METHODS: We cross-sectionally analyzed data from 10,070 adolescents aged 10-14 in the Adolescent Brain Cognitive Development℠ Study. Using logistic regression models, we analyzed associations between identity (SM and GM), sexual identity discrimination, minority and general stressors (sexual identity discrimination, teasing, and conflict with parents) and sleep health (duration, latency, and disturbance). We used Baron and Kenny\'s method to test for mediation.
RESULTS: Participants reported sexual identity (4% SM, 4% questioning) and gender identity (0.4% GM, 0.6% questioning); 65% were White, 20% were Hispanic, and 52% were assigned male at birth. Compared to heterosexual, SM participants had higher odds of short sleep duration, long sleep latency, and sleep disturbance. GM participants and those reporting gender incongruence and nonconformity had higher odds of long sleep latency and sleep disturbance. Sexual identity discrimination and general social stressors partially mediated some associations.
CONCLUSIONS: SGM participants reported poorer sleep. Minority and general social stressors partially accounted for some disparities. Policies need to address SGM identity-based discrimination and challenge social norms that produce minority stress for SGM early adolescents.
方法:我们对10,070名10-14岁青少年大脑认知发育的数据进行了横断面分析。使用逻辑回归模型,我们分析了身份(SM和GM)之间的关联,性身份歧视,少数群体和一般压力源(性身份歧视,戏弄,和与父母的冲突)和睡眠健康(持续时间,延迟,和干扰)。我们使用男爵和肯尼的方法来测试调解。
结果:参与者报告了性认同(4%SM,4%的提问)和性别认同(0.4%的GM,0.6%的询问);65%是白人,20%是西班牙裔,52%出生时被分配为男性。与异性恋相比,SM参与者睡眠时间短的几率更高,长睡眠潜伏期,和睡眠障碍。转基因参与者和那些报告性别不一致和不一致的人有较高的机会长睡眠潜伏期和睡眠障碍。性身份歧视和一般社会压力源部分介导了某些关联。
结论:SGM参与者报告睡眠较差。少数族裔和一般社会压力源部分造成了一些差异。政策需要解决SGM基于身份的歧视,并挑战给SGM早期青少年带来少数群体压力的社会规范。