At the Intersection of Sexual Orientation and Gender Identity: Variations in Emotional Distress and Bullying Experience in a Large Population-based Sample of U.S. Adolescents

Overview

Journal J LGBT Youth

Date 2019 Jun 4

PMID 31156739

Citations 12

Authors

Marla E Eisenberg

Amy L Gower

G Nic Rider

Barbara J McMorris

Eli Coleman

Affiliations

Soon will be listed here.

Abstract

This study examines the intersection of sexual and gender identities among adolescents, including the prevalence of these groups and rates of emotional distress and bullying victimization. Data come from a large population-based sample; two measures of sexual orientation and gender identity create eight identity groups. Youth who report identifying both as lesbian, gay, bisexual, or queer/questioning (LGBQ) and as transgender/gender diverse (TGD) had significantly higher levels of two measures of emotional distress and four measures of bullying victimization than those who report only identifying as LGBQ non-TGD or straight TGD. Implications for research and practice are discussed.

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Emotional Distress Disparities Across Multiple Intersecting Social Positions: The Role of Bias-Based Bullying.

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Gender- and Sexuality-Minoritised Adolescents in DBT: A Reflexive Thematic Analysis of Minority-Specific Treatment Targets and Experience.

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References

Lumley T, Diehr P, Emerson S, Chen L . The importance of the normality assumption in large public health data sets. Annu Rev Public Health. 2002; 23:151-69. DOI: 10.1146/annurev.publhealth.23.100901.140546. View

Meyer I . Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003; 129(5):674-697. PMC: 2072932. DOI: 10.1037/0033-2909.129.5.674. View

Kroenke K, Spitzer R, Williams J . The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003; 41(11):1284-92. DOI: 10.1097/01.MLR.0000093487.78664.3C. View

Saewyc E, Bauer G, Skay C, Bearinger L, Resnick M, Reis E . Measuring sexual orientation in adolescent health surveys: evaluation of eight school-based surveys. J Adolesc Health. 2005; 35(4):345.e1-15. DOI: 10.1016/j.jadohealth.2004.06.002. View

Friedman M, Koeske G, Silvestre A, Korr W, Sites E . The impact of gender-role nonconforming behavior, bullying, and social support on suicidality among gay male youth. J Adolesc Health. 2006; 38(5):621-3. DOI: 10.1016/j.jadohealth.2005.04.014. View

DAugelli A, Grossman A, Starks M . Childhood gender atypicality, victimization, and PTSD among lesbian, gay, and bisexual youth. J Interpers Violence. 2006; 21(11):1462-82. DOI: 10.1177/0886260506293482. View

Corliss H, Rosario M, Wypij D, Fisher L, Austin S . Sexual orientation disparities in longitudinal alcohol use patterns among adolescents: findings from the Growing Up Today Study. Arch Pediatr Adolesc Med. 2008; 162(11):1071-8. PMC: 3725748. DOI: 10.1001/archpedi.162.11.1071. View

Gordon A, Meyer I . Gender nonconformity as a target of prejudice, discrimination, and violence against LGB individuals. J LGBT Health Res. 2008; 3(3):55-71. PMC: 10790306. DOI: 10.1080/15574090802093562. View

Bockting W, Benner A, Coleman E . Gay and bisexual identity development among female-to-male transsexuals in North America: emergence of a transgender sexuality. Arch Sex Behav. 2009; 38(5):688-701. DOI: 10.1007/s10508-009-9489-3. View

10.

Almeida J, Johnson R, Corliss H, Molnar B, Azrael D . Emotional distress among LGBT youth: the influence of perceived discrimination based on sexual orientation. J Youth Adolesc. 2009; 38(7):1001-14. PMC: 3707280. DOI: 10.1007/s10964-009-9397-9. View

11.

Saewyc E, Skay C, Hynds P, Pettingell S, Bearinger L, Resnick M . Suicidal ideation and attempts in North American school-based surveys: are bisexual youth at increasing risk?. J LGBT Health Res. 2009; 3(2):25-36. PMC: 2765809. DOI: 10.1300/J463v03n02_04. View

12.

Berlan E, Corliss H, Field A, Goodman E, Austin S . Sexual orientation and bullying among adolescents in the growing up today study. J Adolesc Health. 2010; 46(4):366-71. PMC: 2844864. DOI: 10.1016/j.jadohealth.2009.10.015. View

13.

Richardson L, Rockhill C, Russo J, C Grossman D, Richards J, McCarty C . Evaluation of the PHQ-2 as a brief screen for detecting major depression among adolescents. Pediatrics. 2010; 125(5):e1097-103. PMC: 3100798. DOI: 10.1542/peds.2009-2712. View

14.

Toomey R, Ryan C, Diaz R, Card N, Russell S . Gender-nonconforming lesbian, gay, bisexual, and transgender youth: school victimization and young adult psychosocial adjustment. Dev Psychol. 2010; 46(6):1580-9. DOI: 10.1037/a0020705. View

15.

Haas A, Eliason M, Mays V, Mathy R, Cochran S, DAugelli A . Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: review and recommendations. J Homosex. 2011; 58(1):10-51. PMC: 3662085. DOI: 10.1080/00918369.2011.534038. View

16.

Rieger G, Savin-Williams R . Gender nonconformity, sexual orientation, and psychological well-being. Arch Sex Behav. 2011; 41(3):611-21. DOI: 10.1007/s10508-011-9738-0. View

17.

Marshal M, Dietz L, Friedman M, Stall R, Smith H, McGinley J . Suicidality and depression disparities between sexual minority and heterosexual youth: a meta-analytic review. J Adolesc Health. 2011; 49(2):115-23. PMC: 3649127. DOI: 10.1016/j.jadohealth.2011.02.005. View

18.

Bowleg L . The problem with the phrase women and minorities: intersectionality-an important theoretical framework for public health. Am J Public Health. 2012; 102(7):1267-73. PMC: 3477987. DOI: 10.2105/AJPH.2012.300750. View

19.

Steensma T, Kreukels B, de Vries A, Cohen-Kettenis P . Gender identity development in adolescence. Horm Behav. 2013; 64(2):288-97. DOI: 10.1016/j.yhbeh.2013.02.020. View

20.

Clark T, Lucassen M, Bullen P, Denny S, Fleming T, Robinson E . The health and well-being of transgender high school students: results from the New Zealand adolescent health survey (Youth'12). J Adolesc Health. 2014; 55(1):93-9. DOI: 10.1016/j.jadohealth.2013.11.008. View