A Meta-Analysis of Disparities in Childhood Sexual Abuse, Parental Physical Abuse, and Peer Victimization Among Sexual Minority and Sexual Nonminority Individuals

Friedman, Mark; Marshal, Michael P.; Guadamuz, Thomas E.; Wei, Chongyi; Wong, Carolyn F.; Saewyc, Elizabeth; Stall, Ron

doi:10.2105/ajph.2009.190009

Cited by 617 publications

(499 citation statements)

References 71 publications

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“…First, sexual-minority adolescents reported higher prevalence rates than heterosexual youth for sexual abuse offline, problematic sexual meetings offline with person/s met online and online harassment. The findings concerning sexual abuse are in line with previous findings [12] while there are to our knowledge no previous studies about adolescents' sexual orientation in relation to problematic sexual meetings offline with person/s met online. In general, sexual-minority youth in our study reported having met someone offline they first had met online more often than heterosexual youth, which is in line with previous findings [36].…”

Section: Discussionsupporting

confidence: 91%

“…The similarity of the results for both measures of sexual orientation suggests that the findings are robust. This is in line with a meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimisation among sexual-minority and sexual-non-minority youth which found that the dimension used to assess sexual orientation did not moderate the association between sexual orientation and victimisation [12].…”

Section: Discussionsupporting

confidence: 87%

“…A recent meta-analysis showed that sexual-minority youth were on average more likely to experience sexual abuse (OR 3.9), parental physical abuse (OR 2.3), peer assault at school (OR 2.7) or to miss school through fear (OR 3.9) [12]. In addition, sexual-minority youth reported higher rates of mental health problems such as major depression, anxiety disorders, alcohol dependence, illicit drug dependence or suicide attempts, even when controlled for childhood victimisation [9].…”

Section: Introductionmentioning

confidence: 99%

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Online or off-line victimisation and psychological well-being: a comparison of sexual-minority and heterosexual youth

Priebe

Svedin

2012

Eur Child Adolesc Psychiatry

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Purpose: To compare sexual-minority and heterosexual youths' exposure to sexual abuse offline, problematic sexual meetings offline with person/s met online and online harassment with regard to prevalence, psychological well-being and support-seeking. Methods:A nationally representative sample of 3,432 Swedish high school seniors completed an anonymous school-based survey about sexuality, health, sexual abuse and online-related sexual victimisation or harassment.Results: Sexual-minority adolescents reported a greater rate of sexual abuse, problematic sexual meetings offline with person/s met online and online harassment, compared to heterosexual youth. When compared to nonvictimised heterosexual adolescents, victimised heterosexual adolescents and non-victimised and victimised sexual-minority adolescents reported more psychiatric symptoms, lower self-esteem and a weaker sense of coherence. Same-sex sexual orientation was related to more psychiatric symptoms, lower self-esteem and a weaker sense of coherence even when controlled for victimisation and gender. Compared to victimised heterosexual adolescents, victimised sexual-minority adolescents were more likely to seek support because of sexual abuse (females) or Internet-related problems (males and females). Results for sexual-minority youth were basically the same whether sexual orientation was assessed as sexual identity or as sexual or emotional attraction.Conclusions: Health care providers are challenged to not only provide the same care to sexual-minority youth who seek counselling or psychiatric treatment for mental health problems or problems related to victimisation that all adolescents should receive but also to find ways to address topics like prevention of sexual abuse and risk-taking behaviour online or offline.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Online or off-line victimisation and psychological well-being: a comparison of sexual-minority and heterosexual youth

Priebe

Svedin

2012

Eur Child Adolesc Psychiatry

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“…7 One population that may be at an increased risk of misusing AAS is sexual minority (gay and bisexual) boys. Sexual minorities are at an increased risk for a variety of maladaptive outcomes, including substance use, [8][9][10] depression, 11 victimization, [12][13][14] suicidality, 9,11,15 and body image dissatisfaction. 16 There are likely a number of reasons to explain these health disparities, with one prominent theory being the sexual minority stress model.…”

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confidence: 99%

Sexual Orientation and Anabolic-Androgenic Steroids in US Adolescent Boys

Blashill

Safren

2014

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Anabolic-androgenic steroid misuse is not uncommon among adolescent boys, and initial use in adolescence is associated with a host of maladaptive outcomes, including cardiovascular, endocrine, and psychiatric complications. WHAT THIS STUDY ADDS:This is the first known study to examine prevalence rates of anabolic-androgenic steroid misuse as a function of sexual orientation. A dramatic disparity was found, in that sexual minority boys reported misuse at a much higher rate than heterosexual boys. RESULTS: Sexual minority adolescent boys were at an increased odds of 5.8 (95% confidence interval 4.1-8.2) to report a lifetime prevalence of AAS (21% vs 4%) compared with their heterosexual counterparts, P , .001. Exploratory analyses suggested that increased depressive symptoms/suicidality, victimization, and substance use contributed to this disparity.CONCLUSIONS: This is the first known study to test and find substantial health disparities in the prevalence of AAS misuse as a function of sexual orientation. Prevention and intervention efforts are needed for sexual minority adolescent boys. Pediatrics 2014;133:469-475

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“…In a meta-analysis of North American students, childhood sexual abuse was reported by 40 % of bisexual, 32 % of lesbian and 17 % of heterosexual women. 33 Compared to heterosexual women, bisexual women report higher rates of physical assault, injury by a partner, sexual assault, and lifetime victimization. 34 While the SAVA paradigm recognizes that women dealing with substance use and HIV also often experience violence, sexual minority status within this population may amplify this risk, with high-risk sex and substance use as mediators.…”

Section: Introductionmentioning

confidence: 99%