《青少年到成人健康全国纵向研究中的性取向、性别表达与社会经济地位》
Sexual orientation, gender expression and socioeconomic status in the National Longitudinal Study of Adolescent to Adult Health.
作者信息
Hernandez Stephanie M, Halpern Carolyn T, Conron Kerith J
机构信息
Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
Department of Maternal & Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
出版信息
J Epidemiol Community Health. 2023 Nov 28;78(2):121-8. doi: 10.1136/jech-2022-220164.
BACKGROUND
Socioeconomic status (SES) is a fundamental contributor to health, yet it is rarely examined relative to gender expression, particularly gender non-conformity and sexual orientation.
METHODS
We use data from 11 242 Wave V respondents (aged 33-44) in the National Longitudinal Study of Adolescent to Adult Health (2016-2018) to examine associations between socially assigned gender expression, sexual orientation and SES, in logistic and multinomial regression models stratified by sex assigned at birth.
RESULTS
Among both women and men a general pattern of heightened risk for lower SES among gender non-conforming sexual minorities relative to gender conforming heterosexuals was observed. Gender non-conforming heterosexuals were also at elevated risk of lower SES compared with their conforming heterosexual peers.
CONCLUSION
Socioeconomic differences by sexual orientation and gender expression have important implications for understanding health disparities among gender non-conforming sexual minorities and their gender conforming heterosexual counterparts.
背景
社会经济地位（SES）是健康的一个基本影响因素，但很少有人从性别表达，特别是性别不一致和性取向的角度对其进行研究。
方法
我们使用青少年到成人健康纵向研究（2016 - 2018年）中11242名第五波受访者（年龄在33 - 44岁之间）的数据，在按出生时指定性别分层的逻辑回归和多项回归模型中，研究社会指定的性别表达、性取向与社会经济地位之间的关联。
结果
在女性和男性中，均观察到性别不一致的性少数群体相对于性别一致的异性恋者，社会经济地位较低的风险普遍更高。与性别一致的异性恋同龄人相比，性别不一致的异性恋者社会经济地位较低的风险也有所增加。
结论
性取向和性别表达导致的社会经济差异，对于理解性别不一致的性少数群体及其性别一致的异性恋对应群体之间的健康差异具有重要意义。
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