Details:

Alternative Title:
Drug Alcohol Depend
Publisher's site:
http://dx.doi.org/10.1016/j.drugalcdep.2021.109140
Personal Author:
Poteat, V. Paul ; Fish, Jessica N. ; Watson, Ryan J.
Poteat, V. Paul ; Fish, Jessica N. ; Watson, Ryan J. Less -
Description:
Background:

Victimization and depression are major stressors underlying drinking behavior among LGBTQ+ youth. There remains limited attention to setting-level factors that buffer their effects. Gender-Sexuality Alliances (GSAs) are school clubs that could promote the health of LGBTQ+ youth. We consider whether their presence in schools moderates associations between victimization, depressive symptoms, and recent alcohol use and heavy episodic drinking.

Methods:

LGBTQ+ youth (n = 5,776) ages 13-17 in all 50 U.S. states with any prior history of alcohol use reported past 30-day alcohol use and heavy episodic drinking, victimization, depressive symptoms, and covariates including recent mental health counseling, perceived school safety, and demographics. Logistic regression models predicted youth’s likelihood of any recent drinking and any heavy episodic drinking, with attention to GSA × victimization and GSA × depressive symptoms interaction effects.

Findings:

GSA presence moderated the extent to which victimization and depressive symptoms were associated with greater odds of recent heavy episodic drinking. GSA presence did not moderate these associations for lower thresholds of drinking (i.e., any drinking).

Conclusion:

For LGBTQ+ youth with any lifetime history of alcohol use, GSAs could protect against heavy alcohol use, particularly when they face victimization and depression. GSAs may provide them with social-emotional support or educate school health professionals on ways to support LGBTQ+ youth facing victimization or mental health concerns. GSAs may not protect against all drinking behavior because youth may view some levels as normative. Our findings begin to suggest for whom GSA presence could be most protective.


Subjects:
[+]
Adolescent Crime Victims Depression Drinking Behavior Humans Sexual And Gender Minorities Sexuality
Source:
Drug Alcohol Depend. 229(Pt B):109140
Pubmed ID:
34775154
Pubmed Central ID:
PMC8665138
Document Type:
Journal Article
Funding:
U48 DP006382/DP/NCCDPHP CDC HHSUnited States/ ; R03 DA046827/DA/NIDA NIH HHSUnited States/ ; K01 DA047918/DA/NIDA NIH HHSUnited States/ ; P2C HD041041/HD/NICHD NIH HHSUnited States/ ; T32 MH074387/MH/NIMH NIH HHSUnited States/
U48 DP006382/DP/NCCDPHP CDC HHSUnited States/ ; R03 DA046827/DA/NIDA NIH HHSUnited States/ ; K01 DA047918/DA/NIDA NIH HHSUnited States/ ; P2C HD041041/HD/NICHD NIH HHSUnited States/ ; T32 MH074387/MH/NIMH NIH HHSUnited States/ Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:6c59e0d602c5f9fdb05c1bd33c1dc99a3ea93c7d5a7147026c5c12ca491c30a9
Download URL:
https://stacks.cdc.gov/view/cdc/112544/cdc_112544_DS1.pdf
File Type:

Supporting Files

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