The Impact of Role Models on Health Outcomes for Lesbian, Gay, Bisexual, and Transgender Youth

The Impact of Role Models on Health Outcomes for Lesbian, Gay, Bisexual, and Transgender Youth
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DOI:
10.1016/j.jadohealth.2011.08.006
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发表时间:
2012-04-01
影响因子:
7.6
通讯作者:
Garofalo, Robert
Garofalo, Robert
中科院分区:
医学2区
文献类型:
--
作者:
Bird, Jason D. P.;Kuhns, Lisa;Garofalo, Robert

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目的:关于榜样对女同性恋、男同性恋、双性恋和跨性别(LGBT)青年健康结果的影响的研究很少。本探索性研究描述了LGBT肯定的榜样的存在和可用性,并探讨了角色模型和健康结果之间的关系,以社区为基础的样本LGBT youth.Methods:一个方便的样本496种族多样,16-24岁的LGBT青年被招募完成一个计算机辅助采访,使用标准化的工具与青少年验证。介绍了榜样的普遍性和特点。使用Pearson卡方检验(2)评估亚组分布的差异(p <0.05)。健康结果的差异,为那些有和没有榜样和这些榜样的性质进行了确定使用协方差模型分析,事后Bonferroni测试,以探索显着的全球findings.Results:百分之六十的参与者报告有一个榜样,年轻的参与者更有可能报告有一个榜样。大多数参与者报告说,他们有难以接近的榜样,特别是在年轻的参与者中。榜样的存在和可获得性与酗酒、吸毒或性传播感染诊断没有显著关系;然而,与可获得或没有榜样的参与者相比,无法获得榜样的参与者表现出更大的心理困扰。无法获得的榜样可能不足以保护青年免受负面影响,而将LGBT青年与有爱心的成年人联系起来的正式机制,如辅导计划,也是至关重要的。(C)2012年青少年健康和医学协会。All rights reserved.
Purpose: There is little research on the impact of role models on health outcomes for lesbian, gay, bisexual, and transgender (LGBT) youth. This exploratory study describes the presence and availability of LGBT-affirming role models, and examines the relationship between the accessibility of role models and health outcomes among a community-based sample of LGBT youth.Methods: A convenience sample of 496 ethnically diverse, 16-24-year-old LGBT youth was recruited to complete a computer-assisted interview, using standardized instruments validated with adolescents. The prevalence and characteristics of role models were described. Differences in subgroup distribution were assessed using Pearson chi(2) test (p < .05). Differences in health outcomes for those with and without role models and the nature of those role models were determined using analysis of covariance models, with post hoc Bonferroni tests to probe significant global findings.Results: Sixty percent of the participants reported having a role model, with younger participants significantly more likely to report having a role model. A majority of the participants reported having inaccessible role models, especially among younger participants. The presence and accessibility of a role model did not have a significant relationship to binge drinking, drug use, or sexually transmitted infection diagnoses; however, participants with inaccessible role models showed increased psychological distress versus those with accessible or no role models.Conclusions: Inaccessible role models may not be sufficient for protecting youth from negative outcomes, and formal mechanisms for connecting LGBT youth with caring adults who can serve as role models, such as mentoring programs, are critical. (C) 2012 Society for Adolescent Health and Medicine. All rights reserved.