Background

Sexual minority status (SMS) is a known risk factor for marijuana use among youth in the United States (US). Limited research has examined the differing relationship between SMS and marijuana use across males and females. This study examined the modifying effect of sex on the relationship between sexual minority status (SMS) and past 30-day marijuana use among youth.

Methods

Data were pooled from the 2015, 2017, and 2019 Youth Risk Behavior Surveillance survey. Participants were 9th through 12th grade students in the US (n = 37,870). An interaction model (SMS*sex) and models stratified by sex tested effect modification. Covariates included race/ethnicity, grade, tobacco use, illicit drug use, and survey year.

Results

The association between SMS and past 30-day marijuana use differed statistically by sex assigned at birth. Among females, SMS was associated with 1.33 greater odds of past 30-day marijuana use. Conversely, among males, SMS was associated with 0.70 lower odds of past 30-day marijuana. Interaction model was statistically significant.

Conclusion

SMS is associated with greater odds of being a past 30-day marijuana user among females but lower odds among males. Prevention and education programs aimed at youth should consider these factors during development and implementation. Longitudinal research is needed to further examine the nuances of the relationship observed in this analysis.

中文翻译：

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性别对高中生性少数地位与过去 30 天大麻使用之间关系的作用（YRBS，2015-2019）

背景

性少数群体（SMS）是美国（美国）青少年吸食大麻的一个已知风险因素。有限的研究检查了男性和女性使用 SMS 和大麻之间的不同关系。这项研究检查了性别对性少数地位 (SMS) 与青少年过去 30 天吸食大麻之间关系的影响。

方法

数据来自 2015 年、2017 年和 2019 年青年风险行为监测调查。参与者是美国 9 至 12 年级的学生（n = 37,870）。交互模型（SMS*sex）和按性别测试效果修正分层的模型。协变量包括种族/民族、年级、烟草使用、非法药物使用和调查年份。

结果

SMS 与过去 30 天大麻使用之间的关联在统计上因出生时分配的性别而异。在女性中，短信与过去 30 天使用大麻的几率增加 1.33 倍有关。相反，在男性中，短信与过去 30 天吸食大麻的几率降低 0.70 相关。交互模型具有统计学意义。

结论

SMS 与女性过去 30 天吸食大麻的几率较高有关，但男性的几率较低。针对青年的预防和教育计划应在制定和实施过程中考虑这些因素。需要进行纵向研究以进一步检查在该分析中观察到的关系的细微差别。