LGBTQ Youth in Unstable Housing and Foster Care

: media-1vid110.1542/5984244876001PEDS-VA_2017-4211 BACKGROUND AND OBJECTIVES: Lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth are suggested to be overrepresented in unstable housing and foster care. In the current study, we assess whether LGBTQ youth are overrepresented in unstab...

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Veröffentlicht in:Pediatrics (Evanston) 2019-03, Vol.143 (3), p.1
Hauptverfasser: Baams, Laura, Wilson, Bianca D M, Russell, Stephen T
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creator Baams, Laura
Wilson, Bianca D M
Russell, Stephen T
description : media-1vid110.1542/5984244876001PEDS-VA_2017-4211 BACKGROUND AND OBJECTIVES: Lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth are suggested to be overrepresented in unstable housing and foster care. In the current study, we assess whether LGBTQ youth are overrepresented in unstable housing and foster care and examine disparities in school functioning, substance use, and mental health for LGBTQ youth versus heterosexual youth in unstable housing and foster care. A total of 895 218 students (10-18 years old) completed the cross-sectional California Healthy Kids Survey from 2013 to 2015. Surveys were administered in 2641 middle and high schools throughout California. Primary outcome measures included school functioning (eg, school climate, absenteeism), substance use, and mental health. More youth living in foster care (30.4%) and unstable housing (25.3%) self-identified as LGBTQ than youth in a nationally representative sample (11.2%). Compared with heterosexual youth and youth in stable housing, LGBTQ youth in unstable housing reported poorer school functioning ( s = -0.10 to 0.40), higher substance use ( s = 0.26-0.28), and poorer mental health (odds ratios = 0.73-0.80). LGBTQ youth in foster care reported more fights in school ( = 0.16), victimization ( = 0.10), and mental health problems (odds ratios = 0.82-0.73) compared with LGBTQ youth in stable housing and heterosexual youth in foster care. Disparities for LGBTQ youth are exacerbated when they live in foster care or unstable housing. This points to a need for protections for LGBTQ youth in care and care that is affirming of their sexual orientation and gender identity.
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In the current study, we assess whether LGBTQ youth are overrepresented in unstable housing and foster care and examine disparities in school functioning, substance use, and mental health for LGBTQ youth versus heterosexual youth in unstable housing and foster care. A total of 895 218 students (10-18 years old) completed the cross-sectional California Healthy Kids Survey from 2013 to 2015. Surveys were administered in 2641 middle and high schools throughout California. Primary outcome measures included school functioning (eg, school climate, absenteeism), substance use, and mental health. More youth living in foster care (30.4%) and unstable housing (25.3%) self-identified as LGBTQ than youth in a nationally representative sample (11.2%). Compared with heterosexual youth and youth in stable housing, LGBTQ youth in unstable housing reported poorer school functioning ( s = -0.10 to 0.40), higher substance use ( s = 0.26-0.28), and poorer mental health (odds ratios = 0.73-0.80). LGBTQ youth in foster care reported more fights in school ( = 0.16), victimization ( = 0.10), and mental health problems (odds ratios = 0.82-0.73) compared with LGBTQ youth in stable housing and heterosexual youth in foster care. Disparities for LGBTQ youth are exacerbated when they live in foster care or unstable housing. 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In the current study, we assess whether LGBTQ youth are overrepresented in unstable housing and foster care and examine disparities in school functioning, substance use, and mental health for LGBTQ youth versus heterosexual youth in unstable housing and foster care. A total of 895 218 students (10-18 years old) completed the cross-sectional California Healthy Kids Survey from 2013 to 2015. Surveys were administered in 2641 middle and high schools throughout California. Primary outcome measures included school functioning (eg, school climate, absenteeism), substance use, and mental health. More youth living in foster care (30.4%) and unstable housing (25.3%) self-identified as LGBTQ than youth in a nationally representative sample (11.2%). Compared with heterosexual youth and youth in stable housing, LGBTQ youth in unstable housing reported poorer school functioning ( s = -0.10 to 0.40), higher substance use ( s = 0.26-0.28), and poorer mental health (odds ratios = 0.73-0.80). LGBTQ youth in foster care reported more fights in school ( = 0.16), victimization ( = 0.10), and mental health problems (odds ratios = 0.82-0.73) compared with LGBTQ youth in stable housing and heterosexual youth in foster care. Disparities for LGBTQ youth are exacerbated when they live in foster care or unstable housing. This points to a need for protections for LGBTQ youth in care and care that is affirming of their sexual orientation and gender identity.