Brian Mustanski, Michelle Birkett, and George J. Greene are with the Department of Medical Social Sciences at Northwestern University Feinberg School of Medicine, Chicago, IL. Margaret Rosario is with the Department of Psychology at City University of New York-City College and Graduate Center, New York, NY. Wendy Bostwick is with Public Health and Health Education Programs in the School of Nursing and Health Studies at Northern Illinois University, Dekalb, IL. Bethany G. Everett is with the Department of Sociology, University of Illinois at Chicago.
Am J Public Health. 2014 Feb;104(2):237-44. doi: 10.2105/AJPH.2013.301451. Epub 2013 Dec 12.
We examined the prevalence and associations between behavioral and identity dimensions of sexual orientation among adolescents in the United States, with consideration of differences associated with race/ethnicity, sex, and age.
We used pooled data from 2005 and 2007 Youth Risk Behavior Surveys to estimate prevalence of sexual orientation variables within demographic sub-groups. We used multilevel logistic regression models to test differences in the association between sexual orientation identity and sexual behavior across groups.
There was substantial incongruence between behavioral and identity dimensions of sexual orientation, which varied across sex and race/ethnicity. Whereas girls were more likely to identify as bisexual, boys showed a stronger association between same-sex behavior and a bisexual identity. The pattern of association of age with sexual orientation differed between boys and girls.
Our results highlight demographic differences between 2 sexual orientation dimensions, and their congruence, among 13- to 18-year-old adolescents. Future research is needed to better understand the implications of such differences, particularly in the realm of health and health disparities.
我们研究了美国青少年在性行为和性身份两个维度上的性取向流行情况及其与种族/民族、性别和年龄的关联。
我们使用了 2005 年和 2007 年青年风险行为调查的汇总数据,以评估在人口统计学亚组中,性取向变量的流行程度。我们使用多层次逻辑回归模型,检验了不同群体中性身份与性行为之间的关联差异。
性行为和性身份这两个维度的性取向存在显著差异,这种差异在性别和种族/民族之间有所不同。虽然女孩更有可能认同自己是双性恋者,但男孩的同性性行为与双性恋身份之间的关联更强。年龄与性取向的关联模式在男孩和女孩之间存在差异。
我们的研究结果突出了 13 至 18 岁青少年中,性取向的两个维度在人口统计学方面的差异,以及它们之间的一致性。未来的研究需要更好地理解这些差异的影响,特别是在健康和健康差异领域。