Lawrence Samantha E, Watson Ryan J, Gower Amy L, Rider G Nic, Macapagal Kathryn, Russell Stephen T, Eisenberg Marla E
School of Social Work, University of Connecticut, Hartford, CT, USA.
Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Prev Sci. 2025 Apr;26(3):438-448. doi: 10.1007/s11121-025-01799-7. Epub 2025 Mar 18.
The objective of the present paper is to apply an intersectional lens to HIV prevention behavior disparities among LGBTQ+ adolescents across multiple social positions (racial, ethnic, gender, and sexual identities) and access to LGBTQ+-inclusive school resources (sex education and gender-sexuality alliances). Data are from the 2022 LGBTQ National Teen Survey (N = 10,871). Descriptive analyses and chi-square tests were conducted for social position, LGBTQ+-inclusive school resources, and HIV prevention variables. Social positions and two LGBTQ+-inclusive school resources were then entered into exhaustive chi-square automatic interaction detection models of HIV prevention behaviors (heard of/taken pre-exposure prophylaxis, HIV-testing, and consistent condom use). Groups with the highest and lowest prevalence of HIV prevention behaviors are described. LGBTQ+-inclusive school resources, especially sex education, were promotive of HIV prevention behaviors and mitigated some disparities across social positions. However, some disparities by social positions persisted. Gay or queer cisgender boys were consistently in the highest prevalence HIV prevention behavior groups, whereas youth who self-reported they were bisexual/pansexual, asexual, sexual identity questioning, straight or a sexual identity not listed, especially those who lacked LGBTQ+-inclusive school resources, were overrepresented in the low prevalence groups. LGBTQ+-inclusive school resources are important sources of HIV prevention information and may mitigate some HIV-related disparities.
本文的目的是运用交叉视角，探讨处于多种社会地位（种族、民族、性别和性取向）的 LGBTQ+青少年在预防艾滋病毒行为方面的差异，以及他们获取 LGBTQ+包容性学校资源（性教育和性别性取向联盟）的情况。数据来自2022年LGBTQ全国青少年调查（N = 10871）。对社会地位、LGBTQ+包容性学校资源和艾滋病毒预防变量进行了描述性分析和卡方检验。然后将社会地位和两种LGBTQ+包容性学校资源纳入艾滋病毒预防行为（听说过/采取暴露前预防措施、艾滋病毒检测和持续使用避孕套）的详尽卡方自动交互检测模型。描述了艾滋病毒预防行为患病率最高和最低的群体。LGBTQ+包容性学校资源，尤其是性教育，促进了艾滋病毒预防行为，并减少了一些社会地位方面的差异。然而，社会地位造成的一些差异仍然存在。男同性恋或酷儿顺性别男孩一直是艾滋病毒预防行为患病率最高的群体，而自我报告为双性恋/泛性恋、无性恋、对性取向存疑、异性恋或未列出的性取向的青少年，尤其是那些缺乏LGBTQ+包容性学校资源的青少年，在低患病率群体中的占比过高。LGBTQ+包容性学校资源是艾滋病毒预防信息的重要来源，可能会减少一些与艾滋病毒相关的差异。
