The Effects of Cumulative Victimization on Mental Health Among Lesbian, Gay, Bisexual, and Transgender Adolescents and Young Adults
The Effects of Cumulative Victimization on Mental Health Among Lesbian, Gay, Bisexual, and Transgender Adolescents and Young Adults
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DOI：
10.2105/ajph.2015.302976
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发表时间：
2016-03-01
影响因子：
12.7
通讯作者：
Puckett, Jae A.
中科院分区：
文献类型：
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作者：
Mustanski, Brian;Andrews, Rebecca;Puckett, Jae A.
目标.研究女同性恋、男同性恋、双性恋和跨性别青年所经历的累积受害对精神障碍的影响。从2007年开始，我们从伊利诺斯州的芝加哥地区招募了248名参与者，在4年内收集了7波数据（83.1%的留存率）。入组时的平均年龄为18.7岁，54.7%为黑人。我们使用结构化精神病学访谈测量抑郁和创伤后应激障碍。随着时间的推移受害的潜在类分析确定了一个4级的解决方案。1级（65.4%）受害率低，减少。2类（10.3%）有中度，增加受害。第3类（5.1%）有高，稳定的受害。4级（19.2%）有高，减少受害。控制基线诊断和出生性别，女同性恋，男同性恋，双性恋和变性青年在2级和3级的抑郁症的风险高于1级;青年在2，3，4级的创伤后应激障碍的风险升高。女同性恋者、男同性恋者、双性恋者和跨性别青年从青春期到成年早期受害程度稳定较高或不断增加，患抑郁症和创伤后应激障碍的风险较高。
Objectives. To examine the effects of the cumulative victimization experienced by lesbian, gay, bisexual, and transgender youths on mental disorders.Methods. We recruited 248 participants from the Chicago, Illinois, area in 7 waves of data collected over 4 years, beginning in 2007 (83.1% retention rate). Mean age at enrollment was 18.7 years, and 54.7% were Black. We measured depression and posttraumatic stress disorder using structured psychiatric interviews.Results. Latent class analyses of victimization over time identified a 4-class solution. Class 1 (65.4%) had low, decreasing victimization. Class 2 (10.3%) had moderate, increasing victimization. Class 3 (5.1%) had high, steady victimization. Class 4 (19.2%) had high, decreasing victimization. Controlling for baseline diagnoses and birth sex, lesbian, gay, bisexual, and transgender youths in classes 2 and 3 were at higher risk for depression than were those in class 1; youths in classes 2, 3, and 4 were at elevated risk for posttraumatic stress disorder.Conclusions. Lesbian, gay, bisexual, and transgender youths with steadily high or increasing levels of victimization from adolescence to early adulthood are at higher risk for depression and posttraumatic stress disorder.