</description><subject>Absenteeism</subject><subject>Adolescent</subject><subject>Analysis</subject><subject>Bisexuality</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Child, Foster - psychology</subject><subject>Cross-Sectional Studies</subject><subject>Drug use</subject><subject>Female</subject><subject>Foster care</subject><subject>Foster home care</subject><subject>Foster Home Care - methods</subject><subject>Foster Home Care - psychology</subject><subject>Foster Home Care - trends</subject><subject>Gender identity</subject><subject>Health care disparities</subject><subject>Health problems</subject><subject>Health Surveys - methods</subject><subject>Housing</subject><subject>Housing - trends</subject><subject>Humans</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Methods</subject><subject>Pediatrics</subject><subject>Polls &amp; surveys</subject><subject>Prevention</subject><subject>Schools</subject><subject>Sexual and Gender Minorities - psychology</subject><subject>Sexual behavior</subject><subject>Sexual orientation</subject><subject>Substance use</subject><subject>Teenagers</subject><subject>Victimization</subject><subject>Youth</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUtLxDAURoMoOj62LqXgxk3HvNNuBB18wYAIunAV0vR2rHSSMWlF_70po6Jmk0BOPu6Xg9AhwVMiOD1dQR2nFBOVc0rIBpoQXBbprMQmmmDMSM4xFjtoN8YXjDEXim6jHYYVF5zRCTqdX1883GdPfuifs9Zljy72puogu_FDbN0iM67OrnzsIWQzE2AfbTWmi3Dwte-hx6vLh9lNPr-7vp2dz3PLhexzxiWAMiUjiitDbCNFWZsKW8orKDlTuOaksVCVRkghFZdKyaoyDVcglBVsD52tc1dDtYTaguuD6fQqtEsTPrQ3rf5749pnvfBvWrKy4JSngJOvgOBfB4i9XrbRQtcZB6mapqRQggkmZUKP_6Evfggu1dM0rZIUJR2pfE0tTAe6dda7Ht5767sOFqBT-9mdPhdF-lpCMUv8dM3b4GMM0PwMT7Ae3enRnR7d6dFdenD0u_IP_i2LfQLWLpJb</recordid><startdate>201903</startdate><enddate>201903</enddate><creator>Baams, Laura</creator><creator>Wilson, Bianca D M</creator><creator>Russell, Stephen T</creator><general>American Academy of Pediatrics</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>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201903</creationdate><title>LGBTQ Youth in Unstable Housing and Foster Care</title><author>Baams, Laura ; Wilson, Bianca D M ; Russell, Stephen T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-346ee7a931747a1cf659dab0c24be94370d41fceb9a5656746776bbaf47e57c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Absenteeism</topic><topic>Adolescent</topic><topic>Analysis</topic><topic>Bisexuality</topic><topic>Care and treatment</topic><topic>Child</topic><topic>Child, Foster - psychology</topic><topic>Cross-Sectional Studies</topic><topic>Drug use</topic><topic>Female</topic><topic>Foster care</topic><topic>Foster home care</topic><topic>Foster Home Care - methods</topic><topic>Foster Home Care - psychology</topic><topic>Foster Home Care - trends</topic><topic>Gender identity</topic><topic>Health care disparities</topic><topic>Health problems</topic><topic>Health Surveys - methods</topic><topic>Housing</topic><topic>Housing - trends</topic><topic>Humans</topic><topic>Male</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Methods</topic><topic>Pediatrics</topic><topic>Polls &amp; 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In the current study, we assess whether LGBTQ youth are overrepresented in unstable housing and foster care and examine disparities in school functioning, substance use, and mental health for LGBTQ youth versus heterosexual youth in unstable housing and foster care. A total of 895 218 students (10-18 years old) completed the cross-sectional California Healthy Kids Survey from 2013 to 2015. Surveys were administered in 2641 middle and high schools throughout California. Primary outcome measures included school functioning (eg, school climate, absenteeism), substance use, and mental health. More youth living in foster care (30.4%) and unstable housing (25.3%) self-identified as LGBTQ than youth in a nationally representative sample (11.2%). Compared with heterosexual youth and youth in stable housing, LGBTQ youth in unstable housing reported poorer school functioning ( s = -0.10 to 0.40), higher substance use ( s = 0.26-0.28), and poorer mental health (odds ratios = 0.73-0.80). 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subjects Absenteeism
Adolescent
Analysis
Bisexuality
Care and treatment
Child
Child, Foster - psychology
Cross-Sectional Studies
Drug use
Female
Foster care
Foster home care
Foster Home Care - methods
Foster Home Care - psychology
Foster Home Care - trends
Gender identity
Health care disparities
Health problems
Health Surveys - methods
Housing
Housing - trends
Humans
Male
Mental disorders
Mental health
Methods
Pediatrics
Polls & surveys
Prevention
Schools
Sexual and Gender Minorities - psychology
Sexual behavior
Sexual orientation
Substance use
Teenagers
Victimization
Youth
title LGBTQ Youth in Unstable Housing and Foster Care
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