The Association of Sexual Orientation Measures With Young Adults' Health-Related Outcomes
The Association of Sexual Orientation Measures With Young Adults' Health-Related Outcomes
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DOI：
10.2105/ajph.2011.300262
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发表时间：
2012-06-01
影响因子：
12.7
通讯作者：
Carter, Jarvis W., Jr.
中科院分区：
文献类型：
--
作者：
Lindley, Lisa L.;Walsemann, Katrina M.;Carter, Jarvis W., Jr.
目标.我们研究了性取向的3个维度（身份、行为和吸引力）与性少数人群中常见的主要健康相关指标之间的关联：抑郁症状、感知压力、吸烟、酗酒和受害。我们分析了国家青少年健康纵向研究第四波（2007-2008年）的数据，受访者年龄在24至32岁之间（n=14412）。我们使用多元线性回归和逻辑回归来检验性取向测量和健康相关指标之间的关联的一致性。关联的强度因性别和性取向而异。在女性中，被两种性别吸引，被认为是“大部分直人”或“双性恋”，以及大多数异性性伴侣与所有指标的风险都更大有关。在男性中，性吸引力与健康指标无关。“大部分是异性恋”的男性在某些指标上面临更大的风险，但不是所有指标。有同性或两性性伴侣的男性酗酒的风险较低。使用性取向的所有3个维度提供了一个更完整的图片之间的关联性取向和健康的年轻人比单独使用任何一个维度。(Am J公共卫生。2012;102：1177-1185。doi：10.2105/AJPH.2011.300262）
Objectives. We examined associations among 3 dimensions of sexual orientation (identity, behavior, and attraction) and key health-related indicators commonly studied among sexual minority populations: depressive symptoms, perceived stress, smoking, binge drinking, and victimization.Methods. We analyzed data from the National Longitudinal Study of Adolescent Health, Wave IV (2007-2008) when respondents were aged 24 to 32 years (n=14412). We used multivariate linear and logistic regressions to examine consistency of associations between sexual orientation measures and health-related indicators.Results. Strength of associations differed by gender and sexual orientation measure. Among women, being attracted to both sexes, identifying as "mostly straight" or "bisexual," and having mostly opposite-sex sexual partners was associated with greater risk for all indicators. Among men, sexual attraction was unrelated to health indicators. Men who were "mostly straight" were at greater risk for some, but not all, indicators. Men who had sexual partners of the same-sex or both sexes were at lower risk for binge drinking.Conclusions. Using all 3 dimensions of sexual orientation provides a more complete picture of the association between sexual orientation and health among young adults than does using any 1 dimension alone. (Am J Public Health. 2012;102:1177-1185. doi:10.2105/AJPH.2011.300262)