Ethnic and Sexual Identity-Related Inequalities in Adolescent Health and Well-Being in a National Population-Based Study
Purpose: This study employed an intersectional framework to examine impact of inequalities related to sexual minority (SM) and ethnic minority (EM) identities in risk for health, well-being, and health-related behaviors in a nationally representative sample. Methods: Participants included 9789 (51%...
Gespeichert in:
| Veröffentlicht in: | LGBT health 2023-01, Vol.10 (1), p.26-40 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 40 |
|---|---|
| container_issue | 1 |
| container_start_page | 26 |
| container_title | LGBT health |
| container_volume | 10 |
| creator | Khanolkar, Amal R Frost, David M Tabor, Evangeline Redclift, Victoria Amos, Rebekah Patalay, Praveetha |
| description | Purpose:
This study employed an intersectional framework to examine impact of inequalities related to sexual minority (SM) and ethnic minority (EM) identities in risk for health, well-being, and health-related behaviors in a nationally representative sample.
Methods:
Participants included 9789 (51% female) adolescents aged 17 years from the U.K.-wide Millennium Cohort Study, with data on self-identified sexual and ethnic identities. Adolescents were grouped into White heterosexual, White-SM, EM-heterosexual, and EM-SM categories. Questionnaires assessed mental health (e.g., self-reported psychological distress, doctor-diagnosed depression, attempted suicide), general health (self-rated health, chronic illness, body mass index), and health-related behaviors (e.g., smoking, substance use). Associations were analyzed using multivariable logistic regression.
Results:
SM individuals (White: 18% and EM: 3%) had increased odds for mental health difficulties and attempted suicide, with higher odds for White-SM individuals than for EM-SM individuals. Compared with White heterosexual individuals, White-SM and EM-SM individuals had higher risk for psychological distress (adjusted odds ratios [OR] 3.47/2.24 for White-SM/EM-SM, respectively) and emotional symptoms (OR 3.17/1.65). They had higher odds for attempted suicide (OR 2.78/2.02), self-harm (OR 3.06/1.52), and poor sleep quality (OR 1.88/1.67). In contrast, the White heterosexual and White-SM groups had similarly high proportions reporting risky behaviors except for drug use (OR 1.45) and risky sex (OR 1.40), which were more common in White-SM individuals. EM-heterosexual and EM-SM individuals had decreased odds for health-related behaviors.
Conclusion:
SM (White and EM) individuals had substantially worse mental health compared with heterosexual peers. Adverse health-related behaviors were more common in White-SM individuals. Investigation into the mechanisms leading to these differences is needed. |
| doi_str_mv | 10.1089/lgbt.2021.0473 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2709743450</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2709743450</sourcerecordid><originalsourceid>FETCH-LOGICAL-c380t-483edd4bdc8bfeb174f35ebfaa25440ec38990417cd39ec819be2b72704ba4003</originalsourceid><addsrcrecordid>eNqFkD1PwzAQhi0Eoqh0ZUQZWVL8lSYeAQGtVAGiIMbIji_UyHVK7Ejtv8dpCyteznd-7pH1InRB8JjgQlzbTxXGFFMyxjxnR-iMMpqlBcOT4987FXSARt5_4XgEJyzLT9GATTAXeELO0OY-LJ2pEul0soBNJ20y0-CCCdv0FawMoJOZg-_4YIIBnxiX3OjGgq8ilUxB2rDcbX-AtektGPfZMzJ5ksE0LvpemnVnd016K330LUKnt-fopJbWw-hQh-j94f7tbprOnx9ndzfztGIFDikvGGjNla4KVYMiOa9ZBqqWkmacY4iUEJiTvNJMQFUQoYCqnOaYK8kxZkN0tfeu2-a7Ax_KlYl_t1Y6aDpfRlLknPGsR8d7tGob71uoy3VrVrLdlgSXfeBlH3jZB172gceFy4O7UyvQf_hvvBHge6AfS-esAQVt-M_7A3ycjpM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2709743450</pqid></control><display><type>article</type><title>Ethnic and Sexual Identity-Related Inequalities in Adolescent Health and Well-Being in a National Population-Based Study</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Khanolkar, Amal R ; Frost, David M ; Tabor, Evangeline ; Redclift, Victoria ; Amos, Rebekah ; Patalay, Praveetha</creator><creatorcontrib>Khanolkar, Amal R ; Frost, David M ; Tabor, Evangeline ; Redclift, Victoria ; Amos, Rebekah ; Patalay, Praveetha</creatorcontrib><description>Purpose:
This study employed an intersectional framework to examine impact of inequalities related to sexual minority (SM) and ethnic minority (EM) identities in risk for health, well-being, and health-related behaviors in a nationally representative sample.
