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NCHA variable combination as a method to undertake LGBTQ + student subpopulation analyses.

Joanna Schwartz1, Whitney Ginder1

  • 1Department of Management, Marketing, and Logistics, Georgia College and State University, Milledgeville, Georgia, USA.

Journal of American College Health : J of ACH
|July 27, 2021
PubMed
Summary

LGBTQ+ students face distinct health challenges compared to cisgender, heterosexual peers. This includes higher rates of suicidal ideation, self-harm, and discrimination impacting academic success.

Keywords:
LGBTNCHAgender identitymental healthsexual orientation

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Area of Science:

  • Public Health
  • Sociology
  • Psychology

Background:

  • National data collection on LGBTQ+ student health is fragmented.
  • Understanding unique health disparities for LGBTQ+ students is crucial for targeted interventions.

Purpose of the Study:

  • To create a unified measure for LGBTQ+ (lesbian, gay, bisexual, transgender, queer, and plus) student health.
  • To compare the health outcomes and stressors of LGBTQ+ students with their cisgender, heterosexual (cis-het) peers.

Main Methods:

  • Utilized data from the 2019 National Collegiate Health Assessment II (NCHA-II) survey.
  • Combined four NCHA variables to form a single LGBTQ+ identifier.
  • Compared LGBTQ+ students to cis-het students on various health and academic stressor variables.

Main Results:

  • LGBTQ+ students reported significantly higher instances of suicide attempts, suicidal ideation, and self-harm.
  • Discrimination was identified as a significant stressor impacting academic success for LGBTQ+ students.
  • Statistically significant differences were observed across multiple health and well-being indicators.

Conclusions:

  • Campus LGBTQ+ students experience health challenges distinct from their cis-het counterparts.
  • Interventions and support from campus communities are recommended to mitigate negative health impacts.
  • Further research into specific stressors and tailored support for LGBTQ+ students is warranted.