美国高中生中因性取向认同导致的安全带使用差异。
Disparities in safety belt use by sexual orientation identity among US high school students.
机构信息
Sari L. Reisner and Allegra Gordon are with the Department of Society, Human Development, and Health, Harvard School of Public Health, and Jerel P. Calzo is with the Department of Pediatrics, Harvard Medical School, Boston, MA. Sari L. Reisner is also with and Aimee Van Wagenen is with the Fenway Institute, Fenway Health, Boston. Jerel P. Calzo is also with the Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston.
出版信息
Am J Public Health. 2014 Feb;104(2):311-8. doi: 10.2105/AJPH.2013.301745. Epub 2013 Dec 12.
OBJECTIVES
We examined associations between adolescents' safety belt use and sexual orientation identity.
METHODS
We pooled data from the 2005 and 2007 Youth Risk Behavior Surveys (n = 26,468 weighted; mean age = 15.9 years; 35.4% White, 24.7% Black, 23.5% Latino, 16.4% other). We compared lesbian and gay (1.2%), bisexual (3.5%), and unsure (2.6%) youths with heterosexuals (92.7%) on a binary indicator of passenger safety belt use. We stratified weighted multivariable logistic regression models by sex and adjusted for survey wave and sampling design.
RESULTS
Overall, 12.6% of high school students reported "rarely" or "never" wearing safety belts. Sexual minority youths had increased odds of reporting nonuse relative to heterosexuals (48% higher for male bisexuals, 85% for lesbians, 46% for female bisexuals, and 51% for female unsure youths; P < .05), after adjustment for demographic (age, race/ethnicity), individual (body mass index, depression, bullying, binge drinking, riding with a drunk driver, academic achievement), and contextual (living in jurisdictions with secondary or primary safety belt laws, percentage below poverty, percentage same-sex households) risk factors.
CONCLUSIONS
Public health interventions should address sexual orientation identity disparities in safety belt use.
目的
我们研究了青少年使用安全带与性取向认同之间的关联。
方法
我们汇总了 2005 年和 2007 年青少年风险行为调查的数据（加权样本量为 26468 人；平均年龄为 15.9 岁；35.4%为白人，24.7%为黑人，23.5%为拉丁裔，16.4%为其他族裔）。我们将男同性恋（1.2%）、女同性恋（1.2%）、双性恋（3.5%）和不确定（2.6%）青年人与异性恋（92.7%）者在乘客安全带使用的二项指标上进行了比较。我们按性别对加权多变量逻辑回归模型进行分层，并根据调查波次和抽样设计进行了调整。
结果
总体而言，12.6%的高中生报告“很少”或“从不”使用安全带。与异性恋者相比，性少数群体青年报告不使用安全带的可能性更高（男双性恋者高 48%，女同性恋者高 85%，女双性恋者高 46%，女不确定者高 51%；P<0.05），调整了人口统计学因素（年龄、种族/民族）、个体因素（体重指数、抑郁、欺凌、狂饮、与醉酒司机同车、学业成绩）和背景因素（生活在二级或一级安全带法律管辖的司法管辖区、贫困以下百分比、同性家庭百分比）风险因素后。
结论
公共卫生干预措施应解决安全带使用方面的性取向认同差异。
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