Comparing Behavioral Health of Lesbian, Gay, Bisexual, Questioning, and Heterosexual Middle School Students.

IF 3.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH LGBT health Pub Date : 2024-11-06 DOI:10.1089/lgbt.2023.0477

Alena Kuhlemeier, Daniel G Shattuck, Cathleen E Willging, Mary M Ramos

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Abstract

Purpose: Lesbian, gay, bisexual, and questioning (LGBQ) high schoolers experience high prevalence of poor behavioral health, but little is known about LGBQ middle schoolers. We sought to quantify behavioral health disparities of LGBQ middle school students. Methods: Using 2021 New Mexico Middle School Youth Risk and Resiliency Survey data (N = 12,400), we estimated the size of the LGBQ middle school population and calculated adjusted risk ratios to investigate behavioral health disparities between LGBQ and heterosexual youth. Results: A quarter of the sample identified as LGBQ. These youth reported significantly more suicidal behaviors and poorer mental health than heterosexual youth. LGBQ youth were more likely to use most substances compared with heterosexual youth. Conclusion: LGBQ middle school students demonstrated high prevalence of poor behavioral health. These findings show that disparities begin earlier than previously assumed and underscore that sociocultural landscapes for sexually diverse youth remain challenging.

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比较女同性恋、男同性恋、双性恋、质疑者和异性恋中学生的行为健康状况。

目的：女同性恋、男同性恋、双性恋和质疑者（LGBQ）高中生行为健康不良的发生率很高，但人们对 LGBQ 初中生却知之甚少。我们试图量化 LGBQ 初中生的行为健康差异。研究方法利用 2021 年新墨西哥州初中青少年风险与适应能力调查数据（N = 12,400），我们估算了 LGBQ 初中生的规模，并计算了调整后的风险比，以调查 LGBQ 与异性恋青少年之间的行为健康差异。结果样本中有四分之一的人被认定为 LGBQ。与异性恋青少年相比，这些青少年的自杀行为明显更多，心理健康状况更差。与异性恋青少年相比，LGBQ 青少年更有可能使用大多数药物。结论LGBQ 中学生行为健康不良的发生率很高。这些研究结果表明，差异开始的时间比以前假设的要早，并强调了社会文化环境对不同性取向青少年的挑战仍然存在。

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来源期刊

LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -

CiteScore

6.60

自引率

6.20%

发文量

期刊介绍： LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.