Intersectional inequities in suicide ideation by race, sexual orientation, and gender among U.S. high school students in the pre and post 2020 waves of the YRBSS: An application of random effects intersectional MAIHDA.

IF 4.8 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Junaid S Merchant, Thu T Nguyen, Katrina Makres, Clare R Evans
{"title":"Intersectional inequities in suicide ideation by race, sexual orientation, and gender among U.S. high school students in the pre and post 2020 waves of the YRBSS: An application of random effects intersectional MAIHDA.","authors":"Junaid S Merchant, Thu T Nguyen, Katrina Makres, Clare R Evans","doi":"10.1093/aje/kwaf114","DOIUrl":null,"url":null,"abstract":"<p><p>The U.S. faces a youth mental health crisis. Few studies have examined how the disruptions of 2020 impacted existing mental health inequities. I-MAIHDA (intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy) is a methodological innovation that provides social epidemiology with a theory-informed and rigorous approach to quantify changing intersectional health inequities. Using 2017-2021 data from the Youth Risk Behavior Surveillance System, we illustrate the use of logistic I-MAIHDA with random effects to estimate intersectional inequities in suicidal ideation among U.S. high school students by race, sexual orientation, and gender. Before 2020, we found substantial inequities in suicidal ideation prevalence, ranging from 9.8-12.7% among heterosexual boys to over 50% among bisexual Multi-race/Other and White girls. We also found notable changes between the pre-2020 and 2021 waves. Strata at the lowest (heterosexual boys) and highest risk (bisexual girls) showed little change, while middle ranked strata - Black Other/Questioning and lesbian girls, White Other/Questioning boys and girls, and Multi-race/Other gay boys - reported large increases in suicidal ideation. Our findings suggest worsening teen mental health in the 2017-2021 period, particularly among racial and sexual minorities. This study highlights the value of I-MAIHDA and population surveys like YRBSS for understanding changes in intersectional health inequities.</p>","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":4.8000,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of epidemiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/aje/kwaf114","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

The U.S. faces a youth mental health crisis. Few studies have examined how the disruptions of 2020 impacted existing mental health inequities. I-MAIHDA (intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy) is a methodological innovation that provides social epidemiology with a theory-informed and rigorous approach to quantify changing intersectional health inequities. Using 2017-2021 data from the Youth Risk Behavior Surveillance System, we illustrate the use of logistic I-MAIHDA with random effects to estimate intersectional inequities in suicidal ideation among U.S. high school students by race, sexual orientation, and gender. Before 2020, we found substantial inequities in suicidal ideation prevalence, ranging from 9.8-12.7% among heterosexual boys to over 50% among bisexual Multi-race/Other and White girls. We also found notable changes between the pre-2020 and 2021 waves. Strata at the lowest (heterosexual boys) and highest risk (bisexual girls) showed little change, while middle ranked strata - Black Other/Questioning and lesbian girls, White Other/Questioning boys and girls, and Multi-race/Other gay boys - reported large increases in suicidal ideation. Our findings suggest worsening teen mental health in the 2017-2021 period, particularly among racial and sexual minorities. This study highlights the value of I-MAIHDA and population surveys like YRBSS for understanding changes in intersectional health inequities.

美国高中生种族、性取向和性别自杀意念的交叉不平等:随机效应交叉MAIHDA的应用
美国面临着青少年心理健康危机。很少有研究调查2020年的混乱如何影响现有的心理健康不平等。I-MAIHDA(个体异质性和歧视性准确性的交叉多层次分析)是一项方法学创新,为社会流行病学提供了一种有理论依据和严格的方法来量化不断变化的交叉卫生不平等。使用2017-2021年来自青少年风险行为监测系统的数据,我们说明了使用随机效应的logistic I-MAIHDA来估计美国高中生在种族、性取向和性别方面的自杀意念的交叉不平等。在2020年之前,我们发现在自杀意念患病率方面存在很大的不平等,异性恋男孩的自杀意念患病率为9.8-12.7%,而双性恋多种族/其他种族和白人女孩的自杀意念患病率超过50%。我们还发现,2020年前和2021年前的波浪之间存在显著变化。最低的阶层(异性恋男孩)和最高的风险阶层(双性恋女孩)几乎没有变化,而排名中间的阶层-黑人其他/质疑和女同性恋女孩,白人其他/质疑男孩和女孩,以及多种族/其他同性恋男孩-报告自杀意念大幅增加。我们的研究结果表明,在2017-2021年期间,青少年的心理健康状况正在恶化,尤其是在种族和性少数群体中。这项研究强调了I-MAIHDA和像YRBSS这样的人口调查在了解交叉卫生不平等变化方面的价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
American journal of epidemiology
American journal of epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
7.40
自引率
4.00%
发文量
221
审稿时长
3-6 weeks
期刊介绍: The American Journal of Epidemiology is the oldest and one of the premier epidemiologic journals devoted to the publication of empirical research findings, opinion pieces, and methodological developments in the field of epidemiologic research. It is a peer-reviewed journal aimed at both fellow epidemiologists and those who use epidemiologic data, including public health workers and clinicians.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信