Differential Risk of Mental Health Outcomes, Sexual Risks, and Relational/Sexual Violence among Youth Based on Gender Identity and Sexual Orientation: Evidence for the Importance of an Intersectional Analytic Approach

Abstract

Research has consistently shown that lesbian, gay, bisexual, queer (LGBQ) and transgender/non-binary (trans/NB) adolescents are at increased risk for a number of mental health concerns, sexual risks, and relational violence. However much of the existing literature either conflates sexual orientation and gender identity by combining the two groups into one analytic category or silos sexual orientation and gender identity treating them as separate and unrelated constructs. Using an intersectional analytic approach whereby we create categories of sexual orientation by gender identity (e.g., transgender heterosexual, cisgender LGBQ), we use a representative sample of high school aged youth to examine a number of behavioral health outcomes, sexual experiences, sexual risks, and relational violence to provide a more nuanced pattern of risks so that youth service providers are better prepared to effectively engage LGBQ and trans/NB young people. Across all categories of risk and experiences examined (e.g., depressive symptoms, suicidality, non-suicidal self-injury, age of sexual debut, condom usage, forced sex), we find a wide range of differences in likelihood rates underscoring the importance of using an intersectional approach to understanding the levels of risk facing LGBQ and trans/NB adolescents.

Presenters

Nelson Eugene Walls
Professor, Graduate School of Social Work, University of Denver, Colorado, United States

Shanna K. Kattari

Rohini Gupta

Joshua Rusow

Details

Presentation Type

Paper Presentation in a Themed Session

Theme

Identity and Belonging

KEYWORDS

Sexual Orientation, Gender Identity, Mental Health, Relational Violence, Sexual Behaviors

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