Intersectionality and Health Behaviors Among US High School Students: Examining Race/Ethnicity, Sexual Identity, and Sex
ABSTRACT BACKGROUND Little research exists examining the impact of multiple minority identities, particularly sexual orientation, race/ethnicity, and sex on health‐risk behaviors like mental health, substance use, violence, and sexual risk among high school students in the United States. In this stu...
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| Veröffentlicht in: | The Journal of school health 2019-10, Vol.89 (10), p.800-808 |
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| container_title | The Journal of school health |
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| creator | Gattamorta, Karina A. Salerno, John P. Castro, Amanda J. |
| description | ABSTRACT
BACKGROUND
Little research exists examining the impact of multiple minority identities, particularly sexual orientation, race/ethnicity, and sex on health‐risk behaviors like mental health, substance use, violence, and sexual risk among high school students in the United States. In this study, we use a nationally representative dataset to examine differences between non‐Hispanic white heterosexuals (HSs) and non‐Hispanic white sexual minority, black HS, black sexual minority, Hispanic HS, and Hispanic sexual minority students.
METHODS
Data from the 2015 wave of the Youth Risk Behavioral Surveillance System were used in this study. Chi‐square and hierarchical logistic regression models examined differences between the groups on outcomes including: (1) mental health and suicide, (2) alcohol, tobacco, and illicit substances, (3) sexual risk and protective factors, and (4) school and physical and/or sexual violence.
RESULTS
Whereas sexual minority youth (SMY) generally demonstrate poorer health outcomes compared to HSs, SMY who are also racial/ethnic minorities often have even poorer health outcomes, particularly relating to substance use, sexual risk behaviors, physical/sexual violence, and suicide.
CONCLUSIONS
The need for culturally tailored education and school‐based interventions that consider intersections between race/ethnicity, sexual identity, and biological sex are warranted to address health disparities related to mental health and suicide, substance use, sexual risk, and violence. |
| doi_str_mv | 10.1111/josh.12817 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2266335083</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ericid>EJ1227723</ericid><sourcerecordid>2266335083</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4157-f31af62f4e051d29a7257991d4a6833b34a02a6204a39d33eeab2035e5be8633</originalsourceid><addsrcrecordid>eNp9kUFP3DAQhS0EKtttL70XWeqlQgQ8dhInvVG0sIuQkBo4R95kQrxKYrAT2P33dQhw6KFzGWnm03ujeYR8A3YKvs42xtWnwBOQe2QGMowDiGLYJzPGOA9CkcIh-ezchvmSQn4ihwJEJEIZz8h21fVoHRa9Np1qdL-jqivpElXT1_Q31upZG-voeWu6B3qf0aV-qGlW1MY0NOuHErve_aKLrWp1pz3yRxV4tujrThde7IRmuB1UQ1cj-DoY5f3wCzmoVOPw61ufk7vLxd3FMri5vVpdnN8ERQiRDCoBqop5FSKLoOSpkjySaQplqOJEiLUIFeMq5ixUIi2FQFRrzkSE0RqTWIg5-TnJPlrzNKDr81a7AptGdWgGl3MeeypiyYj--AfdmMH6p4xUIkEA85ZzcjxRhTXOWazyR6tbZXc5sHyMIx_jyF_j8PDRm-SwbrH8QN__74HvE4BWFx_rxTVwLiUfb4Jp_6Ib3P3HKr--zZaT6V9-SZ1f</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2287131068</pqid></control><display><type>article</type><title>Intersectionality and Health Behaviors Among US High School Students: Examining Race/Ethnicity, Sexual Identity, and Sex</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Gattamorta, Karina A. ; Salerno, John P. ; Castro, Amanda J.</creator><creatorcontrib>Gattamorta, Karina A. ; Salerno, John P. ; Castro, Amanda J.</creatorcontrib><description>ABSTRACT
BACKGROUND
Little research exists examining the impact of multiple minority identities, particularly sexual orientation, race/ethnicity, and sex on health‐risk behaviors like mental health, substance use, violence, and sexual risk among high school students in the United States. In this study, we use a nationally representative dataset to examine differences between non‐Hispanic white heterosexuals (HSs) and non‐Hispanic white sexual minority, black HS, black sexual minority, Hispanic HS, and Hispanic sexual minority students.
METHODS
Data from the 2015 wave of the Youth Risk Behavioral Surveillance System were used in this study. Chi‐square and hierarchical logistic regression models examined differences between the groups on outcomes including: (1) mental health and suicide, (2) alcohol, tobacco, and illicit substances, (3) sexual risk and protective factors, and (4) school and physical and/or sexual violence.
