ABSTRACT

The objective of this study was to examine the association between sexual orientation and seeking/receiving sexual and reproductive health (SRH) information from media sources during adolescence. We analysed data from male and female participants (aged 23–35 years) from the U.S.-based Growing Up Today Study (GUTS) in 2016. Sex-stratified, multivariable log-binomial models adjusted for age, cohort and race/ethnicity were used to examine sexual orientation differences in retrospective self-reported seeking/receipt of SRH media information before age 18. Sexual minority (e.g., mostly heterosexual, bisexual, gay) men and women were more likely than same-gender individuals who identified as completely heterosexual to seek/receive SRH information about contraceptive methods (e.g., condom use), sexually transmitted infections, and HIV and AIDS. Although lesbians were more likely than completely heterosexuals to seek/receive SRH information from media about each topic, they were the sexual minority subgroup with the smallest proportion seeking/receiving SRH information. Sexual minorities may passively and/or actively receive SRH information pertaining to a wide range of topics, including skills-based sex education, from media sources more frequently than heterosexuals, which may influence safe-sex decision-making. Lesbians in particular may benefit from media information dissemination focusing on their specific SRH needs, as current media sources do not seem to be well-utilised by this group.

摘要

本研究的目的是检查青春期性取向与从媒体来源寻求/接收性与生殖健康 (SRH) 信息之间的关联。我们在 2016 年分析了来自美国今日成长研究 (GUTS) 的男性和女性参与者（年龄 23-35 岁）的数据。使用了针对年龄、队列和种族/民族进行调整的性别分层、多变量对数二项式模型检查 18 岁之前回顾性自我报告寻求/接收 SRH 媒体信息的性取向差异。性少数群体（例如，主要是异性恋、双性恋、同性恋）男性和女性比被确定为完全异性恋的同性别个体更有可能寻求/接收有关避孕方法（例如，使用安全套）、性传播感染以及 HIV 和 AIDS 的 SRH 信息。尽管女同性恋者比完全异性恋者更有可能从媒体寻求/接收有关每个主题的 SRH 信息，但她们是寻求/接收 SRH 信息比例最小的性少数亚组。性少数群体可能比异性恋者更频繁地从媒体来源被动和/或主动地接收与广泛主题相关的 SRH 信息，包括基于技能的性教育，这可能会影响安全性行为的决策。尤其是女同性恋者可能会从专注于其特定 SRH 需求的媒体信息传播中受益，因为该群体似乎并未充分利用当前的媒体资源。他们是寻求/接收 SRH 信息的最小比例的性少数亚组。性少数群体可能比异性恋者更频繁地从媒体来源被动和/或主动地接收与广泛主题相关的 SRH 信息，包括基于技能的性教育，这可能会影响安全性行为决策。尤其是女同性恋者可能会从关注其特定 SRH 需求的媒体信息传播中受益，因为目前的媒体资源似乎没有被该群体充分利用。他们是寻求/接收 SRH 信息的最小比例的性少数亚组。性少数群体可能比异性恋者更频繁地从媒体来源被动和/或主动地接收与广泛主题相关的 SRH 信息，包括基于技能的性教育，这可能会影响安全性行为决策。尤其是女同性恋者可能会从关注其特定 SRH 需求的媒体信息传播中受益，因为目前的媒体资源似乎没有被该群体充分利用。