Protective Environmental Factors and Opioid Use Among Sexual Minority Youth.
Am J Health Behav
; 47(3): 618-627, 2023 06 30.
Article
en En
| MEDLINE
| ID: mdl-37596742
ABSTRACT
Objectives:
Nonmedical use of prescription opioids (NMUPO) is a pressing public health concern and affects sexual minority youth (SMY) at greater rates than heterosexual youth. We investigated whether protective environmental factors-(1) Human Rights Campaign's state equality index (SEI) and (2) supportive school environments for LGBTQ youth, influenced NMUPO among SMY and non-SMY students.Methods:
We combined data from the 2017-2019 Youth Risk Behavior Survey, 2016-2018 School Health Profiles, state-level socio-demographic and SEI data across 24 states (N=156,149). Generalized linear mixed models examined associations between (1) SEI and (2) supportive school environments for LGBTQ youth, with NMUPO, accounting for clustering at the school-and state-level.Results:
Before adjustment, we found that youth in states with higher SEI were significantly less likely to engage in NMUPO compared to students in states with lower SEI, a relationship that became non-significant after adjustment. After adjusting for individual-and state-level indicators, SMY in states with supportive school environments for LGBTQ youth were less likely to engage in NMUPO.Conclusions:
Supportive school environments for LGBTQ youth may play an important role in the health of SMY. Establishing more inclusive policies and supportive environments within schools may reduce NMUPO among SMY.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Minorías Sexuales y de Género
/
Trastornos Relacionados con Opioides
Tipo de estudio:
Prognostic_studies
Límite:
Adolescent
/
Humans
Idioma:
En
Revista:
Am J Health Behav
Asunto de la revista:
CIENCIAS DO COMPORTAMENTO
Año:
2023
Tipo del documento:
Article
País de afiliación:
Estados Unidos