Devlin Emily A, Newcomb Michael E, Whitton Sarah
Department of Psychology, University of Cincinnati, Cincinnati, Ohio, USA.
Department of Medical Social Sciences, Northwestern University, Evanston, Illinois, USA.
LGBT Health. 2024 Feb-Mar;11(2):103-110. doi: 10.1089/lgbt.2021.0122. Epub 2023 Oct 11.
Sexual minority youth (adolescents and young adults) assigned female at birth (SM-AFAB) are at disproportionate risk of developing obesity compared with heterosexual cisgender youth AFAB. Grounded in minority stress theory, this study aimed to identify potential risk factors for obesity among SM-AFAB youth to inform the development of prevention and intervention efforts for this high-risk population. Data were collected in 2017 from 367 SM-AFAB youth (ages 16-20 years). Multinominal logistic regression was used to assess cross-sectional associations of race/ethnicity, sexuality, gender identity, household income, and sexual minority (SM) stressors (internalized stigma, microaggressions, and victimization) with weight status (normal, overweight, and obese). Roughly half (53.1%) of participants' body mass index were in the normal weight range, with 24.8% in the overweight range and 22.1% in the obese range. Rates of obesity in Black and Latinx participants were 3-4.5 times those of White participants. Bisexual, pansexual, and queer individuals were at greater risk for obesity than gay/lesbian participants; only bisexual participants were at higher risk for overweight. Participants with a household income <$20,000 and between $20,000 and $39,000 were at greater risk for obesity than participants with household income >$80,000. Microaggressions were positively associated with obesity. Findings highlight risk for obesity among SM-AFAB youth, particularly for those who identify as racial minority, as low income, as being attracted to more than one gender, and for those who experience high levels of anti-SM microaggressions. Targeted obesity prevention and treatment programs should consider the unique needs, challenges, and strengths of SM-AFAB youth.
出生时被指定为女性的性少数青年（青少年和青年成年人）与异性恋顺性别出生时被指定为女性的青年相比，患肥胖症的风险更高。基于少数群体压力理论，本研究旨在确定出生时被指定为女性的性少数青年中肥胖的潜在风险因素，以为针对这一高危人群的预防和干预措施的制定提供信息。2017年收集了367名出生时被指定为女性的性少数青年（年龄在16至20岁之间）的数据。使用多项逻辑回归来评估种族/族裔、性取向、性别认同、家庭收入和性少数群体（SM）压力源（内化耻辱感、微侵犯和受害经历）与体重状况（正常、超重和肥胖）之间的横断面关联。大约一半（53.1%）的参与者体重指数处于正常范围，24.8%处于超重范围，22.1%处于肥胖范围。黑人和拉丁裔参与者的肥胖率是白人参与者的3至4.5倍。双性恋、泛性恋和酷儿个体比同性恋/女同性恋参与者患肥胖症的风险更高；只有双性恋参与者超重风险更高。家庭收入低于2万美元和2万至3.9万美元的参与者比家庭收入高于8万美元的参与者患肥胖症的风险更高。微侵犯与肥胖呈正相关。研究结果凸显了出生时被指定为女性的性少数青年患肥胖症的风险，特别是那些被认定为少数族裔、低收入、被不止一种性别吸引以及经历高水平反性少数微侵犯的人。有针对性的肥胖预防和治疗项目应考虑出生时被指定为女性的性少数青年的独特需求、挑战和优势。
