@article{ref1,
title="Out yonder: sexual-minority adolescents in rural communities in British Columbia",
journal="American journal of public health",
year="2009",
author="Poon, Colleen S. and Saewyc, Elizabeth M.",
volume="99",
number="1",
pages="118-124",
abstract="OBJECTIVES: We compared sexual-minority adolescents living in rural communities with their peers in urban areas in British Columbia, exploring differences in emotional health, victimization experiences, sexual behaviors, and substance use. METHODS: We analyzed a population-based sample of self-identified lesbian, gay, or bisexual respondents from the British Columbia Adolescent Health Survey of 2003 (weighted n=6905). We tested rural-urban differences separately by gender with the chi2 test and logistic regressions. RESULTS: We found many similarities and several differences. Rural sexual-minority adolescent boys were more likely than were their urban peers to report suicidal behaviors and pregnancy involvement. Rural sexual-minority adolescents, especially girls, were more likely to report various types of substance use. Rural status was associated with a lower risk of dating violence and higher risk of early sexual debut for sexual-minority girls and a higher risk of dating violence and lower risk of early sexual debut for sexual-minority boys. CONCLUSIONS: Location should be a demographic consideration in monitoring the health of sexual-minority adolescents. Lesbian, gay, and bisexual adolescents in rural communities may need additional support and services as they navigate adolescence.<p /> <p>Language: en</p>",
language="en",
issn="0090-0036",
doi="10.2105/AJPH.2007.122945",
url="http://dx.doi.org/10.2105/AJPH.2007.122945"
}