Methods:
Participants included 9789 (51% female) adolescents aged 17 years from the U.K.-wide Millennium Cohort Study, with data on self-identified sexual and ethnic identities. Adolescents were grouped into White heterosexual, White-SM, EM-heterosexual, and EM-SM categories. Questionnaires assessed mental health (e.g., self-reported psychological distress, doctor-diagnosed depression, attempted suicide), general health (self-rated health, chronic illness, body mass index), and health-related behaviors (e.g., smoking, substance use). Associations were analyzed using multivariable logistic regression.
Results:
SM individuals (White: 18% and EM: 3%) had increased odds for mental health difficulties and attempted suicide, with higher odds for White-SM individuals than for EM-SM individuals. Compared with White heterosexual individuals, White-SM and EM-SM individuals had higher risk for psychological distress (adjusted odds ratios [OR] 3.47/2.24 for White-SM/EM-SM, respectively) and emotional symptoms (OR 3.17/1.65). They had higher odds for attempted suicide (OR 2.78/2.02), self-harm (OR 3.06/1.52), and poor sleep quality (OR 1.88/1.67). In contrast, the White heterosexual and White-SM groups had similarly high proportions reporting risky behaviors except for drug use (OR 1.45) and risky sex (OR 1.40), which were more common in White-SM individuals. EM-heterosexual and EM-SM individuals had decreased odds for health-related behaviors.
Conclusion:
SM (White and EM) individuals had substantially worse mental health compared with heterosexual peers. Adverse health-related behaviors were more common in White-SM individuals. Investigation into the mechanisms leading to these differences is needed.</description><identifier>ISSN: 2325-8292</identifier><identifier>EISSN: 2325-8306</identifier><identifier>DOI: 10.1089/lgbt.2021.0473</identifier><identifier>PMID: 36049061</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Adolescent ; Adolescent Health ; Cohort Studies ; Ethnicity ; Female ; Humans ; Male ; Minority Groups ; Original Articles ; Sexual and Gender Minorities ; Sexual Behavior ; Substance-Related Disorders - epidemiology</subject><ispartof>LGBT health, 2023-01, Vol.10 (1), p.26-40</ispartof><rights>2023, Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c380t-483edd4bdc8bfeb174f35ebfaa25440ec38990417cd39ec819be2b72704ba4003</citedby><cites>FETCH-LOGICAL-c380t-483edd4bdc8bfeb174f35ebfaa25440ec38990417cd39ec819be2b72704ba4003</cites><orcidid>0000-0002-6327-2463</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36049061$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khanolkar, Amal R</creatorcontrib><creatorcontrib>Frost, David M</creatorcontrib><creatorcontrib>Tabor, Evangeline</creatorcontrib><creatorcontrib>Redclift, Victoria</creatorcontrib><creatorcontrib>Amos, Rebekah</creatorcontrib><creatorcontrib>Patalay, Praveetha</creatorcontrib><title>Ethnic and Sexual Identity-Related Inequalities in Adolescent Health and Well-Being in a National Population-Based Study</title><title>LGBT health</title><addtitle>LGBT Health</addtitle><description>Purpose:
This study employed an intersectional framework to examine impact of inequalities related to sexual minority (SM) and ethnic minority (EM) identities in risk for health, well-being, and health-related behaviors in a nationally representative sample.
