Application of an intersectional framework to understanding the association of disability and sexual orientation with suicidal ideation among Oregon Teens
| Autor: | Elena M. Andresen, Willi Horner-Johnson, César Higgins Tejera |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Risk Adolescent Sexual Behavior Violence Suicidal Ideation Oregon Sexual and Gender Minorities 03 medical and health sciences symbols.namesake 0302 clinical medicine Risk Factors Surveys and Questionnaires medicine Humans Disabled Persons 030212 general & internal medicine Poisson regression Heterosexuality Suicidal ideation Minority Groups Reference group Cause of death Public Health Environmental and Occupational Health Absolute risk reduction Homosexuality General Medicine Sexual minority Suicide Cross-Sectional Studies Relative risk Sexual orientation symbols Bisexuality Female medicine.symptom Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Disability and Health Journal. 12:557-563 |
| ISSN: | 1936-6574 |
| Popis: | Background Suicide is the second leading cause of death among U.S. youth. Prior research has found that disability and sexual orientation are each independently associated with suicide risk. However, most analyses regarding sexual orientation or disability in relation to teenagers’ health have isolated the effects of these identities via multiple regression models. That approach assumes there is no multiplicative or synergistic effect between the two identities. Objective To examine the association between suicidal ideation and the intersection of disability and sexual orientation. Methods Cross-sectional data from the 2015 Oregon Healthy Teens Survey were analyzed using Poisson regression analysis with robust variance to estimate the relationship between the intersection of disability and sexual orientation and youth reports of suicidal ideation. We calculated three measures of interaction: 1) the excess risk due to interaction (RERI); 2) the proportion attributable to interaction (AP); and 3) the synergy index (SI). Results Sexual minority teenagers with disabilities had higher risk of suicidal ideation (adjusted relative risk [ARR] = 2.82, 95% CI: 2.47–3.21) with respect to heterosexual teenagers without disabilities. The risk was also elevated, to a lesser degree, for heterosexual youth with disabilities (ARR = 1.97, 95% CI: 1.78–2.19) and LGB youth without disabilities (ARR = 2.17, 95% CI: 1.95–2.42) with respect to the reference group. Our measures of interaction were indicative of a synergistic effect between disability and sexual orientation. Conclusions Our findings suggest the combination of disability and minority sexual orientation may be associated with compounded negative experiences that could exacerbate the risk of suicide. |
| Databáze: | OpenAIRE |
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