Kidz First, Te Whatu Ora Counties Manukau, New Zealand.
Kidz First, Te Whatu Ora Counties Manukau, New Zealand; Department of Paediatrics, Faculty of Medical Health Sciences, University of Auckland, Auckland, New Zealand.
J Adolesc Health. 2024 Sep;75(3):426-434. doi: 10.1016/j.jadohealth.2024.05.026. Epub 2024 Jul 7.
To explore the impacts of double minority status (ethnic and sexual/gender minority) and protective factors associated with the emotional wellbeing and mental health of Asian Rainbow (sexual/gender minority) youth in New Zealand.
The data were extracted from the Youth19 Rangatahi survey, which surveyed 7,374 students from 45 mainstream secondary schools. The comparison groups were Asian non-Rainbow youth and Pākehā (New Zealand European) Rainbow youth. A secondary analysis was performed examining the associations between postulated protective factors and the emotional wellbeing and mental health outcomes of Asian Rainbow youth.
Asian Rainbow youth had higher odds of depressive symptoms, anxiety, and suicidal thoughts and attempts and lower odds of good emotional wellbeing compared to Asian non-Rainbow youth. However, Asian Rainbow youth had lower odds of anxiety compared to Pākehā Rainbow youth. Among Asian Rainbow youth, family acceptance and feeling safe at school were associated with higher odds of good emotional wellbeing, and lower odds of depressive symptoms, anxiety, and suicidal thoughts. Several other protective factors were also associated with 1 or more (but not all) of the emotional wellbeing and mental health indicators.
This study suggests that family acceptance and feeling safe at school may serve as important buffers mitigating risks of adverse emotional wellbeing experienced by Asian Rainbow youth.
探讨双重少数群体身份（族裔和性/性别少数群体）以及与新西兰亚裔彩虹（性/性别少数群体）青年的情感福祉和心理健康相关的保护因素对他们的影响。
数据来自 Youth19 Rangatahi 调查，该调查对来自 45 所主流中学的 7374 名学生进行了调查。比较组为亚裔非彩虹青年和 Pākehā（新西兰欧洲裔）彩虹青年。进行了二次分析，以检查假定的保护因素与亚裔彩虹青年的情感福祉和心理健康结果之间的关联。
与亚裔非彩虹青年相比，亚裔彩虹青年出现抑郁症状、焦虑、自杀念头和企图的几率更高，而情绪良好的几率更低。然而，与 Pākehā 彩虹青年相比，亚裔彩虹青年出现焦虑的几率较低。在亚裔彩虹青年中，家庭接纳和在学校感到安全与情绪良好的几率较高，抑郁症状、焦虑和自杀念头的几率较低有关。其他一些保护因素也与 1 个或多个（但不是所有）情感福祉和心理健康指标有关。
本研究表明，家庭接纳和在学校感到安全可能是减轻亚裔彩虹青年不良情感福祉风险的重要缓冲因素。