Methods:
Participants included 9789 (51% female) adolescents aged 17 years from the U.K.-wide Millennium Cohort Study, with data on self-identified sexual and ethnic identities. Adolescents were grouped into White heterosexual, White-SM, EM-heterosexual, and EM-SM categories. Questionnaires assessed mental health (e.g., self-reported psychological distress, doctor-diagnosed depression, attempted suicide), general health (self-rated health, chronic illness, body mass index), and health-related behaviors (e.g., smoking, substance use). Associations were analyzed using multivariable logistic regression.
Results:
SM individuals (White: 18% and EM: 3%) had increased odds for mental health difficulties and attempted suicide, with higher odds for White-SM individuals than for EM-SM individuals. Compared with White heterosexual individuals, White-SM and EM-SM individuals had higher risk for psychological distress (adjusted odds ratios [OR] 3.47/2.24 for White-SM/EM-SM, respectively) and emotional symptoms (OR 3.17/1.65). They had higher odds for attempted suicide (OR 2.78/2.02), self-harm (OR 3.06/1.52), and poor sleep quality (OR 1.88/1.67). In contrast, the White heterosexual and White-SM groups had similarly high proportions reporting risky behaviors except for drug use (OR 1.45) and risky sex (OR 1.40), which were more common in White-SM individuals. EM-heterosexual and EM-SM individuals had decreased odds for health-related behaviors.
Conclusion:
SM (White and EM) individuals had substantially worse mental health compared with heterosexual peers. Adverse health-related behaviors were more common in White-SM individuals. Investigation into the mechanisms leading to these differences is needed.</description><subject>Adolescent</subject><subject>Adolescent Health</subject><subject>Cohort Studies</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Minority Groups</subject><subject>Original Articles</subject><subject>Sexual and Gender Minorities</subject><subject>Sexual Behavior</subject><subject>Substance-Related Disorders - epidemiology</subject><issn>2325-8292</issn><issn>2325-8306</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkD1PwzAQhi0Eoqh0ZUQZWVL8lSYeAQGtVAGiIMbIji_UyHVK7Ejtv8dpCyteznd-7pH1InRB8JjgQlzbTxXGFFMyxjxnR-iMMpqlBcOT4987FXSARt5_4XgEJyzLT9GATTAXeELO0OY-LJ2pEul0soBNJ20y0-CCCdv0FawMoJOZg-_4YIIBnxiX3OjGgq8ilUxB2rDcbX-AtektGPfZMzJ5ksE0LvpemnVnd016K330LUKnt-fopJbWw-hQh-j94f7tbprOnx9ndzfztGIFDikvGGjNla4KVYMiOa9ZBqqWkmacY4iUEJiTvNJMQFUQoYCqnOaYK8kxZkN0tfeu2-a7Ax_KlYl_t1Y6aDpfRlLknPGsR8d7tGob71uoy3VrVrLdlgSXfeBlH3jZB172gceFy4O7UyvQf_hvvBHge6AfS-esAQVt-M_7A3ycjpM</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Khanolkar, Amal R</creator><creator>Frost, David M</creator><creator>Tabor, Evangeline</creator><creator>Redclift, Victoria</creator><creator>Amos, Rebekah</creator><creator>Patalay, Praveetha</creator><general>Mary Ann Liebert, Inc., publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6327-2463</orcidid></search><sort><creationdate>20230101</creationdate><title>Ethnic and Sexual Identity-Related Inequalities in Adolescent Health and Well-Being in a National Population-Based Study</title><author>Khanolkar, Amal R ; Frost, David M ; Tabor, Evangeline ; Redclift, Victoria ; Amos, Rebekah ; Patalay, Praveetha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c380t-483edd4bdc8bfeb174f35ebfaa25440ec38990417cd39ec819be2b72704ba4003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Adolescent Health</topic><topic>Cohort Studies</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Minority Groups</topic><topic>Original Articles</topic><topic>Sexual and Gender Minorities</topic><topic>Sexual Behavior</topic><topic>Substance-Related Disorders - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khanolkar, Amal R</creatorcontrib><creatorcontrib>Frost, David M</creatorcontrib><creatorcontrib>Tabor, Evangeline</creatorcontrib><creatorcontrib>Redclift, Victoria</creatorcontrib><creatorcontrib>Amos, Rebekah</creatorcontrib><creatorcontrib>Patalay, Praveetha</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>LGBT health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khanolkar, Amal R</au><au>Frost, David M</au><au>Tabor, Evangeline</au><au>Redclift, Victoria</au><au>Amos, Rebekah</au><au>Patalay, Praveetha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ethnic and Sexual Identity-Related Inequalities in Adolescent Health and Well-Being in a National Population-Based Study</atitle><jtitle>LGBT health</jtitle><addtitle>LGBT Health</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>10</volume><issue>1</issue><spage>26</spage><epage>40</epage><pages>26-40</pages><issn>2325-8292</issn><eissn>2325-8306</eissn><abstract>Purpose:
This study employed an intersectional framework to examine impact of inequalities related to sexual minority (SM) and ethnic minority (EM) identities in risk for health, well-being, and health-related behaviors in a nationally representative sample.
