Young sexual minority adolescents using social technology: Self-expression and isolation (Preprint)

2020 ◽  
Author(s):  
Linda Charmaraman ◽  
Amanda M. Richer ◽  
Rachel Hodes

BACKGROUND The early adolescent years are marked by pervasive self- and peer-regulation regarding gender and sexuality norms, which can affect mental wellbeing of sexual minority teens and tweens. During this developmental period, social technology use is also emerging as a dominant mode of communication with peers, allowing for both risk and resilient behaviors that can impact wellbeing. OBJECTIVE The objectives of this exploratory study was to examine how sexual minorities in middle school use social technologies, who they are connected to and for what purposes, and associations with mental wellbeing, compared to their heterosexual peers. METHODS In our cross-sectional survey study of 1034 early adolescents aged 10-16 (average age=12.7) from 4 middle school sites in the Northeast US, we conducted an exploratory study comparing sexual minorities (24% of sample) to their heterosexual peers with an 80% response rate. RESULTS Sexual minorities report having smaller networks on their favorite social media site (B=-.57, p<.001), and were less often responding positively when friends share good news (B=-.35, p=.002) and trying to make friends feel better when sharing bad news (B=-.30, p=.014). However, sexual minorities more often reported joining a group or online community to make themselves feel less alone (B=.28, p=.003) unlike heterosexual youth. Sexual minorities had higher averages of loneliness and social isolation (B=.19, p<.001) than heterosexual students. Sexual minorities were also twice as likely to have tried to harm themselves in the past (B=.81, OR=2.24, p<.001) and more likely to have symptoms that reach the CESD-based definition of depression (B=0.15, OR= 1.16, p<.001). About 39% of sexual minorities had no one to talk to about their sexual orientation. Sexual minorities were 1.5 times more likely to have joined a social media site their parents would disapprove (B=.41, OR=1.50, p=.004) and they were more likely to report seeing online videos related to self-harm (B=.33, OR=1.39, p=.016) than heterosexual youth. CONCLUSIONS Future longitudinal studies could determine any bidirectional influences of mental wellbeing and social technology use in sexual minorities during this difficult developmental period. Given prior reports of supportive and safe online spaces for sexual minority youth, our findings demonstrated that sexual minority youth prefer to maintain small, close-knit online communities (apart from their families) to express themselves, particularly when reaching out to online communities to reduce loneliness.

2021 ◽  
pp. 84-92
Author(s):  
Richard T. Liu ◽  
Rachel F.L. Walsh ◽  
Ana E. Sheehan ◽  
Shayna M. Cheek ◽  
Sarina M. Carter

OBJECTIVES In this study, we determined trends in prevalence of suicidal thoughts and behaviors among lesbian, gay, bisexual, and heterosexual youth from 1995 to 2017 using population-based surveillance data. METHODS Data were drawn from the Massachusetts Youth Risk Behavior Survey from 1995 to 2017 (unweighted N = 41 636). The annual percent change (APC) in prevalence of suicidal ideation, plans, and attempts was stratified by sexual orientation as indexed by sexual identity and sexual behavior. RESULTS Among sexual minority youth, prevalence rates declined over the entire study period for suicidal ideation (APCsexual identity = −1.25; APCsexual behavior = 1.83), plans (APCsexual identity = 1.88; APCsexual behavior = –1.95), and attempts (APCsexual identity =–2.64; APCsexual behavior = –2.47). Among heterosexual youth, prevalence rates declined from 1995 to 2007 for suicidal ideation (APCsexual identity = –6.67; APCsexual behavior = 6.77) and plans (APCsexual identity = –5.73; APCsexual behavior = –6.25). These declines in ideation and plans were steeper than those for sexual minority youth. Prevalence of suicide attempts declined across the entire Study period among heterosexual youth (APCsexual identity = –3.66; APCsexual behavior = –4.01). Prevalence of all 3 outcomes remained markedly high among sexual minority youth across the 23-year study period. CONCLUSIONS Although suicidal thoughts and behavior have generally declined among sexual minority and heterosexual youth, disparities in these outcomes persist, and their prevalence among sexual minority youth has remained consistently elevated. Prioritized screening for risk for suicidal thoughts and behaviors in this vulnerable population is imperative to reduce disparities and prevalence of these outcomes.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Klemetti ◽  
P Luopa ◽  
H Kivimäki

