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Associations of Lesbian, Gay, Bisexual, Transgender, and QuestioningeInclusive Sex Education With Mental Health Outcomes and School-Based Victimization in U:S: High School Students
انجمن های لزبین ، همجنسگرا ، دوجنسگرا ، ترنسجندر و سؤال از آموزش فراگیر جنسی با پیامدهای سلامت روانی و قربانی سازی مدارس در دانش آموزان دبیرستانی ایالات متحده-2019 Purpose: Homophobic school climates are related to increased victimization for sexual minority
youth (SMY), leading to increased risk of adverse mental health outcomes. Interventions that
promote positive school climate may reduce the risk of victimization and adverse mental health
outcomes in SMY. This study explored whether lesbian, gay, bisexual, transgender, and questioning
(LGBTQ)einclusive sex education is associated with adverse mental health and school-based
victimization in U.S. youth.
Methods: Data analysis of representative data from the 2015 Youth Risk Behavior Survey and the
2014 School Health Profiles was conducted using multilevel logistic models testing whether youth
in states with higher proportions of schools teaching LGBTQ-inclusive sex education had lower
odds of reporting being bullied in school and experiencing adverse mental health outcomes,
including depressive symptoms and suicidality.
Results: After controlling for covariates, protective effects for all youth were found for suicidal
thoughts (adjusted odds ratio [AOR]: .91, 95% confidence interval [CI]: .89e.93) and making a
suicide plan (AOR: .79; 95% CI: .77e.80). Lesbian and gay youth had lower odds of experiencing
bullying in school as the proportion of schools within a state teaching LGBTQ-inclusive sex
education increased (AOR: .83; CI: .71e.97). Bisexual youth had significantly lower odds of
reporting depressive symptoms (AOR: .92; 95% CI: .87e.98).
Conclusions: Students in states with a greater proportion of LGBTQ-inclusive sex education have
lower odds of experiencing school-based victimization and adverse mental health. These findings
can be used to guide intervention development at the school and state levels Keywords: Sexual minority youth | Mental health | Bullying | Inclusive sex education | School climate |
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