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. 2025 Jul 31;11(2):26–34. doi: 10.32481/djph.2025.07.08

Table 2. Comparison of the Prevalence of Mental Health and Substance Use Outcomes between LGBT+ and Cisgender Heterosexual Youth.

8th Grade 11th Grade
LGBT+ Cisgender Heterosexual LGBT+ Cisgender Heterosexual
Psychological Distress 82.1 55.1*** 81.8 58.2***
Anxiety 80.7 50.7*** 75.0 48.8***
Alcohol Drinking 28.4 16.9*** 43.3 36.3***
Cigarette Smoking 6.6 3.0*** 11.0 6.8***
Vaping 13.4 6.6*** 26.0 18.8***
Marijuana Use 14.9 8.2*** 32.3 23.3***
Prescription Drug Misuse 13.0 7.5*** 10.4 6.4***

Note. ***p<.001.