Abstract Background Sexual minority youth have an increased risk for depression, anxiety disorders and bullying. In addition, particularly boys have an increased risk for sexual harassment. However, information on their general health and wellbeing is scarce. The purpose of this study is to examine the general health and wellbeing of sexual minority youth compared to heterosexual youth. Methods Data from the national School Health Promotion study 2019 were used including youth from comprehensive (N = 87026), upper secondary (N = 44498) and vocational schools (N = 23366). The proportion of sexual minority youth in comprehensive school was 8.5%, in upper secondary school 10.3% and in vocational school 7.5%. Each of the following issues was asked by using one question: general health, life satisfaction, loneliness, and worry about own mental health. Anxiety was measured by GAD-7 (Generalized anxiety disorder) and depression by PHQ-2 (Patient health questionnaire). Data were analyzed by school level and sex using cross-tabulations with Chi-square tests. Results Response rate at comprehensive school was 73% and at upper secondary school 69% but at vocational schools it couldn't be estimated reliably. Sexual minority youth reported significantly more often poor or average general health (44.2% vs. 18.2%) and loneliness (26.5% vs. 8.5%) but less often life satisfaction (50.0% vs. 78.5%) compared to heterosexual youth. They had significantly more often experienced depression (40.4% vs. 14.5%) and anxiety (31.4% vs. 10.4%) and worried more often about their mental health (65.6% vs. 28.5%) than other youth. Differences remained after stratifying the data by school level and sex. Conclusions This large population-based study including both sexual minority and heterosexual youth suggests that sexual minority youth have poorer outcomes in general health and wellbeing than heterosexual youth. More detailed analyses are needed to find out associated factors. Key messages Sexual minority youth at each school level and all sexes had poorer outcomes in each studied health and wellbeing indicator compared to heterosexual youth. Low-threshold services and support as well as more accepted atmosphere in society are essential to guaranteeing better health and wellbeing for sexual minority youth.


2020 ◽  
pp. 088626052097818
Author(s):  
Carl G. Streed ◽  
Blair Turner ◽  
Lauren B. Beach ◽  
Rachel Marro ◽  
Dylan Felt ◽  
...  

Prior research has revealed sexual minority youth are more likely to carry weapons both outside of and within school. However, to date, no study has examined the degree to which bullying and harassment is associated with weapon carrying among sexual minority youth. We utilized the Youth Risk Behavior Survey to examine the prevalence and likelihood of carrying weapons by sexual identity, adjusting for adverse experiences. From the Youth Risk Behavior Survey 2009-2015, we examined self-report of adverse experiences (e.g., being bullied, skipping school due to fear for personal safety) and performed Logistic regressions to estimate the odds of carrying a weapon and were adjusted to include demographics and adverse experiences. When surveyed by sexual identity, 14.0% of heterosexual, 21.8% of gay/lesbian, 18.5% of bisexual, and 17.4% of “not sure” students reported carrying a weapon in the past 30 days. Odds of carrying a weapon were significantly increased for youth who skipped school due to feeling unsafe at school, had ever been threatened with a weapon in the past year, and had ever been in a physical fight. Compared to heterosexual female peers, sexual minority women had increased odds of carrying a weapon. Pediatricians should recognize that experiencing bullying and feeling unsafe are associated with weapon carrying, particularly among sexual minorities. Pediatricians and professionals who work with youth should recognize that reported experiences of bullying may not be the most salient indicator of risk for weapon carrying among all youth, and that other fears of or experiences with bullying are crucial to screen for among sexual minorities in particular.


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