Methods: The study uses data between 2002 and 2013 from the National Survey on Drug Use and Health (NSDUH), which provides population estimates of substance use and health-related behaviors in the U.S. general population. The current study restricted analyses to respondents between the ages of 12 and 17 (n = 216,852). Respondents were classified as homeschooled (0 = no, 1 = yes) if they reported that they had been homeschooled at any point in the past 12 months. Response variables included views on peers using licit and illicit substances (0 = “neither approve nor disapprove” or “somewhat disapprove”; 1 = strongly disagree), ease of accessing illicit substances (0=“fairly difficult”, “very difficult”, or “impossible”; 1=”fairly easy” or “very easy), was approached to purchase illegal drugs in the past 30 days (0 = no; 1= yes), and past 12 month use of a variety of substances (0 = no; 1= yes). Survey adjusted binary logistic regression analyses were systematically executed to compare non-homeschooled adolescents with homeschooled adolescents with respect to views and access to illicit substances and past 12 month substance use and substance use disorders.
Results: Findings indicate that there are indeed differences between homeschooled and non-homeschooled students with regards to views toward, access to, and use of substances. In particular, homeschooled adolescents were more likely to strongly disapprove of their peers drinking alcohol (AOR = 1.23) and trying (AOR = 1.47) and routinely using (AOR = 1.59) marijuana. Homeschooled adolescents were also less likely to report easier access to marijuana (AOR = 0.38), cocaine (AOR = 0.81), and crack (AOR = 0.76) and less likely to be approached by someone trying to sell drugs (AOR = 0.43) compared to non-homeschooled peers. Moreover, homeschooled adolescents were less likely to report using tobacco (AOR = 0.76), alcohol (AOR = 0.50), cannabis (AOR = 0.56), ecstasy (AOR = 0.41), and hallucinogens (AOR = 0.61) as well as less likely to report alcohol (AOR = 0.65) or marijuana (AOR = 0.60) abuse/dependence than non-homeschooled adolescents.
Conclusions and Implications: This study provides evidence that homeschooled adolescents’ views, access, use and abuse of ATOD are uniquely different from those of non-homeschooled adolescents. While causal relationships cannot be established, the significant differences between homeschooled versus non-homeschooled adolescents in regards to substance use is important and points to the need to more extensively examine the underlying mechanisms that may account for these differences.