TY - JOUR PY - 2009// TI - Out yonder: sexual-minority adolescents in rural communities in British Columbia JO - American journal of public health A1 - Poon, Colleen S. A1 - Saewyc, Elizabeth M. SP - 118 EP - 124 VL - 99 IS - 1 N2 - 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.

Language: en

LA - en SN - 0090-0036 UR - http://dx.doi.org/10.2105/AJPH.2007.122945 ID - ref1 ER -