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Sexual (Minority) Trajectories, Mental Health, and Alcohol Use: A Longitudinal Study of Youth as They Transition to Adulthood.
J Youth Adolesc. 2015 Aug; 44(8):1508-27.JY

Abstract

Lesbian, gay, bisexual, and queer/questioning youth health disparities are well documented; however, study limitations restrict our understanding of how the temporal interplay among domains of sexuality (attraction, behavior, and identity) situate individuals to be more or less at risk for poor mental health and alcohol use across the transition to adulthood. Four waves of data from the National Longitudinal Study of Adolescent to Adult Health (n = 12,679; 51.29 % female) were used with repeated measures latent class analysis to estimate sexual trajectory groups designated by prospective reports of romantic attraction, sexual/romantic behavior, and sexual identity from adolescence to adulthood. Five unique trajectories emerged: two heterosexual groups (heterosexual early daters [58.37 %] and heterosexual later daters [29.83 %]) and three sexual minority groups (heteroflexible [6.44 %], later bisexually identified [3.32 %], and LG[B] identified [2.03 %]). These sexual trajectories differentiate risk for depressive symptomology, suicidal thoughts and behaviors, and alcohol use during adolescence and early adulthood. Groups where individuals first reported same-sex attraction and sexual minority identities in adulthood (heteroflexible and later bisexually identified) had similar levels of depression, suicidality, and greater substance use than those who largely reported same-sex attraction and behavior during adolescence (the LG[B] identified group). These later recognition groups showed greater risk for poor outcomes in waves where they also first reported these changes in attraction, behaviors, and identities. The emergence of three sexual minority groups reveal within-group differences in sexuality and sexual trajectories and how these experiences relate to risk and timing of risk across the transition to adulthood.

Authors+Show Affiliations

Frances McClelland Institute for Children, Youth, and Families, Norton School of Family and Consumer Sciences, University of Arizona, 650 N. Park Ave, Rm. 235F, Tucson, AZ, 85721-0078, USA, fishjn@email.arizona.edu.No affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

25956289

Citation

Fish, Jessica N., and Kay Pasley. "Sexual (Minority) Trajectories, Mental Health, and Alcohol Use: a Longitudinal Study of Youth as They Transition to Adulthood." Journal of Youth and Adolescence, vol. 44, no. 8, 2015, pp. 1508-27.
Fish JN, Pasley K. Sexual (Minority) Trajectories, Mental Health, and Alcohol Use: A Longitudinal Study of Youth as They Transition to Adulthood. J Youth Adolesc. 2015;44(8):1508-27.
Fish, J. N., & Pasley, K. (2015). Sexual (Minority) Trajectories, Mental Health, and Alcohol Use: A Longitudinal Study of Youth as They Transition to Adulthood. Journal of Youth and Adolescence, 44(8), 1508-27. https://doi.org/10.1007/s10964-015-0280-6
Fish JN, Pasley K. Sexual (Minority) Trajectories, Mental Health, and Alcohol Use: a Longitudinal Study of Youth as They Transition to Adulthood. J Youth Adolesc. 2015;44(8):1508-27. PubMed PMID: 25956289.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual (Minority) Trajectories, Mental Health, and Alcohol Use: A Longitudinal Study of Youth as They Transition to Adulthood. AU - Fish,Jessica N, AU - Pasley,Kay, Y1 - 2015/05/09/ PY - 2014/10/02/received PY - 2015/03/31/accepted PY - 2015/5/10/entrez PY - 2015/5/10/pubmed PY - 2016/5/3/medline SP - 1508 EP - 27 JF - Journal of youth and adolescence JO - J Youth Adolesc VL - 44 IS - 8 N2 - Lesbian, gay, bisexual, and queer/questioning youth health disparities are well documented; however, study limitations restrict our understanding of how the temporal interplay among domains of sexuality (attraction, behavior, and identity) situate individuals to be more or less at risk for poor mental health and alcohol use across the transition to adulthood. Four waves of data from the National Longitudinal Study of Adolescent to Adult Health (n = 12,679; 51.29 % female) were used with repeated measures latent class analysis to estimate sexual trajectory groups designated by prospective reports of romantic attraction, sexual/romantic behavior, and sexual identity from adolescence to adulthood. Five unique trajectories emerged: two heterosexual groups (heterosexual early daters [58.37 %] and heterosexual later daters [29.83 %]) and three sexual minority groups (heteroflexible [6.44 %], later bisexually identified [3.32 %], and LG[B] identified [2.03 %]). These sexual trajectories differentiate risk for depressive symptomology, suicidal thoughts and behaviors, and alcohol use during adolescence and early adulthood. Groups where individuals first reported same-sex attraction and sexual minority identities in adulthood (heteroflexible and later bisexually identified) had similar levels of depression, suicidality, and greater substance use than those who largely reported same-sex attraction and behavior during adolescence (the LG[B] identified group). These later recognition groups showed greater risk for poor outcomes in waves where they also first reported these changes in attraction, behaviors, and identities. The emergence of three sexual minority groups reveal within-group differences in sexuality and sexual trajectories and how these experiences relate to risk and timing of risk across the transition to adulthood. SN - 1573-6601 UR - https://www.unboundmedicine.com/medline/citation/25956289/Sexual__Minority__Trajectories_Mental_Health_and_Alcohol_Use:_A_Longitudinal_Study_of_Youth_as_They_Transition_to_Adulthood_ L2 - https://dx.doi.org/10.1007/s10964-015-0280-6 DB - PRIME DP - Unbound Medicine ER -