RESULTS
Whereas sexual minority youth (SMY) generally demonstrate poorer health outcomes compared to HSs, SMY who are also racial/ethnic minorities often have even poorer health outcomes, particularly relating to substance use, sexual risk behaviors, physical/sexual violence, and suicide.
CONCLUSIONS
The need for culturally tailored education and school‐based interventions that consider intersections between race/ethnicity, sexual identity, and biological sex are warranted to address health disparities related to mental health and suicide, substance use, sexual risk, and violence.</description><identifier>ISSN: 0022-4391</identifier><identifier>EISSN: 1746-1561</identifier><identifier>DOI: 10.1111/josh.12817</identifier><identifier>PMID: 31353476</identifier><language>eng</language><publisher>Malden, USA: Wiley Periodicals, Inc</publisher><subject>Adolescents ; African American Students ; Aggression ; Alcoholic beverages ; Comparative Analysis ; Correlation ; Cultural Awareness ; Culturally Relevant Education ; Drinking ; Drug use ; Educational Environment ; Ethnic groups ; Ethnicity ; Health ; Health Behavior ; Health disparities ; Health problems ; Health risks ; health risk‐taking ; Health status ; Heterosexuality ; High School Students ; Hispanic American Students ; Hispanic Americans ; Intersectionality ; Intervention ; Mental disorders ; Mental Health ; Minority & ethnic groups ; Minority Group Students ; Minority groups ; Nursing ; Pediatrics ; Protective factors ; Race ; race/ethnicity ; Regression analysis ; Risk ; Risk behavior ; Risk factors ; Risk taking ; risky sexual behaviors ; School based intervention ; Secondary school students ; Secondary schools ; Sexual assault ; Sexual behavior ; Sexual Identity ; sexual minorities ; Sexual Orientation ; Sexual violence ; Sexuality ; Smoking ; Substance Abuse ; Substance use ; Suicide ; Suicides & suicide attempts ; Surveillance systems ; Tobacco ; Violence ; White Students</subject><ispartof>The Journal of school health, 2019-10, Vol.89 (10), p.800-808</ispartof><rights>2019, American School Health Association</rights><rights>2019, American School Health Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4157-f31af62f4e051d29a7257991d4a6833b34a02a6204a39d33eeab2035e5be8633</citedby><cites>FETCH-LOGICAL-c4157-f31af62f4e051d29a7257991d4a6833b34a02a6204a39d33eeab2035e5be8633</cites><orcidid>0000-0001-5827-1389</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjosh.12817$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjosh.12817$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1227723$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31353476$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gattamorta, Karina A.</creatorcontrib><creatorcontrib>Salerno, John P.</creatorcontrib><creatorcontrib>Castro, Amanda J.</creatorcontrib><title>Intersectionality and Health Behaviors Among US High School Students: Examining Race/Ethnicity, Sexual Identity, and Sex</title><title>The Journal of school health</title><addtitle>J Sch Health</addtitle><description>ABSTRACT
BACKGROUND
Little research exists examining the impact of multiple minority identities, particularly sexual orientation, race/ethnicity, and sex on health‐risk behaviors like mental health, substance use, violence, and sexual risk among high school students in the United States. In this study, we use a nationally representative dataset to examine differences between non‐Hispanic white heterosexuals (HSs) and non‐Hispanic white sexual minority, black HS, black sexual minority, Hispanic HS, and Hispanic sexual minority students.
METHODS
Data from the 2015 wave of the Youth Risk Behavioral Surveillance System were used in this study. Chi‐square and hierarchical logistic regression models examined differences between the groups on outcomes including: (1) mental health and suicide, (2) alcohol, tobacco, and illicit substances, (3) sexual risk and protective factors, and (4) school and physical and/or sexual violence.
RESULTS
Whereas sexual minority youth (SMY) generally demonstrate poorer health outcomes compared to HSs, SMY who are also racial/ethnic minorities often have even poorer health outcomes, particularly relating to substance use, sexual risk behaviors, physical/sexual violence, and suicide.
