@article{ref1,
title="Substance use and school characteristics in lesbian, gay, bisexual, and heterosexual high school students",
journal="Journal of school health",
year="2019",
author="Fallin-Bennett, Amanda and Goodin, Amie",
volume="89",
number="3",
pages="219-225",
abstract="BACKGROUND: Tobacco, alcohol, and illicit drug use among lesbian, gay, and bisexual (LGB) high school students as well as related environment and school-level risk and protective factors were examined. <br><br>METHODS: Data was acquired from the 2015 CDC's Youth Behavior Risk Survey for Kentucky (N = 2577). Prevalence of substance use was calculated for all high school respondents by reported sexual orientation. Multivariate analyses estimated the relationship between school and environmental-level factors (eg, having an adult to talk to) and tobacco, alcohol, and illicit drug use via logistic regressions. Sexual orientation, gender, age, and race/ethnicity were covariates. <br><br>RESULTS: LGB students used tobacco, alcohol, and illicit drugs more frequently than their heterosexual counterparts. More LGB teens report facing school risk factors (eg, 37% LGB vs 20% heterosexual bullied at school, p ≤ .001; 17% LGB vs 5% heterosexual ever threatened or injured at school, p < .001; 13% LGB vs 7% heterosexual involved in a school fight, p = .001). Adjusting for school related risk factors, having an adult to talk to was associated with a reduced likelihood of daily smoking (adjusted odds ratio [aOR]: 0.43; 95% confidence interval [CI]: 0.26-0.73), past 30-day alcohol use (aOR: 0.71; 95% CI: 0.50-0.95), and ever marijuana use (aOR: 0.71; 95% CI: 0.50-1.00). <br><br>CONCLUSION: Innovative strategies are needed to create safe, supportive school environments. These strategies are particularly needed in predominately rural states like Kentucky.<br><br>© 2019, American School Health Association.<p /> <p>Language: en</p>",
language="en",
issn="0022-4391",
doi="10.1111/josh.12731",
url="http://dx.doi.org/10.1111/josh.12731"
}