Prevalence of lesbian, gay, bisexual and questioning teens in Hawaii and disparities in mental health risk behaviors
The sample was 8,960 public high school students (grades 9-12) and the data was weighted to represent the population. In all, 89.8% identified as heterosexual, 2.0% as gay or lesbian, 4.8% as bisexual and 3.4% as not sure. Females were significantly more likely than males to identify as bisexual (6.6% vs. 3.0%, p<.001). In the 12 months prior to the survey LGBQ students were significantly more likely than heterosexuals to report depression (OR=2.82, 95%CI 2.18-3.66), consider suicide (OR=3.66, 95%CI 2.74-4.90), make a plan to commit suicide (OR=3.89, 95%CI 3.01-5.03), attempt suicide (OR=5.05, 95%CI 3.68-6.92) and receive medical treatment for a suicide attempt (OR=4.76, 95% CI 2.63-8.62). They were also more likely to have engaged in non-suicidal self-mutilation (OR=3.66, 95%CI 2.44-5.50).
Uniform inclusion of sexual orientation questions in public health surveillance systems is crucial to be able to assess LGBQ health and address health risk-behavior disparities.
Learning Areas:Advocacy for health and health education
Assessment of individual and community needs for health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Social and behavioral sciences
Describe the gay, lesbian and bisexual public high school population in Hawaii. Compare the prevalence of depression, suicide ideation and self-mutilating behavior by sexual identity among Hawaii public high school students. Estimate the associations of reported depression, suicidality, and self-mutilation with sexual identity.
Keyword(s): Lesbian, Gay, Bisexual and Transgender (LGBT), Youth
Qualified on the content I am responsible for because: Tonya Lowery St. John is a member of the Hawaii School Health Survey Committee and was instrumental in getting the sexual orientation and sexual contacts questions added to the Hawaii high school Youth Risk Behavior Survey instrument. She obtained and combined the 2011 and 2013 survey data and conducted the analysis with guidance and suggestions from Drs. Chosy and Hurwitz. She drafted the abstract and modified it based on feedback from the other authors.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.