CONCLUSIONS
The need for culturally tailored education and school‐based interventions that consider intersections between race/ethnicity, sexual identity, and biological sex are warranted to address health disparities related to mental health and suicide, substance use, sexual risk, and violence.</description><subject>Adolescents</subject><subject>African American Students</subject><subject>Aggression</subject><subject>Alcoholic beverages</subject><subject>Comparative Analysis</subject><subject>Correlation</subject><subject>Cultural Awareness</subject><subject>Culturally Relevant Education</subject><subject>Drinking</subject><subject>Drug use</subject><subject>Educational Environment</subject><subject>Ethnic groups</subject><subject>Ethnicity</subject><subject>Health</subject><subject>Health Behavior</subject><subject>Health disparities</subject><subject>Health problems</subject><subject>Health risks</subject><subject>health risk‐taking</subject><subject>Health status</subject><subject>Heterosexuality</subject><subject>High School Students</subject><subject>Hispanic American Students</subject><subject>Hispanic Americans</subject><subject>Intersectionality</subject><subject>Intervention</subject><subject>Mental disorders</subject><subject>Mental Health</subject><subject>Minority & ethnic groups</subject><subject>Minority Group Students</subject><subject>Minority groups</subject><subject>Nursing</subject><subject>Pediatrics</subject><subject>Protective factors</subject><subject>Race</subject><subject>race/ethnicity</subject><subject>Regression analysis</subject><subject>Risk</subject><subject>Risk behavior</subject><subject>Risk factors</subject><subject>Risk taking</subject><subject>risky sexual behaviors</subject><subject>School based intervention</subject><subject>Secondary school students</subject><subject>Secondary schools</subject><subject>Sexual assault</subject><subject>Sexual behavior</subject><subject>Sexual Identity</subject><subject>sexual minorities</subject><subject>Sexual Orientation</subject><subject>Sexual violence</subject><subject>Sexuality</subject><subject>Smoking</subject><subject>Substance Abuse</subject><subject>Substance use</subject><subject>Suicide</subject><subject>Suicides & suicide attempts</subject><subject>Surveillance systems</subject><subject>Tobacco</subject><subject>Violence</subject><subject>White Students</subject><issn>0022-4391</issn><issn>1746-1561</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kUFP3DAQhS0EKtttL70XWeqlQgQ8dhInvVG0sIuQkBo4R95kQrxKYrAT2P33dQhw6KFzGWnm03ujeYR8A3YKvs42xtWnwBOQe2QGMowDiGLYJzPGOA9CkcIh-ezchvmSQn4ihwJEJEIZz8h21fVoHRa9Np1qdL-jqivpElXT1_Q31upZG-voeWu6B3qf0aV-qGlW1MY0NOuHErve_aKLrWp1pz3yRxV4tujrThde7IRmuB1UQ1cj-DoY5f3wCzmoVOPw61ufk7vLxd3FMri5vVpdnN8ERQiRDCoBqop5FSKLoOSpkjySaQplqOJEiLUIFeMq5ixUIi2FQFRrzkSE0RqTWIg5-TnJPlrzNKDr81a7AptGdWgGl3MeeypiyYj--AfdmMH6p4xUIkEA85ZzcjxRhTXOWazyR6tbZXc5sHyMIx_jyF_j8PDRm-SwbrH8QN__74HvE4BWFx_rxTVwLiUfb4Jp_6Ib3P3HKr--zZaT6V9-SZ1f</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Gattamorta, Karina A.</creator><creator>Salerno, John P.</creator><creator>Castro, Amanda J.</creator><general>Wiley Periodicals, Inc</general><general>Wiley-Blackwell</general><general>Blackwell Publishing Ltd</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5827-1389</orcidid></search><sort><creationdate>201910</creationdate><title>Intersectionality and Health Behaviors Among US High School Students: Examining Race/Ethnicity, Sexual Identity, and Sex</title><author>Gattamorta, Karina A. ; Salerno, John P. ; Castro, Amanda J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4157-f31af62f4e051d29a7257991d4a6833b34a02a6204a39d33eeab2035e5be8633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescents</topic><topic>African American Students</topic><topic>Aggression</topic><topic>Alcoholic beverages</topic><topic>Comparative Analysis</topic><topic>Correlation</topic><topic>Cultural Awareness</topic><topic>Culturally Relevant Education</topic><topic>Drinking</topic><topic>Drug use</topic><topic>Educational Environment</topic><topic>Ethnic groups</topic><topic>Ethnicity</topic><topic>Health</topic><topic>Health Behavior</topic><topic>Health disparities</topic><topic>Health problems</topic><topic>Health risks</topic><topic>health risk‐taking</topic><topic>Health status</topic><topic>Heterosexuality</topic><topic>High School Students</topic><topic>Hispanic American Students</topic><topic>Hispanic Americans</topic><topic>Intersectionality</topic><topic>Intervention</topic><topic>Mental disorders</topic><topic>Mental Health</topic><topic>Minority & ethnic groups</topic><topic>Minority Group