Adverse Childhood Experiences and Utilization of Preventive Healthcare among Generation Z Sexual and Gender Minorities

Autor/inn/en	Qureshi, Rubab; Zha, Peijia; Porter, Sallie
Titel	Adverse Childhood Experiences and Utilization of Preventive Healthcare among Generation Z Sexual and Gender Minorities
Quelle	In: Journal of LGBT Youth, 20 (2023) 4, S.882-895 (14 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Qureshi, Rubab) ORCID (Zha, Peijia) ORCID (Porter, Sallie)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1936-1653
DOI	10.1080/19361653.2022.2075516
Schlagwörter	LGBTQ People; At Risk Persons; Child Abuse; Incidence; Generational Differences; Access to Health Care; Individual Characteristics; Socioeconomic Status; Health Insurance; Educational Attainment; Sexual Orientation; Sexual Identity; Correlation; Health Behavior; New Jersey + Suchen Sie Ihr Suchwort? Risikogruppe; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Vorkommen; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Socio-economic status; Sozioökonomischer Status; Krankenversicherung; Bildungsabschluss; Bildungsgut; Sexuelle Orientierung; Geschlechtsidentität; Sexuelle Identität; Korrelation; Health behaviour; Gesundheitsverhalten
Abstract	Historically, sexual and gender minority populations may have faced multiple Adverse Childhood Experiences (ACEs) and their utilization of preventive healthcare is low. However, sociocultural changes in attitudes and policies affecting sexual and gender minority populations signal their broader societal acceptance. We examined the prevalence of ACEs among sexual and gender minority populations belonging to Generation Z (those born between 1990-early 2000s) and their utilization of preventive healthcare to identify areas for health promotion. We used the Philadelphia Expanded ACEs questionnaire as well as questions about demographics and preventive healthcare use in a cross-sectional online survey design. The participants (n = 160) were chiefly female (n = 105, 65.6%) and bisexual (n = 51, 31.9%), while gender non-binary comprised 10.6% (n = 17). Most (93.75%, n = 150) participants reported three or more ACEs. ACEs were significantly associated with preventive healthcare use (p = 0.02). Higher prevalence of ACEs was associated with a 0.05 reduction in preventive healthcare utilization. Despite protective factors such as a comparatively advantaged background (based on their annual household income), health insurance, and college education, high ACEs, sexual orientation, and gender identity remained significantly associated with low utilization of preventive healthcare. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01