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Chronic Intermittent Ethanol Vapor Exposure Paired with Two-Bottle Choice to Model Alcohol Use Disorder

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Underage Alcohol Use by Intersectional Identity Among Alternative High School Students.

Cameron K Ormiston¹, James R Pike², Melanie D Sabado-Liwag³

¹Division of Intramural Research, National Institute on Minority Health and Health Disparities, Rockville, Maryland.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine

|December 12, 2023

Summary

Alcohol use (AU) increased over three years among first-generation Hispanic/Latino alternative high school students. Prevention efforts must target specific intersectional identities for underage alcohol use.

Keywords:

Alcohol use Alternative high school Generational status Hispanic/Latino Immigrant Intersectionality

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Area of Science:

Public Health
Adolescent Health
Substance Use Research

Background:

Alternative high school (AHS) students represent a unique population with distinct needs.
Understanding alcohol use (AU) patterns in diverse student subgroups is crucial for effective prevention.

Purpose of the Study:

To investigate alcohol use (AU) trends within intersectional subgroups of Hispanic/Latino alternative high school (AHS) students.
To identify how gender, ethnicity, and generational immigration status influence AU over time.

Main Methods:

A longitudinal study followed 1,029 AHS students in southern California for three years.
Multilevel models analyzed past-month AU, adjusting for demographic and psychosocial factors, across intersectional subgroups.

Main Results:

Students with U.S.-born parents showed stable high AU rates.
First-generation Hispanic/Latino students exhibited increasing AU over time.
First-generation females and males showed significant increases in AU probability by the two-year follow-up.

Conclusions:

Alcohol use (AU) heterogeneity exists among AHS students based on intersecting identities.
Targeted underage AU prevention messages are essential for specific intersectional subgroups within AHS.
Findings highlight the need for nuanced public health interventions for diverse adolescent populations.