高中学生中的LGBTQ+不良童年经历:来自2023年青年风险行为调查的全国证据
1Joel Mittleman is with the Department of Sociology and the Population Studies Center, University of Pennsylvania, Philadelphia.
American journal of public health
|May 9, 2025
概括
女同性恋,男同性恋,双性恋,变性恋和质疑 (LGBTQ +) 学生与 cisgender-heterosexual 同龄人相比,经历不良童年经历 (ACE) 的比例显著更高. 这些发现凸显了不同青年群体中童年逆境的严重差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 青少年健康 青少年健康
背景情况:
- 不利的童年经历 (ACE) 与负面的健康结果有关.
- 怀疑性和性别少数群体青年中ACE暴露的差异存在,但在全国范围内没有得到充分量化.
- 了解这些差异对于有针对性的公共卫生干预至关重要.
研究的目的:
- 为了估计美国高中生中ACE的患病率.
- 根据性取向和性别认同,检查ACE暴露的差异.
- 分析人口因素 (出生时分配的性别,种族/种族,年龄) 对这些差异的影响.
主要方法:
- 利用了2023年美国全国青年风险行为调查 (n=12,131) 的数据.
- 采用横截面分析,描述性统计和多变量回归.
- 从恶意的受访者那里选并考虑潜在的数据异常.
主要成果:
- LGBTQ+学生报告的累计ACE分数 (3.0) 比cisgender-heterosexual (cishet) 学生 (1.8) 的高.
- 近一半的性别少数群体学生经历了4+ACE,相比之下,Cishet学生的15.4%.
- 在LGBTQ+年轻人中,高ACE暴露在所有人口群体中持续存在.
结论:
- 这项研究提供了美国高中学生ACE患病率的首个国家估计.
- LGBTQ+年轻人,特别是跨性别年轻人,面临着不成比例的更高水平的童年逆境.
- 调查结果强调,迫切需要采取干预措施,以解决弱势青年人群中ACE的问题.
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