Inclusive Anti-bullying Policies and Reduced Risk of Suicide Attempts in Lesbian and Gay Youth
Inclusive Anti-bullying Policies and Reduced Risk of Suicide Attempts in Lesbian and Gay Youth
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DOI：
10.1016/j.jadohealth.2012.08.010
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发表时间：
2013-07-01
影响因子：
7.6
通讯作者：
Keyes, Katherine M.
中科院分区：
文献类型：
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作者：
Hatzenbuehler, Mark L.;Keyes, Katherine M.
目的：为了评估是否反欺凌政策，包括性取向与自杀企图的患病率降低女同性恋，男同性恋和双性恋youth.Methods：共31,852 11年级的公立学校学生（1,413女同性恋，男同性恋和双性恋的个人，4.4%）在俄勒冈州完成了俄勒冈州健康青少年调查在2006-2008年。自变量是参与俄勒冈州健康青少年调查的34个县中采用包括性取向在内的反欺凌政策的学区比例。结果测量是过去12个月内任何自我报告的自杀企图。我们分层结果的性orients.Results：女同性恋和男同性恋青年生活在县较少的学区与包容性的反欺凌政策是2.25倍（95%置信区间[CI]，1.13-4.49）更有可能在过去的一年中自杀未遂的县相比，更多的地区有这些政策。包容性的反欺凌政策与男女同性恋青年自杀企图的风险降低显著相关，即使在控制了社会人口特征（性别，种族/民族）和暴露于同伴受害之后（比值比，0.18; 95%CI，0.03 - 0.92）。相反，反欺凌政策，不包括性取向与较低的自杀企图之间的女同性恋和男同性恋青年（优势比，0.38; 95%CI，0.02 -7.33）。结论：包容性的反欺凌政策可能会产生保护作用的心理健康的女同性恋和男同性恋青年，包括降低他们的自杀企图的风险。(C)2013年青少年健康和医学协会。All rights reserved.
Purpose: To evaluate whether anti-bullying policies that are inclusive of sexual orientation are associated with a reduced prevalence of suicide attempts among lesbian, gay, and bisexual youths.Methods: A total of 31,852 11th-grade public school students (1,413 lesbian, gay, and bisexual individuals; 4.4%) in Oregon completed the Oregon Healthy Teens survey in 2006-2008. The independent variable was the proportion of school districts in the 34 counties participating in the Oregon Healthy Teens survey that adopted anti-bullying policies inclusive of sexual orientation. The outcome measure was any self-reported suicide attempt in the past 12 months. We stratified results by sexual orientation.Results: Lesbian and gay youths living in counties with fewer school districts with inclusive anti-bullying policies were 2.25 times (95% confidence interval [CI], 1.13-4.49) more likely to have attempted suicide in the past year compared with those living in counties where more districts had these policies. Inclusive anti-bullying policies were significantly associated with a reduced risk for suicide attempts among lesbian and gay youths, even after controlling for sociodemographic characteristics (sex, race/ethnicity) and exposure to peer victimization (odds ratio, .18; 95% CI, .03-.92). In contrast, anti-bullying policies that did not include sexual orientation were not associated with lower suicide attempts among lesbian and gay youths (odds ratio, .38; 95% CI, .02-7.33).Conclusions: Inclusive anti-bullying policies may exert protective effects for the mental health of lesbian and gay youths, including reducing their risk for suicide attempts. (C) 2013 Society for Adolescent Health and Medicine. All rights reserved.