Minority Stress, Resilience, and Trouble Falling Asleep Among Gender and Sexual Minority Adolescents

IF 3.2 2区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL
Will J. Beischel, René-Marc Lavigne, Alexa Martin-Storey, Jean-Pascal Lemelin, Ryan J. Watson
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Abstract

Introduction

Gender and sexual minority adolescents experience greater stress and report worse sleep outcomes compared to their cisgender and/or heterosexual peers. Understanding how minority stress and resilience factors are linked to sleep health provides levers for improving sleep within these populations.

Methods

Using a cross-sectional survey of LGBTQ+ adolescents in the US conducted in 2017 (n = 11,282; Mage = 15.6 years; 65% white), we compared gender/sex and sexuality subgroups’ trouble falling asleep and conducted linear regressions relating trouble falling asleep to minority stress (i.e., violent victimization, bias-based victimization, and family rejection) and resilience (i.e., familial warmth, family acceptance, gender-affirming environments, teacher support, trusted adult at school, and presence of a gender-sexuality alliance [GSA]) factors for both gender and sexual minority adolescents.

Results

We found small but significant differences in sleep across gender/sex categories, with gender minorities and youth assigned female at birth having worse sleep than cisgender sexual minorities and youth assigned male at birth, respectively. Further, violent LGBTQ+ victimization and gender expression-based victimization were associated with more trouble falling asleep, and familial warmth was associated with less trouble falling asleep for both groups. For cisgender sexual minorities, family rejection and gender-based victimization were also linked with worse sleep while presence of a GSA and a trusted adult at school were linked with better sleep. For gender minorities, gender-segregated restroom use was also linked with better sleep.

Conclusions

Victimization prevention, increased access to school supports, and improved family connectedness may help enhance LGBTQ+ youth sleep quality and overall health.

Abstract Image

性别和性少数群体青少年的压力、恢复力和入睡困难。
引言:与顺性和/或异性恋同龄人相比,性别和性少数青少年承受着更大的压力,睡眠结果也更差。了解少数民族压力和恢复力因素如何与睡眠健康联系起来,为改善这些人群的睡眠提供了杠杆。方法:采用2017年对美国LGBTQ+青少年进行的横断面调查(n = 11,282;法师= 15.6岁;65%白人),我们比较了性别/性别和性取向亚组的入睡困难,并对性别和性取向少数群体青少年的入睡困难与少数群体压力(即暴力受害、基于偏见的受害和家庭拒绝)和弹性(即家庭温暖、家庭接受、性别肯定环境、教师支持、学校可信任的成年人和性别联盟[GSA]的存在)因素进行了线性回归。结果:我们发现不同性别/性别类别在睡眠方面存在微小但显著的差异,性别少数群体和出生时被指定为女性的青少年分别比顺性少数群体和出生时被指定为男性的青少年睡眠更差。此外,暴力的LGBTQ+受害者和基于性别表达的受害者与更多的入睡困难有关,家庭温暖与两组的入睡困难有关。对于顺性少数群体来说,家庭拒绝和基于性别的伤害也与睡眠质量差有关,而在学校里有一个GSA和一个值得信任的成年人则与睡眠质量好有关。对于少数性别群体来说,使用性别隔离的厕所也与更好的睡眠有关。结论:预防受害、增加获得学校支持的机会和改善家庭联系可能有助于提高LGBTQ+青少年的睡眠质量和整体健康。
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来源期刊
Journal of Adolescence
Journal of Adolescence PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.40
自引率
2.60%
发文量
123
期刊介绍: The Journal of Adolescence is an international, broad based, cross-disciplinary journal that addresses issues of professional and academic importance concerning development between puberty and the attainment of adult status within society. It provides a forum for all who are concerned with the nature of adolescence, whether involved in teaching, research, guidance, counseling, treatment, or other services. The aim of the journal is to encourage research and foster good practice through publishing both empirical and clinical studies as well as integrative reviews and theoretical advances.
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