Sexual Orientation-Based Alcohol, Tobacco, and Other Drug Use Disparities: The Protective Role of School-Based Health Centers

Autor/inn/en	Zhang, Lei; Finan, Laura J.; Bersamin, Melina; Fisher, Deborah A.; Paschall, Mallie J.
Titel	Sexual Orientation-Based Alcohol, Tobacco, and Other Drug Use Disparities: The Protective Role of School-Based Health Centers
Quelle	In: Youth & Society, 52 (2020) 7, S.1153-1173 (21 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Zhang, Lei)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0044-118X
DOI	10.1177/0044118X19851892
Schlagwörter	School Health Services; Substance Abuse; Grade 11; High School Students; Drinking; Smoking; Marijuana; Alcohol Abuse; Drug Abuse; Adolescents; LGBTQ People; Program Effectiveness; At Risk Students; Access to Health Care; Student Characteristics; Institutional Characteristics; Sexual Orientation; Gender Differences; Racial Differences; Ethnicity; Socioeconomic Status; Oregon + Suchen Sie Ihr Suchwort? Schuleingangsuntersuchung; Drug use; Drug consomption; Drogenkonsum; School year 11; 11. Schuljahr; Schuljahr 11; High school; High schools; Student; Students; Oberschule; Schüler; Schülerin; Studentin; Trinken; Rauchen; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Sexuelle Orientierung; Geschlechterkonflikt; Rassenunterschied; Ethnizität; Socio-economic status; Sozioökonomischer Status
Abstract	This study investigated whether the presence of school-based health centers (SBHCs) was associated with six substance use behaviors among sexual minority youth (SMY) and their heterosexual peers. Data from the 2015 Oregon Healthy Teens Survey, including 13,608 11th graders in 137 schools (26 with SBHCs) were used in the current study. Multilevel logistic regression analyses were performed. Results revealed significant SBHC by SMY status interactions indicating a relatively lower likelihood of past 30-day alcohol use (23%), binge drinking (43%), use of e-cigarettes (22%), marijuana (44%), and unprescribed prescription drugs (28%) among SMY in SBHC schools compared with non-SMY at SBHC schools. Furthermore, SMY in SBHC schools reported lower likelihood of aforementioned substance use behaviors than SMY attending non-SBHC schools. Conversely, no differences in these outcomes were observed for non-SMY in SBHC and non-SBHC schools. Findings from this study suggest SBHCs may help to mitigate substance use disparities among marginalized populations, such as SMY. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01