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性认同与美国早期青少年的不良童年经历有关
Julia H Raney1, Shayna Weinstein2, Alexander Testa3
1Division of Adolescent and Young Adult Medicine (JH Raney, S Weinstein, Z Memon, CD Brindis, and JM Nagata), Department of Pediatrics, University of California, San Francisco.
Academic pediatrics
|August 12, 2024
概括
女同性恋,男同性恋,双性恋 (LGB) 青少年和那些质疑自己的性身份的人面临更高的儿童不良经历 (ACE) 风险. 青年LGB体验了最大的风险,强调了有针对性的干预措施的需要.
科学领域:
- 儿童和青少年健康 儿童和青少年健康
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 不利的童年经历 (ACE) 与负面的健康结果有关.
- 了解不同青少年群体中ACE的差异对于公共卫生至关重要.
- 性认同是影响青少年幸福感的关键人口因素.
研究的目的:
- 根据早期青少年的性认同,调查基于ACE的差异.
- 为了比较女同性恋,男同性恋,双性恋 (LGB),不确定性和异性恋年轻人中ACE的患病率.
- 确定影响不同性别认同群体不成比例的特定ACE.
主要方法:
- 从青少年大脑认知发展研究 (N=10,934,年龄10-14岁) 的横截面数据的分析.
- 用于评估跨性别身份 (LGB,不确定,异性恋) 的ACE得分差异的多项逻辑回归.
- 后勤回归检查了性认同和个体ACE之间的关联,并调整了混因素.
主要成果:
- 与异性恋同龄人相比,LGB青少年的经历2,3,或≥4个ACE的风险明显更高.
- 对于自己的性身份"不确定"的青少年,ACE ≥4的风险更高.
- 无论是LGB还是"不确定"的群体都报告了情绪虐待和父母精神疾病的风险增加.
结论:
- 同性恋和质疑青少年有较高ACE分数的风险,LGB青少年面临的负担最高.
- 情绪虐待和父母精神疾病等特定的ACE在LGB和质疑年轻人中更为普遍.
- 调查结果强调了针对性临床和学校干预措施的必要性,以应对易受伤害的早期青少年中增加的ACE风险.
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