Parents Matter: Associations Between Parent Connectedness and Sexual Health Indicators Among Transgender and Gender-Diverse Adolescents.

IF 3.4 2区 医学 Q1 DEMOGRAPHY
Perspectives on Sexual and Reproductive Health Pub Date : 2020-12-01 Epub Date: 2021-01-07 DOI:10.1363/psrh.12168
Camille Brown, Marla E Eisenberg, Barbara J McMorris, Renee E Sieving
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引用次数: 6

Abstract

Context: Transgender and gender-diverse youth experience significant health disparities across numerous domains of health, including sexual health. Among general populations, parent connectedness has been strongly associated with youth sexual health.

Methods: The relationships between parent connectedness and sexual health indicators were investigated among 2,168 transgender and gender-diverse youth who participated in the 2016 Minnesota Student Survey, a statewide population-based survey of ninth- and 11th-grade students. Multivariate logistic regression models, stratified by sex assigned at birth, tested associations between parent connectedness-youth's perceptions of parent caring and parent-youth communication-and eight sexual health indicators: ever having had sex, having multiple sexual partners in the past year, pregnancy involvement, substance use at last sex, partner communication about STI prevention, partner communication about pregnancy prevention, condom use at last sex and pregnancy prevention methods at last sex.

Results: The level of parent connectedness was inversely associated with ever having had sex, regardless of sex assigned at birth (odds ratios, 0.6-0.8). Although level of connectedness was inversely associated with having multiple sexual partners in the past year and pregnancy involvement among transgender and gender-diverse youth assigned male at birth (0.6-0.7), these relationships were nonsignificant among transgender and gender-diverse youth assigned female at birth. Further differences in associations between parent connectedness and four sexual risk-reduction behaviors were found between youth assigned male at birth and those assigned female.

Conclusions: As with other populations, parent connectedness promotes sexual health among transgender and gender-diverse youth and may provide a point of intervention.

父母问题:跨性别和性别多样化青少年中父母联系与性健康指标之间的关系。
背景:跨性别和性别多样化的青年在包括性健康在内的许多健康领域都经历着巨大的健康差异。在一般人群中,父母关系与青少年性健康密切相关。方法:对参加2016年明尼苏达州学生调查的2168名跨性别和性别多样化青少年进行调查,调查父母联系与性健康指标之间的关系,这是一项基于全州九年级和十一年级学生的人口调查。多变量逻辑回归模型,按出生性别分层,测试了父母联系-青少年对父母关怀和父母-青少年沟通的看法-与八项性健康指标之间的关联:是否有过性行为、在过去一年内有多个性伴侣、是否怀孕、最后一次性行为时是否使用药物、性伴侣关于性传播感染预防的沟通、性伴侣关于怀孕预防的沟通、最后一次性行为时是否使用避孕套以及最后一次性行为时预防怀孕的方法。结果:无论出生性别如何,父母联系程度与是否发生过性行为呈负相关(优势比为0.6-0.8)。尽管在变性人和性别多样化的男性青少年中,连通性水平与过去一年有多个性伴侣和怀孕相关(0.6-0.7),但这些关系在变性人和性别多样化的女性青少年中不显著。在出生时被指定为男性的青少年和被指定为女性的青少年之间,父母联系和四种性风险降低行为之间的联系存在进一步的差异。结论:与其他人群一样,父母联系促进跨性别和性别多样化青年的性健康,并可能提供一个干预点。
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来源期刊
CiteScore
5.10
自引率
3.40%
发文量
24
期刊介绍: Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.
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