Adverse School Outcomes and Risky Sexual Health Behaviors among High School Students with E-Cigarette and Marijuana Use.

Adverse School Outcomes and Risky Sexual Health Behaviors among High School Students with E-Cigarette and Marijuana Use.
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DOI:
10.1080/10826084.2021.1883659
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发表时间:
2021
影响因子:
2
通讯作者:
Hadland SE
Hadland SE
中科院分区:
医学4区
文献类型:
--
作者:
Chadi N;Li G;Hadland SE

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虽然已经描述了使用电子烟和大麻的几种健康风险,但对它们与青少年学校相关结果和危险性行为的关系知之甚少。确定单一或双重使用电子烟和大麻的青少年中不良学习成绩和危险性行为的几率。我们使用了2015年和2017年青年风险行为调查(Youth Risk Behavior Survey)的数据,这是一项针对美国高中生的全国代表性调查。参与者(N= 30,389)被分为四个暴露组,分别使用电子烟和大麻。我们使用卡方检验比较了不同人口统计学特征的电子烟和/或大麻使用率,并进行了多变量logistic回归,探索电子烟和大麻使用与不良学习成绩和危险性行为之间的关联,调整了混杂因素。参与者报告仅使用电子烟(7.7%),仅使用大麻(8.5%)和双重电子烟/大麻(9.2%)。在所有三个使用类别中,青少年报告成绩大多为C或低于未使用的青少年的几率更高,但仅使用电子烟与仅使用大麻的青少年之间没有差异。在仅使用大麻的年轻人中(与仅使用或不使用电子烟的年轻人相比),在没有安全套的情况下发生性行为的几率增加,但在仅使用电子烟或双重使用的年轻人中则没有。我们发现,在使用单一或双重电子烟和大麻的青少年中,与学校相关的不良后果和对比性风险特征的几率增加。
While several health risks of e-cigarette and marijuana use have been described, little is known about their associations with school-related outcomes and risky sexual behaviors in adolescents. To determine the odds of adverse school outcomes and risky sexual behaviors among youth with single or dual use of e-cigarettes and marijuana. We used data from the 2015 and 2017 waves of the Youth Risk Behavior Survey, a nationally representative survey of high school students in the US. Participants (N=30,389) were divided into four exposure groups for single or dual use of e-cigarettes and marijuana. We compared rates of e-cigarette and/or marijuana use for different demographic characteristics using chi-square tests and performed multivariate logistic regressions exploring associations among e-cigarette and marijuana use and adverse school outcomes and risky sexual behaviors adjusting for confounding factors. Participants reported e-cigarette-only (7.7%), marijuana-only (8.5%), and dual e-cigarette/marijuana (9.2%) use. Youth in all three use categories had higher odds of reporting grades that were mostly C’s or lower than youth with no use, but no difference was found between youth with e-cigarette-only vs marijuana-only use. Increased odds of having sex without a condom were seen in youth with marijuana-only use (vs. e-cigarette-only use or no use) but not in youth with e-cigarette-only use or dual use. We found increased odds of adverse school-related outcomes and contrasting sexual risk profiles among youth with single or dual e-cigarette and marijuana use.
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