School Protective Factors and Substance Use Among Lesbian, Gay, and Bisexual Adolescents in California Public Schools
School Protective Factors and Substance Use Among Lesbian, Gay, and Bisexual Adolescents in California Public Schools
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DOI：
10.1089/lgbt.2016.0132
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发表时间：
2017-06-01
期刊：
影响因子：
4.8
通讯作者：
Gilreath, Tamika D.
中科院分区：
文献类型：
--
作者：
De Pedro, Kris Tunac;Esqueda, Monica Christina;Gilreath, Tamika D.
目的：大多数研究女同性恋、男同性恋和双性恋（LGB）青少年使用药物的研究都集中在一系列广泛的风险因素上（例如，受害）。很少有研究探讨学校的保护作用。这项研究旨在填补文献中的这一空白，并为旨在减少LGB青年药物使用的计划提供信息。更具体地说，这项研究探讨了学校的连通性和教师和其他成年人在学校的支持在多大程度上与LGB青年在学校和过去30天内使用药物有关。方法：对2013-2015年加州健康儿童调查（CHKS）进行了二次分析，以检查学校保护因素（即，学校联系和成人支持）和药物使用的影响，这是学校受害这一关键风险因素之外的另一个因素。研究结果是过去30天和在学校使用香烟，酒精，大麻，吸入剂，处方止痛药，和其他非法drugs.Results：总体而言，学校连通性和学校成人的支持与物质使用的几率较低。例如，较高水平的学校连通性与过去30天吸入剂使用的几率降低22%（调整后的比值比[AOR] = 0.78; 95%置信区间[CI] = 0.72-0.86）和过去30天处方止痛药使用的几率降低25%（AOR = 0.75; 95% CI = 0.69-0.82）相关。更高水平的成人在学校的支持，也与17%的下降几率在过去的30天里在学校财产大麻的使用（AOR = 0.83; 95%CI = 0.77-0.91）。结论：结果表明，需要物质使用预防计划，整合学校的连通性和成人在学校的支持。
Purpose: The majority of studies examining substance use among lesbian, gay, and bisexual (LGB) youth have focused on a wide array of risk factors (e.g., victimization). Few studies have explored the protective role of schools. This study aims to fill this gap in the literature and inform programs aimed at reducing substance use among LGB youth. More specifically, this study explores the extent to which school connectedness and support from teachers and other adults at school are associated with substance use among LGB youth in school and within the past 30 days.Methods: A secondary analysis of the 2013-2015 California Healthy Kids Survey (CHKS) was conducted to examine associations between school protective factors (i.e., school connectedness and adult support) and substance use among LGB youth, above and beyond a key risk factor, school victimization. The study outcomes were past 30-day and in-school use of cigarettes, alcohol, marijuana, inhalants, prescription pain medication, and other illegal drugs.Results: Overall, school connectedness and school adult support were associated with lower odds of substance use. For example, higher levels of school connectedness were associated with 22% decreased odds of past 30-day inhalant use (adjusted odds ratio [AOR] = 0.78; 95% confidence interval [CI] = 0.72-0.86), and 25% decreased odds of past 30-day prescription pain medication use (AOR = 0.75; 95% CI = 0.69-0.82). Higher levels of adult support in school were also associated with 17% decreased odds of marijuana use on school property in the past 30 days (AOR = 0.83; 95% CI = 0.77-0.91).Conclusion: The results indicate a need for substance use prevention programs that integrate school connectedness and adult support in school.