Heather A McKay, Heather M Macdonald, Lindsay Nettlefold, Louise C Masse, Meghan Day, Patti-Jean Naylor
Action Schools! BC implementation: from efficacy to effectiveness to scale-up
British journal of sports medicine
transgender adolescents face tremendous social stress families schools often leads behavioral health disparities study assessed whether rates substance use higher among transgender adolescents compared nontransgender adolescents study secondary data analysis 20132015 california healthy kids survey chks examines whether rates substance use higher among transgender youth compared nontransgender youth participants included 4778 transgender 630200 nontransgender students middle high schools nearly school districts california study outcomes lifetime recent inschool use cigarettes tobacco alcohol marijuana cocaine ecstasy well nonmedical use prescription painkillers diet pills ritalin adderall cold medicine transgender students 212 times likely nontransgender students use cocainemethamphetamine lifetime odds ratio 253 95 confidence interval ci 218295 28 times likely report past 30day inhalant use 280 95 ci 241326 transgender students twice likely report past 30day prescription pain medication use 219 95 ci 190253 3 times likely use cigarettes school 337 95 ci 284399 studys findings indicate need community schoolbased interventions reduce substance use among transgender youth