Sexual Identity and Behavior Among U.S. High School Students, 2005-2015.
Sexual Identity and Behavior Among U.S. High School Students, 2005-2015.
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美国高中生的性别认同和行为，2005-2015 年。
DOI：
10.1007/s10508-019-1404-y
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发表时间：
2019
影响因子：
3.8
通讯作者：
Birkett,Michelle
中科院分区：
文献类型：
--
作者：
Phillips2nd,Gregory;Beach,LaurenB;Turner,Blair;Feinstein,BrianA;Marro,Rachel;Philbin,MorganM;Salamanca,Paul;Felt,Dylan;Birkett,Michelle
性取向是一个多层面的概念，在人口健康研究中越来越被认为是一个重要的人口特征。在这项研究中，从2005年到2015年，每两年在47个司法管辖区汇总一次加权青年风险行为调查数据，产生了98个司法管辖区年（344，815名学生）的全国样本。受访者的中位数为15.5岁，49.9%为男性，48.8%为白色。2005年至2015年的性别认同和行为趋势采用logistic回归分析进行评估。总体而言，13.9%的女性和7.0%的男性认为自己是女同性恋、男同性恋、双性恋（LGB）或不确定，而9.1%的女性和4.2%的男性同时表示同性和异性行为或同性行为。总的来说，17.0%的女性和8.5%的男性青年报告了非异性恋（LGB或不确定）的性身份，同性性行为，或两者兼而有之。LGB青年报告终生性行为的可能性大约是其他青年的两倍。与其他种族/民族的年轻人相比，白色和亚裔年轻人报告非异性恋身份和/或从事同性性行为的可能性较小。随着时间的推移，两性的非异性恋身份的流行率都在增加，但随着时间的推移，只有女性青年报告了更多的同性行为。这是第一项在国家数据集中同时评估青少年性身份和行为的研究。这些发现对于了解青少年的性健康需求以及为性健康政策和实践提供信息至关重要。
Sexual orientation is a multidimensional construct which is increasingly recognized as an important demographic characteristic in population health research. For this study, weighted Youth Risk Behavior Survey data were pooled across 47 jurisdictions biennially from 2005 to 2015, resulting in a national sample of 98 jurisdiction-years (344,815 students). Respondents were a median of 15.5 years, 49.9% male, and 48.8% White. Sexual identity and behavior trends from 2005 to 2015 were assessed with logistic regression analysis. Overall, 13.9% of females and 7.0% of males identified as lesbian, gay, bisexual (LGB), or not sure, while 9.1% of females and 4.2% of males indicated both same-and-different-sex behavior or same-sex behavior. In total, 17.0% of female and 8.5% of male youth reported non-heterosexual (LGB or not sure) sexual identity, same-sex sexual behavior, or both. LGB youth were approximately twice as likely as other youth to report lifetime sexual behavior. White and Asian youth were less likely to report non-heterosexual identity and/or have engaged in same-sex sexual behaviors than youth of other races/ethnicities. Prevalence of non-heterosexual identities increased over time for both sexes, but only female youth reported significantly more same-sex behavior over time. This is the first study to simultaneously assess adolescent sexual identity and behavior over time within a national dataset. These findings are critical for understanding the sexual health needs of adolescents and for informing sexual health policy and practice.