关键词: Early adolescence Health status disparities Mediation analysis Minority stress Perceived discrimination Sexual and gender minorities Sleep

来  源:   DOI:10.1016/j.jadohealth.2024.05.022

Abstract:
OBJECTIVE: Sleep is essential to adolescent development. Sexual and gender minority (SGM; e.g., lesbian, gay, bisexual, transgender) adults are at high risk for poor sleep, partially due to minority stress (e.g., discrimination). However, sleep has rarely been studied among SGM adolescents. In a national sample of early adolescents, we analyzed sexual minority (SM) and gender minority (GM) identity, gender incongruence, and gender nonconformity in association with sleep and tested minority and general stressors as mediators.
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.
摘要:
目的:睡眠对青少年发育至关重要。性别和性别少数(SGM;例如,拉拉,同性恋,双性恋,跨性别)成年人睡眠不良的风险很高,部分是由于少数族裔的压力(例如,歧视)。然而,在SGM青少年中很少研究睡眠。在全国早期青少年样本中,我们分析了性少数(SM)和性别少数(GM)身份,性别不一致,和性别不一致与睡眠有关,并测试少数群体和一般压力源作为中介。
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。
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