Methods:
Participants included 9789 (51% female) adolescents aged 17 years from the U.K.-wide Millennium Cohort Study, with data on self-identified sexual and ethnic identities. Adolescents were grouped into White heterosexual, White-SM, EM-heterosexual, and EM-SM categories. Questionnaires assessed mental health (e.g., self-reported psychological distress, doctor-diagnosed depression, attempted suicide), general health (self-rated health, chronic illness, body mass index), and health-related behaviors (e.g., smoking, substance use). Associations were analyzed using multivariable logistic regression.
Results:
SM individuals (White: 18% and EM: 3%) had increased odds for mental health difficulties and attempted suicide, with higher odds for White-SM individuals than for EM-SM individuals. Compared with White heterosexual individuals, White-SM and EM-SM individuals had higher risk for psychological distress (adjusted odds ratios [OR] 3.47/2.24 for White-SM/EM-SM, respectively) and emotional symptoms (OR 3.17/1.65). They had higher odds for attempted suicide (OR 2.78/2.02), self-harm (OR 3.06/1.52), and poor sleep quality (OR 1.88/1.67). In contrast, the White heterosexual and White-SM groups had similarly high proportions reporting risky behaviors except for drug use (OR 1.45) and risky sex (OR 1.40), which were more common in White-SM individuals. EM-heterosexual and EM-SM individuals had decreased odds for health-related behaviors.
Conclusion:
SM (White and EM) individuals had substantially worse mental health compared with heterosexual peers. Adverse health-related behaviors were more common in White-SM individuals. Investigation into the mechanisms leading to these differences is needed.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>36049061</pmid><doi>10.1089/lgbt.2021.0473</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0002-6327-2463</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2325-8292 |
| ispartof | LGBT health, 2023-01, Vol.10 (1), p.26-40 |
| issn | 2325-8292 2325-8306 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2709743450 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Adolescent Health Cohort Studies Ethnicity Female Humans Male Minority Groups Original Articles Sexual and Gender Minorities Sexual Behavior Substance-Related Disorders - epidemiology |
| title | Ethnic and Sexual Identity-Related Inequalities in Adolescent Health and Well-Being in a National Population-Based Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T06%3A02%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Ethnic%20and%20Sexual%20Identity-Related%20Inequalities%20in%20Adolescent%20Health%20and%20Well-Being%20in%20a%20National%20Population-Based%20Study&rft.jtitle=LGBT%20health&rft.au=Khanolkar,%20Amal%20R&rft.date=2023-01-01&rft.volume=10&rft.issue=1&rft.spage=26&rft.epage=40&rft.pages=26-40&rft.issn=2325-8292&rft.eissn=2325-8306&rft_id=info:doi/10.1089/lgbt.2021.0473&rft_dat=%3Cproquest_cross%3E2709743450%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2709743450&rft_id=info:pmid/36049061&rfr_iscdi=true |