Lee Dong-Yun, Kim Seo-Hee, Woo Sook Young, Yoon Byung-Koo, Choi DooSeok
From the Department of Obstetrics and Gynecology (D-YL, S-HK, B-KY, DC), Samsung Medical Center, Sungkyunkwan University School of Medicine; Biostatistics Team, Samsung Biomedical Research Institute (SYW), Seoul, Korea.
Medicine (Baltimore). 2016 May;95(21):e3746. doi: 10.1097/MD.0000000000003746.
Homosexual adolescents may face significant health disparities. We examined health-risk behaviors and health cognition related to homosexual behavior in a representative sample of adolescents.Data were obtained from 129,900 adolescents between 2008 and 2012 over 5 cycles of the Korean Youth Risk Behavior Survey, a national survey of students in grades 7 to 12. Various health-risk behaviors and aspects of health cognition were compared between homosexual and heterosexual adolescents and analyzed with multiple logistic regression models.Compared with heterosexual adolescents (n = 127,594), homosexual adolescents (n = 2306) were more likely to engage in various health-risk behaviors and to have poor health cognition. In multiple logistic regression analysis, not living with parents, alcohol experience (adjusted odds ratio, 1.50; 95% confidence interval, 1.26-1.78 for males and 1.66; 1.33-2.07 for females), smoking experience (1.80; 1.54-2.10 for males and 3.15; 2.61-3.79 for females), and drug experience (3.65; 2.81-4.80 for males and 3.23; 2.35-4.46 for females) were associated with homosexual behavior. Homosexual adolescents were more likely to use adult internet content (2.82; 2.27-3.50 for males and 7.42; 4.19-13.15 for females), and to be depressed (1.21; 1.03-1.43 for males and 1.32; 1.06-1.64 for females). In addition, suicide ideation (1.51; 1.26-1.81 for males and 1.47; 1.16-1.86 for females) and attempts (1.67; 1.37-2.05 for males and 1.65; 1.34-2.03 for females) were significantly more prevalent among homosexual adolescents.Homosexual adolescents report disparities in various aspects of health-risk behavior and health cognition, including use of multiple substances, adult internet content and inappropriate weight loss methods, suicide ideation and attempts, and depressive mood. These factors should be addressed relevantly to develop specific interventions regarding sexual minorities.
同性恋青少年可能面临显著的健康差异。我们在一个具有代表性的青少年样本中研究了与同性恋行为相关的健康风险行为和健康认知。数据来自2008年至2012年期间韩国青少年风险行为调查的5个周期中的129,900名青少年，这是一项对7至12年级学生的全国性调查。比较了同性恋青少年和异性恋青少年之间的各种健康风险行为和健康认知方面，并使用多元逻辑回归模型进行分析。与异性恋青少年（n = 127,594）相比，同性恋青少年（n = 2306）更有可能从事各种健康风险行为，且健康认知较差。在多元逻辑回归分析中，与父母不住在一起、有饮酒经历（调整后的优势比，男性为1.50；95%置信区间为1.26 - 1.78，女性为1.66；1.33 - 2.07）、有吸烟经历（男性为1.80；1.54 - 2.10，女性为3.15；2.61 - 3.79）以及有吸毒经历（男性为3.65；2.81 - 4.80，女性为3.23；2.35 - 4.46）与同性恋行为相关。同性恋青少年更有可能使用成人互联网内容（男性为2.82；2.27 - 3.50，女性为7.42；4.19 - 13.15），且更易抑郁（男性为1.21；1.03 - 1.43，女性为1.32；1.06 - 1.64）。此外，自杀意念（男性为1.51；1.26 - 1.81，女性为1.47；1.16 - 1.86）和自杀未遂（男性为1.67；1.37 - 2.05，女性为1.65；1.34 - 2.03）在同性恋青少年中明显更为普遍。同性恋青少年在健康风险行为和健康认知的各个方面都存在差异，包括多种物质的使用、成人互联网内容和不适当的减肥方法、自杀意念和自杀未遂以及抑郁情绪。应针对这些因素制定针对性措施，以开发针对性少数群体的具体干预措施。
