Chinese Sexual Minority Male Adolescents' Suicidality and Body Mass Index.

Chinese Sexual Minority Male Adolescents' Suicidality and Body Mass Index.
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中国性少数男性青少年自杀倾向与体重指数

DOI:
10.3390/ijerph15112558
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发表时间:
2018-11-15
影响因子:
--
通讯作者:
Lu C
Lu C
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Huang Y;Li P;Lai Z;Jia X;Xiao D;Wang T;Guo L;Lu C

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超重可能会增加性少数女性的自杀风险,但很少有研究调查性少数男性的这种自杀差异。本研究考察了中国男性青少年性少数身份与自杀企图之间的关系,并测试了身体质量指数(BMI)是否在这种关系中起调节作用。在2015年中国学校青少年健康调查中,随机抽取中国7个省份的7 - 12年级学生进行数据收集。共有72409名男生完成了关于性吸引力、自我报告的体重和身高以及自杀企图的调查问卷。校正协变量后,性少数与男生自杀企图相关(AOR = 1.74, 95% CI = 1.57-1.93)。分层分析显示,BMI类别调节了这种关联;与分层分析前的结果相比,肥胖的性少数男性自杀未遂的风险增加(AOR = 2.15, 95% CI = 1.09-4.24),超重的性少数男性自杀未遂的风险降低(AOR = 1.40, 95% CI = 1.01-1.92),体重不足的性少数男性自杀未遂的风险无显著变化(AOR = 1.82, 95% CI = 1.43-2.33)。我们的研究表明,BMI降低了性少数男性自杀企图的风险。针对性少数男性的自杀预防应该集中在体重状况差距和创造一个积极的氛围,以减少由于身体形象造成的少数压力。
Excess weight status may increase the risk of suicidality among sexual minority females, but few studies have examined this suicidality disparity in sexual minority males. This study examined the association between sexual minority status and suicide attempts in Chinese male adolescents and tested whether body mass index (BMI) had a moderating effect on that association. Data were collected from 7th to 12th graders from seven randomly selected provinces of China in the 2015 School-Based Chinese Adolescents Health Survey. In total, 72,409 male students completed the questionnaires regarding sexual attraction, self-reported weight and height, and suicide attempts. After adjustment for covariates, sexual minority status was associated with suicide attempts among male students (AOR = 1.74, 95% CI = 1.57–1.93). Stratification analyses showed that BMI category moderated this association; compared with the results before stratification analyses, sexual minority males who were obese had increased risk of suicide attempts (AOR = 2.15, 95% CI = 1.09–4.24), sexual minority males who were overweight had reduced odds of suicide attempts (AOR = 1.40, 95% CI = 1.01–1.92), and no significant association change was found in sexual minority males who were underweight (AOR = 1.82, 95% CI = 1.43–2.33). Our study indicated that BMI moderated the risk of suicide attempts in sexual minority males. Suicide prevention targeting sexual minority males should be focused on weight status disparity and the creation of a positive climate to reduce minority stressors due to body image.
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