D'Agati Douglas, Kahn Geoffrey D, Swartz Karen L
8784 Department of Psychiatry, University of California San Diego Health System, La Jolla, CA, USA.
25802 Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Public Health Rep. 2021 Mar-Apr;136(2):132-135. doi: 10.1177/0033354920971718. Epub 2021 Jan 25.
Unhealthy preteen behaviors are associated with adolescent depression. However, little is known about preteen factors among sexual minority young people, a group at increased risk for teen depression and suicide. We completed weighted multivariate logistic regression analyses on data from the national 2015 and 2017 Youth Risk Behavior Survey of 30 389 high school students in the United States. Preteen sex, cigarette smoking, and alcohol and marijuana use were significantly more prevalent among lesbian, gay, or bisexual (LGB) and questioning students who reported depressive symptoms than among their heterosexual peers (adjusted prevalence ratio [APR] range, 1.33-2.34; all significant at < .05). The only exception was that marijuana use among questioning students was not significantly different from use among heterosexual peers (APR = 1.34; = .11). Assessment of preteen sex and substance use-especially among LGB and questioning young people, who are more prone to depressive symptoms and more likely to initiate risky preteen behaviors than their heterosexual counterparts-will facilitate a life course approach to sexual minority mental health that should begin by early adolescence.
青春期前的不良行为与青少年抑郁症有关。然而，对于性少数群体青少年中的青春期前因素知之甚少，这一群体青少年抑郁和自杀风险较高。我们对来自美国2015年和2017年全国青少年风险行为调查的30389名高中生的数据进行了加权多变量逻辑回归分析。在报告有抑郁症状的女同性恋、男同性恋或双性恋（LGB）及性取向存疑的学生中，青春期前性行为、吸烟、饮酒和使用大麻的情况明显比他们的异性恋同龄人更为普遍（调整患病率比[APR]范围为1.33 - 2.34；均在<.05水平上具有显著性）。唯一的例外是，性取向存疑的学生中使用大麻的情况与异性恋同龄人相比没有显著差异（APR = 1.34； = .11）。评估青春期前的性行为和物质使用情况——尤其是在LGB及性取向存疑的年轻人中，他们比异性恋同龄人更容易出现抑郁症状，也更有可能开始有风险的青春期前行为——将有助于采取贯穿一生的方法来促进性少数群体的心理健康，这种方法应从青春期早期开始。