Students</topic><topic>Minority groups</topic><topic>Nursing</topic><topic>Pediatrics</topic><topic>Protective factors</topic><topic>Race</topic><topic>race/ethnicity</topic><topic>Regression analysis</topic><topic>Risk</topic><topic>Risk behavior</topic><topic>Risk factors</topic><topic>Risk taking</topic><topic>risky sexual behaviors</topic><topic>School based intervention</topic><topic>Secondary school students</topic><topic>Secondary schools</topic><topic>Sexual assault</topic><topic>Sexual behavior</topic><topic>Sexual Identity</topic><topic>sexual minorities</topic><topic>Sexual Orientation</topic><topic>Sexual violence</topic><topic>Sexuality</topic><topic>Smoking</topic><topic>Substance Abuse</topic><topic>Substance use</topic><topic>Suicide</topic><topic>Suicides & suicide attempts</topic><topic>Surveillance systems</topic><topic>Tobacco</topic><topic>Violence</topic><topic>White Students</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gattamorta, Karina A.</creatorcontrib><creatorcontrib>Salerno, John P.</creatorcontrib><creatorcontrib>Castro, Amanda J.</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of school health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gattamorta, Karina A.</au><au>Salerno, John P.</au><au>Castro, Amanda J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1227723</ericid><atitle>Intersectionality and Health Behaviors Among US High School Students: Examining Race/Ethnicity, Sexual Identity, and Sex</atitle><jtitle>The Journal of school health</jtitle><addtitle>J Sch Health</addtitle><date>2019-10</date><risdate>2019</risdate><volume>89</volume><issue>10</issue><spage>800</spage><epage>808</epage><pages>800-808</pages><issn>0022-4391</issn><eissn>1746-1561</eissn><abstract>ABSTRACT
BACKGROUND
Little research exists examining the impact of multiple minority identities, particularly sexual orientation, race/ethnicity, and sex on health‐risk behaviors like mental health, substance use, violence, and sexual risk among high school students in the United States. In this study, we use a nationally representative dataset to examine differences between non‐Hispanic white heterosexuals (HSs) and non‐Hispanic white sexual minority, black HS, black sexual minority, Hispanic HS, and Hispanic sexual minority students.
METHODS
Data from the 2015 wave of the Youth Risk Behavioral Surveillance System were used in this study. Chi‐square and hierarchical logistic regression models examined differences between the groups on outcomes including: (1) mental health and suicide, (2) alcohol, tobacco, and illicit substances, (3) sexual risk and protective factors, and (4) school and physical and/or sexual violence.
RESULTS
Whereas sexual minority youth (SMY) generally demonstrate poorer health outcomes compared to HSs, SMY who are also racial/ethnic minorities often have even poorer health outcomes, particularly relating to substance use, sexual risk behaviors, physical/sexual violence, and suicide.
CONCLUSIONS
The need for culturally tailored education and school‐based interventions that consider intersections between race/ethnicity, sexual identity, and biological sex are warranted to address health disparities related to mental health and suicide, substance use, sexual risk, and violence.</abstract><cop>Malden, USA</cop><pub>Wiley Periodicals, Inc</pub><pmid>31353476</pmid><doi>10.1111/josh.12817</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-5827-1389</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescents African American Students Aggression Alcoholic beverages Comparative Analysis Correlation Cultural Awareness Culturally Relevant Education Drinking Drug use Educational Environment Ethnic groups Ethnicity Health Health Behavior Health disparities Health problems Health risks health risk‐taking Health status Heterosexuality High School Students Hispanic American Students Hispanic Americans Intersectionality Intervention Mental disorders Mental Health Minority & ethnic groups Minority Group Students Minority groups Nursing Pediatrics Protective factors Race race/ethnicity Regression analysis Risk Risk behavior Risk factors Risk taking risky sexual behaviors School based intervention Secondary school students Secondary schools Sexual assault Sexual behavior Sexual Identity sexual minorities Sexual Orientation Sexual violence Sexuality Smoking Substance Abuse Substance use Suicide Suicides & suicide attempts Surveillance systems Tobacco Violence White Students |
| title | Intersectionality and Health Behaviors Among US High School Students: Examining Race/Ethnicity, Sexual Identity, and Sex |
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