Family Rejection as a Predictor of Negative Health Outcomes in White and Latino Lesbian, Gay, and Bisexual Young Adults
Family Rejection as a Predictor of Negative Health Outcomes in White and Latino Lesbian, Gay, and Bisexual Young Adults
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DOI：
10.1542/peds.2007-3524
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发表时间：
2009-01-01
期刊：
影响因子：
8
通讯作者：
Sanchez, Jorge
中科院分区：
文献类型：
--
作者：
Ryan, Caitlin;Huebner, David;Sanchez, Jorge
目标。我们在一组年轻的女同性恋者、男同性恋者和双性恋者的样本中，研究了青春期特定的家庭对性取向和性别表达的排斥反应，作为当前健康问题的预测因子。方法：在先前收集的深度访谈的基础上，我们开发了定量的量表，以回溯性地评估青春期父母和照顾者对女同性恋者、男同性恋者或双性恋者性取向的反应频率。我们的调查工具还包括9项负面健康指标的测量，包括精神健康、药物滥用和性风险。这项调查的对象是224名白人和拉丁裔自认为是女同性恋者、男同性恋者和双性恋者的年轻人，年龄在21岁到25岁之间，他们是从不同的场所和组织招募的。参与者通过计算机辅助或纸笔调查完成自我报告问卷。结果：家庭拒绝率越高，健康结果越差。根据赔率比，在青春期报告家庭拒绝程度较高的女同性恋者、男同性恋者和双性恋者，与报告没有家庭拒绝或家庭拒绝程度较低的家庭的同龄人相比，报告试图自杀的可能性高8.4倍，报告高抑郁水平的可能性高5.9倍，使用非法药物的可能性高3.4倍，报告参与无保护措施的性行为的可能性高3.4倍。结论：这项研究在年轻的女同性恋者、男同性恋者和双性恋者中，建立了特定的父母和照顾者拒绝行为与消极健康问题之间的明确联系。为这一人群提供服务的提供者应该评估并帮助教育家庭了解拒绝行为的影响。向家庭提供咨询，提供前瞻性指导，并转介家庭进行咨询和支持，有助于在帮助女同性恋者、男同性恋者和双性恋者青年降低风险和增加幸福感方面发挥关键作用。儿科2009；123：346-352
OBJECTIVE. We examined specific family rejecting reactions to sexual orientation and gender expression during adolescence as predictors of current health problems in a sample of lesbian, gay, and bisexual young adults.METHODS. On the basis of previously collected in-depth interviews, we developed quantitative scales to assess retrospectively in young adults the frequency of parental and caregiver reactions to a lesbian, gay, or bisexual sexual orientation during adolescence. Our survey instrument also included measures of 9 negative health indicators, including mental health, substance abuse, and sexual risk. The survey was administered to a sample of 224 white and Latino self-identified lesbian, gay, and bisexual young adults, aged 21 to 25, recruited through diverse venues and organizations. Participants completed self-report questionnaires by using either computer-assisted or pencil-and-paper surveys.RESULTS. Higher rates of family rejection were significantly associated with poorer health outcomes. On the basis of odds ratios, lesbian, gay, and bisexual young adults who reported higher levels of family rejection during adolescence were 8.4 times more likely to report having attempted suicide, 5.9 times more likely to report high levels of depression, 3.4 times more likely to use illegal drugs, and 3.4 times more likely to report having engaged in unprotected sexual intercourse compared with peers from families that reported no or low levels of family rejection. Latino men reported the highest number of negative family reactions to their sexual orientation in adolescence.CONCLUSIONS. This study establishes a clear link between specific parental and caregiver rejecting behaviors and negative health problems in young lesbian, gay, and bisexual adults. Providers who serve this population should assess and help educate families about the impact of rejecting behaviors. Counseling families, providing anticipatory guidance, and referring families for counseling and support can help make a critical difference in helping decrease risk and increasing well-being for lesbian, gay, and bisexual youth. Pediatrics 2009;123:346-352