美国印第安人和阿拉斯加原住民高中学生之间的性认同和相关的自杀倾向
Adrienne Schuler1, Anneliese Wedel1, Scar Winter Kelsey2
1Northwestern University Feinberg School of Medicine, Chicago, Illinois.
概括
美国印第安人和阿拉斯加原住民 (AI/AN) 年轻人中普遍存在自杀倾向,特别是在性少数群体年轻人 (SMY) 和那些经历过性暴力或过度饮酒的人中. 对AI/AN SMY而言,文化上知情的心理健康支持至关重要.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 青少年健康 青少年健康
背景情况:
- 美国印第安人和阿拉斯加原住民 (AI/AN) 青少年面临着严重的心理健康差异.
- 在这个人群中,自杀倾向是一个关键问题.
- 了解性认同和物质使用等风险因素对于有针对性的干预至关重要.
研究的目的:
- 为了确定AI/AN青少年中自杀倾向的流行率.
- 检查AI/AN青年中自杀倾向,性认同,性暴力和暴饮暴酒之间的关联.
- 按性别分层自杀倾向的流行率和关联.
主要方法:
- 利用了来自青年风险行为调查 (2005-2019) 的数据.
- 分析了性少数群体青年 (SMY),强迫性行为和暴饮暴喝的流行率.
- 雇佣的描述性统计数据和经过调整的几率比率,按性别分层对AI/AN青年进行分层.
主要成果:
- 19%的AI/AN参与者报告自杀想法;14%报告自杀企图.
- 与异性恋青年相比,AI/AN双性恋和同性恋/女同性恋青年的自杀率显著更高.
- 性暴力 (43%) 和过度饮酒与AI/AN年轻人自杀想法的可能性增加有关.
结论:
- AI/AN性少数群体的年轻人面临着高度的心理健康负担,需要文化知情,社区主导的支持.
- 针对性心理健康服务对于AI/AN SMY至关重要.
- 需要进一步研究承认部落层面的异质性,以解决AI/AN青年承担的健康负担.
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