Division of General Pediatrics, Department of Pediatrics, Mattel Children's Hospital, David Geffen School of Medicine at UCLA, Los Angeles, California 90024, USA.
Annu Rev Public Health. 2010;31:457-77. doi: 10.1146/annurev.publhealth.012809.103636.
Adolescents face a variety of challenges in their transition to adulthood; lesbian, gay, and bisexual adolescents face these typical challenges as well as additional challenges that are related to the social stigma of their sexual orientation. For some lesbian, gay, and bisexual adolescents, this stigma may induce psychosocial stress, leading to increased health risk behaviors and poorer health outcomes. In this article, we review data on the health and health care of LGB adolescents. We examine health indicators and health risks for LGB youth, including substance use, eating disorders, suicidality, risky sexual behaviors, violence exposure and victimization, and homelessness. We also examine health care provision and utilization for LGB youth. Lastly, we discuss ways in which researchers and clinicians can improve LGB adolescent health and health care.
青少年在向成年过渡的过程中面临着各种各样的挑战；女同性恋、男同性恋和双性恋青少年除了面临这些典型的挑战外，还面临着与性取向相关的社会耻辱感带来的额外挑战。对于一些女同性恋、男同性恋和双性恋青少年来说，这种耻辱感可能会导致心理社会压力，导致健康风险行为增加和健康状况恶化。在本文中，我们回顾了有关 LGB 青少年健康和医疗保健的数据。我们检查了 LGB 青年的健康指标和健康风险，包括药物使用、饮食失调、自杀意念、危险性行为、暴力暴露和受害以及无家可归。我们还检查了 LGB 青年的医疗保健服务提供和利用情况。最后，我们讨论了研究人员和临床医生如何改善 LGB 青少年的健康和医疗保健。
