%0 Journal Article
%T Mediation by peer violence victimization of sexual orientation disparities in cancer-related tobacco, alcohol, and sexual risk behaviors: pooled youth risk behavior surveys
%J American journal of public health
%D 2014
%A Rosario, Margaret
%A Corliss, Heather L.
%A Everett, Bethany G.
%A Russell, Stephen T.
%A Buchting, Francisco O.
%A Birkett, Michelle A.
%V 104
%N 6
%P 1113-1123
%X OBJECTIVEs. We examined the role of adolescent peer violence victimization (PVV) in sexual orientation disparities in cancer-related tobacco, alcohol, and sexual risk behaviors.
METHODS. We pooled data from the 2005 and 2007 Youth Risk Behavior Surveys. We classified youths with any same-sex sexual attraction, partners, or identity as sexual minority and the remainder as heterosexual. We had 4 indicators of tobacco and alcohol use and 4 of sexual risk and 2 PVV factors: victimization at school and carrying weapons. We stratified associations by gender and race/ethnicity.
RESULTS. PVV was related to disparities in cancer-related risk behaviors of substance use and sexual risk, with odds ratios (ORs) of 1.3 (95% confidence interval [CI] = 1.03, 1.6) to 11.3 (95% CI = 6.2, 20.8), and to being a sexual minority, with ORs of 1.4 (95% CI = 1.1, 1.9) to 5.6 (95% CI = 3.5, 8.9). PVV mediated sexual orientation disparities in substance use and sexual risk behaviors.
FINDINGS were pronounced for adolescent girls and Asian/Pacific Islanders.
CONCLUSIONS. Interventions are needed to reduce PVV in schools as a way to reduce sexual orientation disparities in cancer risk across the life span.
Language: en
%G en %I American Public Health Association %@ 0090-0036 %U http://dx.doi.org/10.2105/AJPH.2013.301764