Abstract

Objectives: Lesbian, gay, bisexual, and queer/questioning (LGBQ), and transgender/nonbinary (trans/NB) youth experience health disparities. Much research combines gender identity with sexual orientation or siloes them, ignoring intersections. Methods: Logistic regressions with representative data from 2015 Healthy Kids Colorado Survey (n = 15,970) explores sexual risk. Results: Findings indicate LGBQ and trans/NB youth have differential levels of sexual risk (drugs during sexual interactions, not using condoms) compared to cisgender heterosexual peers. Other identities, mental health, and bullying are also related. Conclusions: There is a need for culturally responsive bullying prevention, mental health support, education, and sexual health services for marginalized populations.

摘要

目标：女同性恋，男同性恋，双性恋和同志/询问（LGBQ）以及跨性别/非二元（trans / NB）青年在健康方面存在差异。许多研究都将性别认同与性取向结合在一起，或者忽略它们，忽略了交集。方法：采用2015年美国健康儿童科罗拉多州调查（n  = 15,970）的代表性数据进行逻辑回归，探讨性风险。结果：研究结果表明，与同性恋者相比，LGBQ和trans / NB青年的性风险水平（性交时使用毒品，不使用安全套）差异很大。其他身份，心理健康和欺凌行为也相关。结论： 需要为边缘化人群提供具有文化响应力的预防欺凌，心理健康支持，教育和性健康服务。