Sexual Orientation and Depressive Symptoms Among High School Students in Jiangxi Province.

Research in western countries has shown that adolescents who self-identify as lesbian, gay, or bisexual (LGB) are at increased risk for depression, but little is known about this relationship among adolescents in China. A school-based cross-sectional survey was conducted among 1816 high school students in Jiangxi province. Logistic regression was used to explore the relationship between sexual orientation and depressive symptoms. Approximately 4% of participants self-identified as LGB, and 14% reported being unsure of their sexual identity. After controlling for potential confounding factors, students who self-identified as LGB had significantly higher odds of depressive symptoms compared with heterosexual students: adjusted odds ratio = 6.16 (2.13-17.83) and adjusted odds ratio = 2.29 (1.13-4.63) for males and females, respectively. Culturally appropriate programs and policies that support LGB students and address discrimination and victimization are needed to improve the mental health of Chinese LGB youth.