Saewyc Elizabeth M, Homma Yuko, Skay Carol L, Bearinger Linda H, Resnick Michael D, Reis Elizabeth
University of British Columbia School of Nursing, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5 Canada.
Am J Public Health. 2009 Jan;99(1):110-7. doi: 10.2105/AJPH.2007.123109. Epub 2008 Nov 13.
We compared protective factors among bisexual adolescents with those of heterosexual, mostly heterosexual, and gay or lesbian adolescents.
We analyzed 6 school-based surveys in Minnesota and British Columbia. Sexual orientation was measured by gender of sexual partners, attraction, or self-labeling. Protective factors included family connectedness, school connectedness, and religious involvement. General linear models, conducted separately by gender and adjusted for age, tested differences between orientation groups.
Bisexual adolescents reported significantly less family and school connectedness than did heterosexual and mostly heterosexual adolescents and higher or similar levels of religious involvement. In surveys that measured orientation by self-labeling or attraction, levels of protective factors were generally higher among bisexual than among gay and lesbian respondents. Adolescents with sexual partners of both genders reported levels of protective factors lower than or similar to those of adolescents with same-gender partners.
Bisexual adolescents had lower levels of most protective factors than did heterosexual adolescents, which may help explain their higher prevalence of risky behavior. Social connectedness should be monitored by including questions about protective factors in youth health surveys.
我们比较了双性恋青少年与异性恋、多数为异性恋以及男同性恋或女同性恋青少年之间的保护因素。
我们分析了明尼苏达州和不列颠哥伦比亚省的6项基于学校的调查。性取向通过性伴侣的性别、吸引力或自我认定来衡量。保护因素包括家庭关系、学校关系和宗教参与度。采用一般线性模型,按性别分别进行分析,并对年龄进行调整,以检验不同性取向组之间的差异。
双性恋青少年报告的家庭和学校关系显著少于异性恋及多数为异性恋的青少年,宗教参与度则更高或相近。在通过自我认定或吸引力来衡量性取向的调查中,双性恋者的保护因素水平普遍高于男同性恋和女同性恋受访者。有两性性伴侣的青少年报告的保护因素水平低于或类似于有同性性伴侣的青少年。
双性恋青少年的大多数保护因素水平低于异性恋青少年,这可能有助于解释他们较高的危险行为发生率。在青少年健康调查中应纳入有关保护因素的问题,以监测社会关系。