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2013 ; 103
(10
): 1810-9
Nephropedia Template TP
gab.com Text
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English Wikipedia
Peer victimization and sexual risk differences between lesbian, gay, bisexual,
transgender, or questioning and nontransgender heterosexual youths in grades
7-12
#MMPMID23947999
Robinson JP
; Espelage DL
Am J Public Health
2013[Oct]; 103
(10
): 1810-9
PMID23947999
show ga
OBJECTIVES: Before and after accounting for peer victimization, we estimated
sexual risk disparities between students who self-identified as lesbian, gay,
bisexual, transgender, or questioning (LGBTQ) and students who self-identified as
nontransgender heterosexual. METHODS: Students in grades 7 through 12 in Dane
County, Wisconsin, were given the Web-administered Dane County Youth Assessment.
One set of analyses was based on a sample that included 11 337 students.
Subsequent analyses were based on a sample from which we screened out students
who may not have been responding to survey items truthfully. Various
multilevel-modeling and propensity-score-matching strategies ensured robustness
of the results, examined disparities at lower and higher victimization rates, and
explored heterogeneity among LGBTQ-identified youths. Finally,
propensity-score-matching strategies estimated LGBTQ-heterosexual disparities in
2 matched samples: a sample that reported higher victimization and one that
reported lower victimization. RESULTS: Across 7 sexual risk outcomes, and in
middle and high school, LGBTQ-identified youths reported engaging in riskier
behavior than did heterosexual-identified youths after we accounted for peer
victimization. Risk differentials were present in middle and high school. The
LGBTQ group was heterogeneous, with lesbian/gay- and bisexual-identified youths
generally appearing most risky, and questioning-identified youths least risky. In
the matched sample with lower average victimization rates, LGBTQ-identified
youths perceived a greater risk of sexually transmitted infections despite not
engaging in sexually risky behavior at significantly higher rates; in the matched
sample with higher average victimization rates, all outcomes were significantly
different. CONCLUSIONS: Demonstrated LGBTQ-heterosexual risk differentials in
grades 7 through 8 suggest that interventions need to be implemented during
middle school. These interventions should also be differentiated to address the
unique risk patterns among LGBTQ subgroups. Finally, models of sexual risk
disparities must expand beyond peer victimization.