Sexual (Minority) Trajectories, Mental Health, and Alcohol Use: A Longitudinal Study of Youth as They Transition to Adulthood.
Sexual (Minority) Trajectories, Mental Health, and Alcohol Use: A Longitudinal Study of Youth as They Transition to Adulthood.
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DOI：
10.1007/s10964-015-0280-6
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发表时间：
2015-08
影响因子：
4.9
通讯作者：
Pasley K
中科院分区：
文献类型：
--
作者：
Fish JN;Pasley K
女同性恋，男同性恋，双性恋和酷儿/质疑青年健康的差异是有据可查的;然而，研究的局限性限制了我们对性领域（吸引力，行为和身份）之间的时间相互作用如何使个体或多或少地处于精神健康状况不佳和饮酒的风险中的理解。来自国家青少年到成人健康纵向研究的四波数据（n = 12，679; 51.29%女性）与重复测量潜在类别分析一起使用，以估计由浪漫吸引力，性/浪漫行为和从青春期到成年期的性身份的前瞻性报告指定的性轨迹组。出现了五种独特的轨迹：两个异性恋群体（异性恋早期约会者[58.37%]和异性恋后期约会者[29.83%]）和三个性少数群体（异性恋灵活[6.44%]，后来确定的双性恋[3.32%]和LG[B]确定[2.03%]）。这些性轨迹区分了青少年和成年早期的抑郁性行为、自杀想法和行为以及饮酒的风险。在成年期首次报告同性吸引和性少数身份的人群（异性恋和后来的双性恋身份）与那些在青春期主要报告同性吸引和行为的人群（LG[B]身份的人群）相比，抑郁、自杀和更多的物质使用水平相似。这些后来承认的群体在他们首次报告这些吸引力，行为和身份的变化时，表现出更大的不良结果风险。三个性少数群体的出现揭示了性行为和性轨迹的组内差异，以及这些经验如何与整个过渡到成年的风险和风险的时间。
Lesbian, gay, bisexual, and queer/questioning youth health disparities are well documented; however, study limitations restrict our understanding of how the temporal interplay among domains of sexuality (attraction, behavior, and identity) situate individuals to be more or less at risk for poor mental health and alcohol use across the transition to adulthood. Four waves of data from the National Longitudinal Study of Adolescent to Adult Health (n = 12,679; 51.29 % female) were used with repeated measures latent class analysis to estimate sexual trajectory groups designated by prospective reports of romantic attraction, sexual/romantic behavior, and sexual identity from adolescence to adulthood. Five unique trajectories emerged: two heterosexual groups (heterosexual early daters [58.37 %] and heterosexual later daters [29.83 %]) and three sexual minority groups (heteroflexible [6.44 %], later bisexually identified [3.32 %], and LG[B] identified [2.03 %]). These sexual trajectories differentiate risk for depressive symptomology, suicidal thoughts and behaviors, and alcohol use during adolescence and early adulthood. Groups where individuals first reported same-sex attraction and sexual minority identities in adulthood (heteroflexible and later bisexually identified) had similar levels of depression, suicidality, and greater substance use than those who largely reported same-sex attraction and behavior during adolescence (the LG[B] identified group). These later recognition groups showed greater risk for poor outcomes in waves where they also first reported these changes in attraction, behaviors, and identities. The emergence of three sexual minority groups reveal within-group differences in sexuality and sexual trajectories and how these experiences relate to risk and timing of risk across the transition to adulthood.
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影响因子：
4.9
作者：
Dermody, Sarah S.;Marshal, Michael P.;Cheong, JeeWon;Burton, Chad;Hughes, Tonda;Aranda, Frances;Friedman, Mark S.
通讯作者：
Friedman, Mark S.
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通讯作者：
Diamond, Lisa M.
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通讯作者：
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影响因子：
6.9
作者：
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通讯作者：
Beautrais, AL
影响因子：
3.4
作者：
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通讯作者：
Ahn, Soyeon