Associations of a Multilevel School Health Program and Health Outcomes Among Lesbian, Gay, and Bisexual Youth.
Autor: | Suarez, Nicolas A., Cooper, Adina C., Kaczkowski, Wojciech, Li, Jingjing, Robin, Leah, Sims, Valerie M. |
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Předmět: |
STUDENT health
EVALUATION of medical care CLUSTER sampling STATISTICS RISK-taking behavior SCHOOL health services EVALUATION of human services programs CONFIDENCE intervals HEALTH services accessibility MULTIPLE regression analysis HEALTH behavior in adolescence SURVEYS PEARSON correlation (Statistics) DESCRIPTIVE statistics QUESTIONNAIRES CHI-squared test ODDS ratio SEXUAL health GAY people HEALTH promotion ADOLESCENCE |
Zdroj: | AIDS Education & Prevention; Oct2022, Vol. 34 Issue 5, p395-412, 22p |
Abstrakt: | Lesbian, gay, and bisexual (LGB) adolescents are often at higher risk than their heterosexual peers for adverse sexual health, violence, mental health, and substance use outcomes. Schools are a vital resource for enhancing protective behaviors and reducing risk behaviors. Sixteen school districts selected schools to implement a sexual health program (exposed) or usual programming (unexposed). We analyzed LGB student health outcomes using 2015 and 2017 Youth Risk Behavior Surveys. Analyses compared LGB student health outcomes by exposure status across time points using a multilevel approach. Program exposure was associated with decreased odds of ever having sex, ever testing for HIV, and using effective hormonal birth control, and an increased odds of condom use. There were no significant findings among secondary violence, mental health, and substance use outcomes. This evaluation highlights the potential for schools to reduce sexual risk behaviors among LGB youth, and opportunities to improve access to health services. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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