1 Social and Behavioral Sciences Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.
2 Department of Medical and Clinical Psychology, Suicide Care, Prevention, and Research Initiative, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Cyberpsychol Behav Soc Netw. 2019 May;22(5):315-324. doi: 10.1089/cyber.2018.0408. Epub 2019 Mar 21.
To examine the associations of adolescent sexual orientation with cyber behaviors and health indicators 5 years later during young adulthood and test whether cyber behaviors contribute to sexual orientation health disparities. Data were drawn from Waves 2 and 7 from the NEXT Generational Health Study, a nationally representative cohort of U.S. adolescents ( = 2012). Multiple linear regressions were used to examine differences between sexual orientation subgroups (defined based on sexual attraction) in five cyber behaviors and five health indicators. Mediation analyses were conducted to examine whether cyber behaviors mediated the associations between bisexual attraction and health indicators. Relative to heterosexual peers, bisexual youth spent more time engaging in cyber behaviors and social media, and reported more psychosomatic symptoms and poorer general health. Gay and questioning males spent less time playing video games than heterosexual males. Bisexual females reported more depressive symptoms and less optimism and happiness than heterosexual females. Time spent on cyber behaviors and social media was a significant mediator of adolescent bisexual attraction and worse health outcomes in young adulthood. Frequency of cyber behaviors differed between sexual minority subgroups. Bisexual youth in particular had more psychosomatic symptoms and poorer general health. Engagement in cyber behaviors and social media use contributed to increased health disparities among bisexual youth.
为了研究青少年性取向与网络行为和健康指标之间的关联，以考察在成年早期的 5 年后，网络行为是否会导致性取向健康差距。本研究的数据来自美国下一代健康研究（NEXT Generational Health Study）的第 2 波和第 7 波，该研究是一项具有全国代表性的美国青少年队列研究（n=2012）。采用多元线性回归分析来比较性取向亚组（基于性吸引力定义）在五种网络行为和五种健康指标上的差异。采用中介分析来检验双性恋吸引力与健康指标之间的关联是否存在中介作用。与异性恋同龄人相比，双性恋青年花更多的时间参与网络行为和社交媒体，报告更多的身心症状和较差的总体健康状况。男同性恋和男同性恋者比异性恋男性玩视频游戏的时间更少。与异性恋女性相比，双性恋女性报告更多的抑郁症状、更少的乐观和幸福感。花在网络行为和社交媒体上的时间是青少年双性恋吸引力和成年早期更差健康结果的一个重要中介因素。网络行为的频率在性少数群体亚组之间存在差异。特别是双性恋青年有更多的身心症状和较差的总体健康状况。网络行为和社交媒体的使用会导致双性恋青年的健康差距加大。
