%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