TY  - JOUR
PY  - 2023//
TI  - The sexual and gender minority adverse childhood experiences scale
JO  - American journal of preventive medicine
A1  - Schnarrs, Phillip W.
A1  - Dorri, Armin A.
A1  - Yockey, R. Andrew
A1  - Stone, Amy L.
A1  - Russell, Stephen T.
A1  - Rosenberger, Joshua G.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - INTRODUCTION: Sexual and gender minority adverse childhood experiences (SGM-ACEs) are identity-based forms of early life adversity. Exposure to SGM-ACEs is associated with increased odds for depression, anxiety and post-traumatic stress disorder in SGM adults. The purpose of this study was to further test a revised version of the measure in a U.S. sample with more robust and clinically relevant mental health outcomes. <br><br>METHODS: In May and June 2022, a national sample of SGM adults (n = 4,445) was recruited from a Qualtrics Panel to complete a 20-minute online survey that included questions regarding ACEs, SGM-ACEs, depression, anxiety, and post-traumatic stress disorder. Exploratory (EFA) and confirmatory factor analysis (CFA) were used to examine factor structure. Multivariable regression was used to assess criterion validity, and a sensitivity analysis was conducted. Data were analyzed in February 2023. <br><br>RESULTS: Respondents indicate that vicarious trauma (81%) and school bullying (67%), were the most common experiences, and that all SGM-ACEs were frequently occurring prior to adulthood. CFA determined a one factor solution. Participants with more SGM-ACEs exposure had worse anxiety, depression, and PTSD symptoms (β = 0.16, β = 0.18, β = 0.26, p <.0001, respectively), after controlling for ACEs exposure and demographic factors. A sensitivity analysis indicated that estimates were similar in terms of magnitude and direction. <br><br>CONCLUSIONS: SGM-ACEs are commonly and frequently occurring prior to adulthood and impact adult SGM mental health. Overall, the measure had good to excellent psychometric properties. Future research should consider integrating SGM-ACEs and Minority Stress Theory.<p />  <p>Language: en</p>
LA  - en
SN  - 0749-3797
UR  - http://dx.doi.org/10.1016/j.amepre.2023.08.006
ID  - ref1
ER  -