TY - JOUR
PY - 2014//
TI - Mediation by peer violence victimization of sexual orientation disparities in cancer-related tobacco, alcohol, and sexual risk behaviors: pooled youth risk behavior surveys
JO - American journal of public health
A1 - Rosario, Margaret
A1 - Corliss, Heather L.
A1 - Everett, Bethany G.
A1 - Russell, Stephen T.
A1 - Buchting, Francisco O.
A1 - Birkett, Michelle A.
SP - 1113
EP - 1123
VL - 104
IS - 6
N2 - 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
LA - en SN - 0090-0036 UR - http://dx.doi.org/10.2105/AJPH.2013.301764 ID - ref1 ER -