Hierarchical Analysis of Disparities in Suicidal Outcomes with Intersection of Sexual Minority and Gender among U.S. Youth, 2017

Autor/inn/en	Scoggins, Dylan; Khan, Ali S.; Dai, Hongying
Titel	Hierarchical Analysis of Disparities in Suicidal Outcomes with Intersection of Sexual Minority and Gender among U.S. Youth, 2017
Quelle	In: Health Education & Behavior, 49 (2022) 4, S.569-583 (15 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Dai, Hongying)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/10901981211045933
Schlagwörter	Suicide; At Risk Persons; Youth; Sexual Orientation; Sexual Identity; Minority Group Students; LGBTQ People; Gender Differences; Sleep; Drug Use; Bullying; Depression (Psychology); Health Behavior; High School Students; National Surveys; Youth Risk Behavior Survey + Suchen Sie Ihr Suchwort? Selbstmord; Risikogruppe; Jugend; Jugendlicher; Jugendalter; Sexuelle Orientierung; Geschlechtsidentität; Sexuelle Identität; Geschlechterkonflikt; Schlaf; Drug consumption; Substance abuse; Drogenkonsum; Mobbing; Health behaviour; Gesundheitsverhalten; High school; High schools; Student; Students; Oberschule; Schüler; Schülerin; Studentin
Abstract	Sexual minority youth have a higher risk of suicidal behaviors than their straight peers. Despite this alarming trend, there is limited information on how health-risk factors are systematically associated with suicidal outcomes in relation to the intersection of sex and sexual orientation identity. Data from the 2017 Youth Risk Behavior Survey (Grades 9-12, N = 14,108) were analyzed to examine three distinct suicidal outcomes (i.e., suicidal ideation, suicide planning, and suicide attempt). Separate hierarchical logistic regression models were performed to gradually adjust for influencing factors in examining the association between suicidal outcomes and sexual orientation identity (i.e., heterosexual, gay/lesbian, bisexual, and unsure), stratified by self-reported sex. There exist significant differences in youth suicidal behaviors based on sexual orientation identity and sex: lesbians (adjusted odds ratio [AOR] = 2.7, 95% CI [1.5, 5.0]), bisexual girls (AOR = 1.9, 95% CI [1.3, 2.6]) and bisexual boys (AOR = 2.6, 95% CI [1.3, 5.2]) had higher odds of suicide attempts than their straight peers. Unsure boys and girls also reported higher risks of suicidal ideation and suicide plan as compared with their straight peers. Having a very short sleep duration, reporting ever use of illicit drugs, being bullied, and feeling sad/hopeless were associated with elevated risks of suicidality across males and females. This study identified potential disparities in suicidal outcomes by sexual orientation identity as well as factors that attenuate or strengthen this relationship in a representative sample of adolescents across the United States. An improved understanding of the differences in suicidal outcomes will serve as an opportunity to ameliorate any potential inequalities and improve sexual minority youth' health outcomes. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01