The Association of Stigma, School, and Family Factors with Patterns of Substance Use Among LGBTQ Youth.

IF 3 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Prevention Science Pub Date : 2024-08-01 Epub Date: 2024-07-06 DOI:10.1007/s11121-024-01703-9
Antonia E Caba, Jessica N Fish, Christopher W Wheldon, Ryan J Watson
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Abstract

Polysubstance use is associated with myriad short- and long-term health outcomes. Although prior research has documented differences in polysubstance use between lesbian, gay, bisexual, transgender, queer/questioning, and other sexual and gender minoritized (LGBTQ +) youth and their heterosexual/cisgender counterparts, as well as between subgroups of LGBTQ + youth, it is unknown how personal, family, and school factors are associated with substance use patterns among LGBTQ + youth. Using a large, national sample of 9646 LGBTQ + youth ages 13-17, we used latent class analysis to examine patterns of alcohol, tobacco, and marijuana use and to determine whether personal, family, and school factors predict class membership. We identified five classes of substance use: polysubstance use, polysubstance experimentation, dual alcohol and cannabis, alcohol, and no use. Greater depression and LGBTQ + victimization, and an ability to be oneself at school, were associated with greater odds of membership in the polysubstance use class, while higher levels of family connection and having a Gender Sexuality Alliance (GSA) at school were associated with lower odds of membership in the polysubstance use class. Our analysis also revealed sociodemographic differences in class membership. These findings highlight potential mechanisms for intervention to reduce polysubstance use among LGBTQ + youth.

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污名化、学校和家庭因素与 LGBTQ 青少年药物使用模式的关联。
多种物质的使用与多种短期和长期健康后果相关。尽管之前的研究已经证明了女同性恋、男同性恋、双性恋、跨性别者、同性恋者/质疑者和其他性与性别少数群体(LGBTQ +)青少年与异性恋/同性别青少年之间以及 LGBTQ + 青少年亚群体之间在多种物质使用方面的差异,但目前还不清楚个人、家庭和学校因素与 LGBTQ + 青少年的物质使用模式有何关联。通过对全国 9646 名 13-17 岁的 LGBTQ + 青少年进行大规模抽样调查,我们使用潜类分析法研究了酒精、烟草和大麻的使用模式,并确定了个人、家庭和学校因素是否会预测类别成员资格。我们确定了五种物质使用类别:多种物质使用、多种物质尝试、酒精和大麻双重使用、酒精使用和不使用。抑郁程度越高、LGBTQ + 受害程度越高以及在学校中的自我表现能力越强,则加入多种物质使用类别的几率越大;而家庭联系程度越高以及在学校中拥有性别性别联盟(GSA),则加入多种物质使用类别的几率越小。我们的分析还揭示了班级成员的社会人口学差异。这些发现凸显了减少 LGBTQ + 青少年使用多种药物的潜在干预机制。
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来源期刊
Prevention Science
Prevention Science PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.50
自引率
11.40%
发文量
128
期刊介绍: Prevention Science is the official publication of the Society for Prevention Research. The Journal serves as an interdisciplinary forum designed to disseminate new developments in the theory, research and practice of prevention. Prevention sciences encompassing etiology, epidemiology and intervention are represented through peer-reviewed original research articles on a variety of health and social problems, including but not limited to substance abuse, mental health, HIV/AIDS, violence, accidents, teenage pregnancy, suicide, delinquency, STD''s, obesity, diet/nutrition, exercise, and chronic illness. The journal also publishes literature reviews, theoretical articles, meta-analyses, systematic reviews, brief reports, replication studies, and papers concerning new developments in methodology.
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