋的重度间歇性饮酒日较少（发生率比[IRR]=0.70; 95%置信区间[CI]：0.56，0.87; p=0.001）和异性恋（IRR=0.80; 95% CI：0.76，0.83; p<0.001）青少年;不确定性取向的青少年在校饮酒天数较少（IRR=0.57; 95% CI：0.35，0.93; p=0.024）。培养LGBTQ肯定的学校氛围可能会减少同性恋青少年，异性恋青少年和不确定性取向的青少年的一些饮酒行为。
We investigated whether adolescents drank alcohol less frequently if they lived in jurisdictions with school climates that were more affirmative of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) individuals. Data from the 2010 School Health Profile survey, which measured LGBTQ school climate (e.g., percentage of schools with safe spaces and gay-straight alliances), were linked with pooled data from the 2005 and 2007 Youth Risk Behavior Survey, which measured sexual orientation identity, demographics, and alcohol use (number of drinking days, drinking days at school, and heavy episodic drinking days) in 8 jurisdictions. Two-level Poisson models tested the associations between school climate and alcohol use for each sexual-orientation subgroup. Living in jurisdictions with more (versus less) affirmative LGBTQ school climates was significantly associated with: fewer heavy episodic drinking days for gay/lesbian (incidence-rate ratio [IRR]=0.70; 95% confidence interval [CI]: 0.56, 0.87; p=0.001) and heterosexual (IRR=0.80; 95% CI: 0.76, 0.83; p<0.001) adolescents; and fewer drinking days at school for adolescents unsure of their sexual orientation (IRR=0.57; 95% CI: 0.35, 0.93; p=0.024). Fostering LGBTQ-affirmative school climates may reduce some drinking behaviors for gay/lesbian adolescents, heterosexual adolescents, and adolescents unsure of their sexual orientation.