Among LGBTQ+ students, activity quality showed more consistent links to lower…

Quantity and quality of outside of schooltime activities and substance use among Minnesota's LGBTQ+ students.

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AI Summary

This observational study examined whether the number of outside-of-schooltime activities and the quality of those activities were associated with substance use among LGBTQ+ students. It analyzed Minnesota Student Survey data from 24,400 students in grades 8, 9, and 11, using reported past-30-day e-cigarette, alcohol, and cannabis use. Overall, 21% reported past-30-day substance use; the study assessed associations, not whether activities caused changes in use.

When considered separately, higher activity quantity was associated with lower odds of e-cigarette and cannabis use. When quantity and quality were analyzed together, higher activity quality was associated with lower odds of all three substances, while the quantity associations with e-cigarette and cannabis use were no longer statistically significant. After accounting for quality, higher activity quantity was associated with higher odds of alcohol use. The authors conclude that quality was more consistently associated with lower substance-use odds than quantity. This abstract-based summary cannot establish causation or determine whether improving activity environments would reduce substance use.

πŸ’‘ Key Findings

1
In this observational study, higher outside-of-schooltime activity quality was associated with lower odds of e-cigarette, alcohol, and cannabis use when quantity and quality were analyzed together.
Good
70%
2
Considered independently, high activity quantity was associated with lower odds of e-cigarette use (aOR 0.73) and cannabis use (aOR 0.77).
Good
70%
3
After accounting for activity quality, the inverse associations between activity quantity and e-cigarette or cannabis use became nonsignificant; high quantity was associated with higher odds of alcohol use (aOR 1.16).
Good
70%
4
The study included 24,400 LGBTQ+ students in grades 8, 9, and 11; 21% reported past-30-day substance use. Its observational design cannot show that activity quantity or quality caused substance-use differences.
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90%

πŸ“„ Original Abstract

OBJECTIVE: To examine whether quantity and quality of outside of schooltime (OST) activities are associated with substance use among lesbian, gay, bisexual, transgender, queer, and beyond (LGBTQ+) youth. METHODS: Data came from the Minnesota Student Survey, administered January-June 2022 in public, tribal, and charter schools in Minnesota, United States. The sample included 24,400 LGBTQ+ students in grades 8, 9, and 11. Logistic regression assessed associations between OST activity quantity and quality and past-30-day e-cigarette, alcohol, and cannabis use. RESULTS: Overall, 21% of the LGBTQ+ subsample reported past-30-day substance use. Examined independently, high OST quantity was associated with lower odds of e-cigarette (aOR = 0.73, 95% CI = 0.66, 0.81) and cannabis use (aOR = 0.77, 95% CI = 0.68, 0.87). Analyzed together, higher quality was associated with lower odds of all three substances, and inverse associations for quantity became nonsignificant. Adjusting for quality, high quantity was associated with higher odds of alcohol use (aOR = 1.16, 95% CI = 1.05, 1.28). CONCLUSIONS: Activity quality was more consistently associated with lower odds of substance use than quantity of participation. Constructing high-quality, supportive OST environments could reduce substance use risk and address behavioral health disparities.

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