Health Risk Behaviors in a Representative Sample of Bisexual and Heterosexual Female High School Students in Massachusetts

Health Risk Behaviors in a Representative Sample of Bisexual and Heterosexual Female High School Students in Massachusetts
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DOI:
10.1111/josh.12353
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发表时间:
2016-01-01
影响因子:
2.2
通讯作者:
Mimiaga, Matthew J.
Mimiaga, Matthew J.
中科院分区:
医学4区
文献类型:
--
作者:
Hughto, Jaclyn M. White;Biello, Katie B.;Mimiaga, Matthew J.

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背景:在双性恋女性青少年中,性行为和身份在性健康相关结果方面的差异仍然没有得到充分的研究。方法对参加马萨诸塞州青年危险行为监测调查的875名女孩的数据进行分析。加权Logistic回归模型适用于终身性行为(行为上双性恋与行为异性恋者)和性别认同(双性恋者与异性恋者)的终身性健康和心理社会健康状况。对于双性恋年轻女性来说,行为和身份认同是不一致的,因为53.2%的行为双性恋学生有双性恋身份,46.8%的双性恋学生有异性身份。双性恋者的身份和行为与最后一次无保护的性行为、早期首次性行为、4个或更多的终生伴侣、强迫/不受欢迎的性行为史、性传播感染检测史、过去一年的抑郁和过去一个月的药物使用有关(均为PS
BACKGROUNDDifferences in sexual health-related outcomes by sexual behavior and identity remain underinvestigated among bisexual female adolescents.METHODSData from girls (N=875) who participated in the Massachusetts Youth Risk Behavior Surveillance survey were analyzed. Weighted logistic regression models were fit to examine sexual and psychosocial health by lifetime sexual behavior (behaviorally bisexual vs behaviorally heterosexual) and sexual identity (bisexual vs heterosexual) adjusting for grade and race/ethnicity.RESULTSOverall, 10.5% of girls reported lifetime bisexual behavior and 8.1% reported a bisexual identity. Behavior and identity were discordant for bisexual young women as 53.2% of behaviorally bisexual students had a bisexual identity and 46.8% had a heterosexual identity. Bisexual identity and behavior were associated with unprotected intercourse at last sexual encounter, early sexual debut, 4 or more lifetime partners, history of forced/unwanted sex, sexually transmitted infection testing history, past-year depression, and past-month drug use (all ps