School of Health, Care and Social Welfare, Mälardalen University, Sweden; Boromarajonani, College of Nursing, Sunpasithiprasong, Thailand.
School of Health, Care and Social Welfare, Mälardalen University, P.O. Box 325, SE-631 05 Eskilstuna, Sweden.
Sex Reprod Healthc. 2019 Oct;21:67-74. doi: 10.1016/j.srhc.2019.05.004. Epub 2019 May 25.
This study examined the associations between sexual orientation of young people and their health and risk behaviours in Thailand and Sweden, and to explore similarities and differences between the countries.
A cross-sectional study using data from the Life and Health - Young surveys in Thailand and Sweden. Three different statistical analyses were used to examine the associations of the variables.
In total, 3869 students aged 16-18 years old were included: 1488 Thai students and 2381 Swedish students. Significantly more Thai (20%) than Swedish (9%) students identified themselves as bisexual, homosexual or unsure (p < .001). Bivariate analysis showed that, in Thailand, self-harm was more often reported by the homosexual, unsure, and bisexual groups than by the heterosexual group (p = .005). In Sweden, early sexual debut was more often reported by the unsure, bisexual, and homosexual groups than by the heterosexual group (p = .033). Multiple logistic regression analysis showed that homosexual and unsure sexual orientations were significantly associated with self-harm (p < .05) among Thai students. Unsure sexual orientation was significantly associated with early sexual debut (p = .04) among Swedish students. Multiple correspondence analysis indicated that sexual orientation was associated with health and risk behaviours, and varied by different subcategories of students' backgrounds such as country, sexual orientation, family structure and adult support.
Sexual minority young people reported more risk behaviours and poorer health than their heterosexual counterparts. The findings are useful for policy programmes on sexual and reproductive health and rights of young people.
本研究旨在探讨泰国和瑞典年轻人的性取向与其健康和风险行为之间的关联，并探索两国之间的异同。
这是一项使用泰国和瑞典“生活与健康-青年调查”数据的横断面研究。采用三种不同的统计分析方法来检验变量之间的关联。
共纳入 3869 名 16-18 岁的学生：1488 名泰国学生和 2381 名瑞典学生。泰国学生中，自我认同为双性恋、同性恋或不确定的学生比例明显高于瑞典学生（20%比 9%，p<0.001）。双变量分析显示，在泰国，自我伤害的报告更常见于同性恋、不确定和双性恋群体，而不是异性恋群体（p=0.005）。在瑞典，更早的性初体验更常见于不确定、双性恋和同性恋群体，而不是异性恋群体（p=0.033）。多变量逻辑回归分析显示，同性恋和不确定的性取向与泰国学生的自我伤害显著相关（p<0.05）。不确定的性取向与瑞典学生的早期性初体验显著相关（p=0.04）。多元对应分析表明，性取向与健康和风险行为相关，并因学生背景的不同亚类而有所不同，如国家、性取向、家庭结构和成人支持。
性少数群体的年轻人报告的风险行为更多，健康状况更差。这些发现对于年轻人的性健康和生殖健康及权利政策方案具有重要意义。
