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性取向与青少年健康结局:一种潜在剖面分析方法。

Sexual Orientation and Adolescent Health Outcomes: A Latent Profile Approach.

作者信息

Fernandez Alejandra, Ochoa Lucas G, Lozano Alyssa, Lee Tae Kyoung, Estrada Yannine, Tapia Maria, Crespo Samuel D Lopez, Prado Guillermo

机构信息

Department of Health Promotion & Behavioral Sciences, UTHealth School of Public Health, Dallas, Texas, USA.

Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA.

出版信息

Psychol Sex Orientat Gend Divers. 2024 Sep;11(3):508-516. doi: 10.1037/sgd0000615. Epub 2022 Nov 28.

DOI:10.1037/sgd0000615
PMID:39600542
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11588295/
Abstract

PURPOSE

Sexual orientation is multidimensional, yet existing studies often only assess one dimension. This study examines multiple dimensions of sexual orientation in a sample of Hispanic adolescents using a latent profile analysis. The study also examines differences in levels of adolescent family functioning (i.e., parent-adolescent communication, parental involvement, family communication) and depressive symptoms by latent profile or subgroup.

METHODS

The study sample consisted of 456 Hispanic adolescents (M = 13.90 years; SD = 1.37). Adolescents self-reported their sexual orientation by responding to the Klein Sexual Orientation Grid (KSOG), family functioning (parent-adolescent communication, parental involvement, family communication), and depressive symptoms (Center for Epidemiologic Studies Depression (CESD) Scale). Latent profile analysis was used to identify heterogeneous groups of adolescents based on their response to the KSOG. A Welch test was used to examine mean levels of depressive symptoms and family functioning across profile membership.

RESULTS

We found that a three-class solution (heterosexual: 90%, mostly bisexual: 6.05%, mostly LGBQ: 3.95%) fit the data best. Results from the Welch test indicated significant differences for parent-adolescent communication and depressive symptoms across latent profiles.

CONCLUSION

Existing research indicates that sexual minorities are at a disproportionate risk for adverse health outcomes. These findings corroborate best practice recommendations encouraging researchers to assess multiple dimensions of sexual orientation.

摘要

目的

性取向是多维度的,但现有研究往往只评估一个维度。本研究采用潜在剖面分析方法,对一组西班牙裔青少年样本的性取向多个维度进行了考察。该研究还按潜在剖面或亚组,考察了青少年家庭功能水平(即亲子沟通、父母参与度、家庭沟通)和抑郁症状的差异。

方法

研究样本包括456名西班牙裔青少年(平均年龄M = 13.90岁;标准差SD = 1.37)。青少年通过回答克莱因性取向量表(KSOG)、家庭功能(亲子沟通、父母参与度、家庭沟通)以及抑郁症状(流行病学研究中心抑郁量表(CESD))进行自我报告。潜在剖面分析用于根据青少年对KSOG的回答识别不同的群体。采用韦尔奇检验来考察不同剖面成员的抑郁症状和家庭功能平均水平。

结果

我们发现,三类解决方案(异性恋:90%,大多为双性恋:6.05%,大多为女同性恋、男同性恋、双性恋或跨性别者:3.95%)最符合数据。韦尔奇检验结果表明,不同潜在剖面在亲子沟通和抑郁症状方面存在显著差异。

结论

现有研究表明,性少数群体面临不良健康结果的风险不成比例。这些发现证实了最佳实践建议,即鼓励研究人员评估性取向的多个维度。

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本文引用的文献

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Internalizing Symptoms and Externalizing Behaviors in Latinx Adolescents with Same Sex Behaviors in Miami.迈阿密有同性行为的拉丁裔青少年的内化症状和外化行为
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Understanding the Lived Experiences of Hispanic Sexual Minority Youth and their Parents.理解西班牙裔性少数青年及其父母的生活经历。
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Exploring childhood temperament as a moderator of the association between adolescent sexual minority status and internalizing and externalizing behavior problems.探讨儿童气质作为青少年性少数群体身份与内化和外化行为问题之间关联的调节因素。
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Binge Drinking, Non-injection Drug Use, and Sexual Risk Behaviors among Adolescent Sexual Minority Males, 3 US Cities, 2015.青少年性少数群体男性中的狂饮、非注射吸毒和性风险行为,3 个美国城市,2015 年。
J Urban Health. 2020 Oct;97(5):739-748. doi: 10.1007/s11524-020-00479-x. Epub 2020 Sep 11.
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Parent-child Relationships and Sexual Minority Youth: Implications for Adult Alcohol Abuse.亲子关系与性少数青年:对成年酒精滥用的影响。
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LGBT Health. 2020 Jan;7(1):28-36. doi: 10.1089/lgbt.2019.0122. Epub 2019 Nov 21.
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Hispanic Parental Experiences of Learning a Child Identifies as a Sexual Minority.西班牙裔父母了解孩子自我认同为性少数群体的经历。
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Identifying Basic Classes of Sexual Orientation with Latent Profile Analysis: Developing the Multivariate Sexual Orientation Classification System.采用潜在剖面分析识别基本的性取向类别:制定多维性取向分类系统。
Arch Sex Behav. 2019 Jul;48(5):1403-1422. doi: 10.1007/s10508-018-1336-y. Epub 2019 Jun 7.
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Links between sexuality, impulsivity, compulsivity, and addiction in a large sample of university students.大量大学生样本中性取向、冲动性、强迫性及成瘾之间的联系。
CNS Spectr. 2020 Feb;25(1):9-15. doi: 10.1017/S1092852918001591.
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Group-based trajectories of parent-child communication and parental knowledge between sexual minority and heterosexual girls and their associations with substance use.基于群体的亲子沟通轨迹和父母对性少数和异性恋女孩的了解及其与物质使用的关联。
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