Housing instability, race/ethnicity, and sexual identity as intersectional factors in adolescent cannabis use

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-08-31 DOI:10.1016/j.addbeh.2025.108476

Todd Ebling, Galappaththige S.R. de Silva, Sunday Azagba

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引用次数: 0

Abstract

Introduction

This study examines the association between cannabis use and the intersection of housing instability with sexual identity and race/ethnicity among U.S. high school students.

Methods

We utilized nationally representative survey data from high school students in 2021 and 2023 (n = 24,885), analyzed in 2024. The dependent variable was past 30-day cannabis use, and the primary independent variables were the intersection of housing instability with sexual identity and race/ethnicity. Propensity score weighting was used to balance characteristics between the intersectional variable groups, followed by logistic regression in the outcome model.

Results

Results showed significantly higher odds of cannabis use among students with housing instability who identified as heterosexual (OR = 3.38, 95 %CI = 2.69–4.23), gay or lesbian (OR = 4.71, 95 %CI = 2.55–8.68), bisexual (OR = 3.89, 95 %CI = 1.90–7.96), and other sexual identities (OR = 7.73, 95 %CI = 4.24–14.08) compared to heterosexual students with stable housing. We also found higher odds of cannabis use for those with housing instability among non-Hispanic white students (OR = 3.59, 95 %CI = 2.78–4.63), non-Hispanic black students (OR = 3.24, 95 %CI = 2.10–5.00), non-Hispanic other students (OR = 3.08, 95 %CI = 2.13–4.45), and Hispanic students (OR = 5.24, 95 %CI = 3.59–7.65) compared to non-Hispanic white students with stable housing.

Conclusions

The findings indicate a significant association between housing instability and cannabis use, particularly among sexual and racial/ethnic minorities. The intersectional analysis underscores the compounded challenges faced by these groups.

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住房不稳定、种族/民族和性身份是青少年大麻使用的交叉因素

本研究探讨了美国高中生中大麻使用与住房不稳定、性别认同和种族/民族之间的关系。方法采用具有全国代表性的2021年和2023年高中生调查数据（n = 24,885），并于2024年进行分析。因变量是使用大麻超过30天，主要自变量是住房不稳定与性别认同和种族/民族的交集。倾向得分加权用于平衡交叉变量组之间的特征，然后在结果模型中进行逻辑回归。结果结果显示，与住房稳定的异性恋学生相比，异性恋（OR = 3.38, 95% CI = 2.69-4.23）、男同性恋或女同性恋（OR = 4.71, 95% CI = 2.55-8.68）、双性恋（OR = 3.89, 95% CI = 1.90-7.96）和其他性别身份（OR = 7.73, 95% CI = 4.24-14.08）的住房不稳定学生使用大麻的几率明显更高。我们还发现，与住房稳定的非西班牙裔白人学生相比，住房不稳定的非西班牙裔白人学生（OR = 3.59, 95% CI = 2.78-4.63）、非西班牙裔黑人学生（OR = 3.24, 95% CI = 2.10-5.00）、非西班牙裔其他学生（OR = 3.08, 95% CI = 2.13-4.45）和西班牙裔学生（OR = 5.24, 95% CI = 3.59 - 7.65）使用大麻的几率更高。研究结果表明，住房不稳定与大麻使用之间存在显著关联，尤其是在性别和种族/民族少数群体中。交叉分析强调了这些群体面临的复杂挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.