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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >The association between health risk behaviors and sexual orientation among a school-based sample of adolescents.
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The association between health risk behaviors and sexual orientation among a school-based sample of adolescents.

机译：在学校为基础的青少年样本中，健康风险行为与性取向之间的关联。

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OBJECTIVE: This study is one of the first to examine the association between sexual orientation and health risk behaviors among a representative, school-based sample of adolescents. DESIGN: This study was conducted on an anonymous, representative sample of 4159 9th- to 12th-grade students in public high schools from Massachusetts' expanded Centers for Disease Control and Prevention 1995 Youth Risk Behavior Survey. Sexual orientation was determined by the following question: "Which of the following best describes you?" A total of 104 students self-identified as gay, lesbian, or bisexual (GLB), representing 2.5% of the overall population. Of GLB youth, 66.7% were male and 70% were white (not Hispanic). Health risk and problem behaviors were analyzed comparing GLB youth and their peers. Those variables found to be significantly associated with GLB youth were then analyzed by multiple logistic regression models. RESULTS: GLB youth were more likely than their peers to have been victimized and threatened and to have been engaged in a variety of risk behaviors including suicidal ideation and attempts, multiple substance use, and sexual risk behaviors. Four separate logistic regression models were constructed. Model I, Onset of Behaviors Before Age 13, showed use of cocaine before age 13 years as strongly associated with GLB orientation (odds ratio [OR]: 6.10; 95% confidence interval [CI] = 2.45-15.20). Early initiation of sexual intercourse (2.15; 10.6-4.38), marijuana use (1.98; 1.04-4.09), and alcohol use (1.82; 1.03-3.23) also was associated with GLB orientation. Model II, Lifetime Frequencies of Behaviors, showed that frequency of crack cocaine use (1.38; 1.06-1.79), inhalant use (1.30; 1.05-1.61), and number of sexual partners (1.27; 1.06-1.43) was associated with GLB orientation. Model III, Frequency of Recent Behaviors, showed smokeless tobacco use in the past 30 days (1.38; 1. 20-1.59) and number of sexual partners in the previous 3 months (1. 47; 1.31-1.65) were associated with GLB orientation. Model IV, Frequency of Behaviors at School, showed having one's property stolen or deliberately damaged (1.23; 1.08-1.40) and using marijuana (1.29; 1.05-1.59) and smokeless tobacco (1.53; 1.30-1.81) were associated with GLB orientation. Overall, GLB respondents engaged disproportionately in multiple risk behaviors, reporting an increased mean number of risk behaviors (mean = 6.81 +/- 4.49) compared with the overall student population (mean = 3.45 +/- 3.15). CONCLUSION: GLB youth who self-identify during high school report disproportionate risk for a variety of health risk and problem behaviors, including suicide, victimization, sexual risk behaviors, and multiple substance use. In addition, these youth are more likely to report engaging in multiple risk behaviors and initiating risk behaviors at an earlier age than are their peers. These findings suggest that educational efforts, prevention programs, and health services must be designed to address the unique needs of GLB youth.
机译：目的：这项研究是第一个研究代表性的，以学校为基础的青少年样本中性取向与健康风险行为之间关系的研究。设计：本研究是对来自马萨诸塞州扩大的疾病控制和预防中心1995年青年风险行为调查的4159名公立中学9159至12年级学生的代表性代表进行的。性取向是由以下问题决定的：“以下哪项最能描述您？”自我识别为同性恋，女同性恋或双性恋（GLB）的104名学生，占总人口的2.5％。在GLB青年中，男性占66.7％，白人（非西班牙裔）占70％。比较了GLB青年及其同龄人的健康风险和问题行为。然后，通过多个逻辑回归模型分析发现与GLB青年显着相关的那些变量。结果：GLB青年比同龄人更容易受到伤害和威胁，并从事多种危险行为，包括自杀意念和尝试，多种药物使用和性危险行为。构建了四个单独的逻辑回归模型。模型I，13岁之前的行为发作显示，13岁之前使用可卡因与GLB取向密切相关（优势比[OR]：6.10; 95％置信区间[CI] = 2.45-15.20）。性行为的早期开始（2.15; 10.6-4.38），使用大麻（1.98; 1.04-4.09）和酗酒（1.82; 1.03-3.23）也与GLB取向有关。模型II“行为的终生频率”表明，使用可卡因的频率（1.38; 1.06-1.79），使用吸入剂（1.30; 1.05-1.61）和性伴侣的数量（1.27; 1.06-1.43）与GLB取向相关。模型III“最近的行为频率”显示，过去30天内使用无烟烟草（1.38; 1. 20-1.59），并且过去3个月内性伴侣的数量（1.47; 1.31-1.65）与GLB取向有关。模型IV“学校行为频率”显示，某人的财产被盗或故意损坏（1.23; 1.08-1.40），使用大麻（1.29; 1.05-1.59）和无烟烟草（1.53; 1.30-1.81）与GLB定位有关。总体而言，GLB受访者过度参与多种风险行为，报告的平均风险行为数量（平均= 6.81 +/- 4.49）与总学生人数（平均= 3.45 +/- 3.15）相比有所增加。结论：在高中期间自我识别的GLB青年报告了各种健康风险和问题行为（包括自杀，受害，性风险行为和多种药物使用）的风险不成比例。此外，与同龄人相比，这些年轻人更有可能报告他们参与多种风险行为并在更早的年龄就开始了风险行为。这些发现表明，必须设计教育工作，预防计划和保健服务来满足GLB青年的独特需求。

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