School of Nursing, University of Minnesota, 5-160 Weaver Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455.
Department of Human Development and Family Studies, University of Connecticut, 348 Mansfield Road U1058, Storrs, CT, 06269, USA.
J Sch Health. 2018 Aug;88(8):605-614. doi: 10.1111/josh.12650.
Sexual minority young people have demonstrated higher rates of emotional distress and suicidality in comparison to heterosexual peers. Research to date has not examined trends in these disparities, specifically, whether there have been disparity reductions or increases and how outcomes have differed over time by sex and sexual orientation group.
Minnesota Student Survey data, collected from 9th and 12th graders in 3 cohorts (1998, 2004, 2010) were used to examine emotional distress and suicidality rates. Logistic regression analyses were completed to examine outcome changes over time within and across sexual orientation/sex groups.
With few exceptions, sexual minority youth are at increased risk of endorsing emotional distress and suicidality indicators in each surveyed year between 1998 and 2010. Young people with both-sex partners reported more emotional distress across all health indicators compared to their opposite-sex partnered peers. With a few exceptions, gaps in disparities between heterosexual and sexual minority have not changed from 2004 to 2010.
Disparities in emotional health persist among youth. Research is needed to advance understanding of mental health disparities, with consideration of sexual orientation differences and contextualized to sociocultural status and changes over time. Personalized prevention strategies are needed to promote adolescent mental health.
与异性恋同龄人相比，性少数青年的情绪困扰和自杀率更高。迄今为止的研究尚未考察这些差异的趋势，特别是是否存在差异缩小或扩大，以及随着时间的推移，不同性别和性取向群体的结果如何不同。
使用明尼苏达州学生调查数据，对三批（1998 年、2004 年和 2010 年）9 年级和 12 年级学生进行了调查，以检查情绪困扰和自杀率。完成逻辑回归分析，以检查在性取向/性别群体内和跨群体随时间的变化。
除了少数例外，性少数青年在 1998 年至 2010 年期间的每个调查年份中，都更有可能出现情绪困扰和自杀迹象。与异性恋同伴相比，具有双性伴侣的年轻人在所有健康指标上都报告了更多的情绪困扰。除了少数例外，2004 年至 2010 年期间，异性恋和性少数群体之间的差距没有变化。
年轻人的情绪健康方面仍存在差异。需要研究来深入了解心理健康方面的差异，考虑性取向差异，并考虑到社会文化地位和随时间的变化。需要制定个性化的预防策略来促进青少年的心理健康。
