{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T18:28:19Z","timestamp":1780770499181,"version":"3.54.1"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,8,15]],"date-time":"2022-08-15T00:00:00Z","timestamp":1660521600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>PURPOSE<\/jats:title><jats:p>This study explored differences between lesbian, gay, and bisexual (LGB)\u2010housed and homeless students regarding substance use patterns on and off school grounds and the unique contribution of homelessness to substance use in school.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Data were from the 2013\u20102015 California Healthy Kids Survey, a statewide survey of school protective factors and risk behaviors. A representative sample of 9th\u2010 and 11th\u2010grade students (N\u00a0=\u00a020,337) was used. Comparisons between housed (n\u00a0=\u00a019,456) and homeless (doubled up: n\u00a0=\u00a0715; acute homeless: n\u00a0=\u00a0166) LGB students were conducted. We used chi\u2010square tests to compare rates of lifetime, past\u201030\u2010day, and in\u2010school substance use and conducted multivariate logistic regression models for each substance use variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Chi\u2010square test results indicated significant differences in rates of substance use among students experiencing homelessness (both categories) and housed LGB students. Lesbian, gay, and bisexual students experiencing homelessness were more likely to report substance use off and on school grounds. Results from logistic regression analyses indicated that LGB students who experience homelessness were significantly more likely to report recent and in\u2010school substance use. For example, students experiencing acute homelessness were about 3 times as likely to report heavy episodic drinking (adjusted odds ratio [AOR]\u00a0=\u00a03.13; 95% confidence interval [CI]\u00a0=\u00a02.13, 4.26) and more than 5 times as likely to smoke marijuana in school (AOR\u00a0=\u00a05.38; 95% CI\u00a0=\u00a03.46, 8.36), compared to housed LGB students.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>LGB students who experience homelessness are at higher risk than housed LGB students of substance use on and off school grounds. Findings highlight the need to provide support in the school context for this subpopulation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13246","type":"journal-article","created":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T06:19:33Z","timestamp":1660630773000},"page":"107-114","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Lesbian, Gay, and Bisexual Students Experiencing Homelessness and Substance Use in the School Context: A Statewide Study"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0364-7411","authenticated-orcid":false,"given":"Hadass","family":"Moore","sequence":"first","affiliation":[{"name":"The Paul Baerwald School of Social Work and Social Welfare Hebrew University of Jerusalem  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kris","family":"De Pedro","sequence":"additional","affiliation":[{"name":"Attallah College of Educational Studies Chapman University  Orange CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,15]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2017.10.006"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2019.104692"},{"key":"e_1_2_6_4_1","unstructured":"National Center for Homeless Education.Federal data summary school years 2015\u201016 through 2017\u201018;2020. 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