Sexual and gender minority youth in Canada: An investigation of disparities in positive mental health

被引:0
作者
Hajo, Sonia [1 ,2 ]
Capaldi, Colin A. [1 ]
Liu, Li [1 ]
机构
[1] Publ Hlth Agcy Canada, Ctr Surveillance & Appl Res, Ottawa, ON, Canada
[2] McGill Univ, Dept Epidemiol Biostat & Occupat Hlth, Montreal, PQ, Canada
来源
CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE | 2025年 / 116卷 / 01期
关键词
Mental health; Adolescent well-being; Happiness; Satisfaction; Sexual and gender minorities; Health inequalities; Sant & eacute; mentale; bien-& ecirc; tre des adolescents; bonheur; satisfaction; minorit & eacute; s sexuelles et de genre; in & eacute; galit & eacute; s en mati & egrave; re de sant & eacute; DEPRESSIVE SYMPTOMS; TRANSGENDER; ADOLESCENTS;
D O I
10.17269/s41997-024-00931-4
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
ObjectivesWhile studies indicate that 2SLGBTQ + youth are more likely to experience negative psychological outcomes compared to their heterosexual and cisgender peers, less is known about the positive mental health (PMH) of 2SLGBTQ + youth in Canada. To fill this gap, we investigated disparities in PMH by self-reported sexual attraction among 15-17-year-olds and gender modality among 12-17-year-olds.MethodsWe analyzed data from youth respondents in the 2019 Canadian Health Survey on Children and Youth. We obtained estimates of average life satisfaction and high self-rated mental health, happiness, autonomy, competence, and relatedness for youth with an exclusively heterosexual attraction and youth with a minority sexual attraction (those exclusively attracted to the same gender, and those attracted to both females and males), and for cisgender and gender minority youth. Regression analyses were conducted to test for disparities on each PMH outcome.ResultsCompared with exclusively heterosexual youth, sexual minority youth reported lower life satisfaction and were less likely to report high self-rated mental health, happiness, autonomy, competence, and relatedness. Significant disparities were more consistently found for youth attracted to both females and males than youth exclusively attracted to the same gender. Gender minority (versus cisgender) youth also reported lower average life satisfaction and were less likely to report high self-rated mental health, happiness, autonomy, competence, and relatedness.ConclusionAlthough this study provides evidence for the presence of disparities in PMH, its strength-based focus on PMH also documents the presence of well-being among many sexual and gender minority youth in Canada. ObjectifsAlors que les & eacute;tudes indiquent que les jeunes 2ELGBTQ + sont plus susceptibles de subir des cons & eacute;quences psychologiques n & eacute;gatives que leurs pairs h & eacute;t & eacute;rosexuels et cisgenres, nous en savons moins sur la sant & eacute; mentale positive (SMP) des jeunes 2ELGBTQ + au Canada. Pour combler cette lacune, nous avons & eacute;tudi & eacute; les disparit & eacute;s en mati & egrave;re de SMP en fonction de l'attirance sexuelle d & eacute;clar & eacute;e par les jeunes concern & eacute;s de 15 & agrave; 17 ans et de la modalit & eacute; de genre d & eacute;clar & eacute;e par les jeunes de 12 & agrave; 17 ans.M & eacute;thodesNous avons analys & eacute; les donn & eacute;es relatives aux jeunes r & eacute;pondants dans le cadre de l'Enqu & ecirc;te canadienne sur la sant & eacute; des enfants et des jeunes de 2019. Nous avons obtenu des estimations de la satisfaction moyenne & agrave; l'& eacute;gard de la vie et de la sant & eacute; mentale auto & eacute;valu & eacute;e & eacute;lev & eacute;e, du bonheur, de l'autonomie, de la comp & eacute;tence et de l'appartenance sociale pour les jeunes ayant une attirance exclusivement h & eacute;t & eacute;rosexuelle et les jeunes ayant une attirance sexuelle minoritaire (ceux qui sont attir & eacute;s exclusivement par le m & ecirc;me genre et ceux qui sont attir & eacute;s & agrave; la fois par les femmes et les hommes), ainsi que pour les jeunes cisgenres et les jeunes appartenant & agrave; une minorit & eacute; de genre. Des analyses de r & eacute;gression ont & eacute;t & eacute; effectu & eacute;es pour v & eacute;rifier l'existence de disparit & eacute;s pour chaque r & eacute;sultat en mati & egrave;re de SMP.R & eacute;sultatsPar rapport aux jeunes exclusivement h & eacute;t & eacute;rosexuels, les jeunes appartenant & agrave; une minorit & eacute; sexuelle ont d & eacute;clar & eacute; une plus faible satisfaction & agrave; l'& eacute;gard de la vie et & eacute;taient moins susceptibles d'& eacute;valuer leur sant & eacute; mentale, leur bonheur, leur autonomie, leurs comp & eacute;tences et leur appartenance sociale comme & eacute;tant & eacute;lev & eacute;s. Des disparit & eacute;s significatives ont & eacute;t & eacute; plus r & eacute;guli & egrave;rement constat & eacute;es chez les jeunes attir & eacute;s & agrave; la fois par les femmes et les hommes que chez ceux exclusivement attir & eacute;s par le m & ecirc;me genre. Les jeunes appartenant & agrave; une minorit & eacute; de genre (par rapport aux jeunes cisgenres) ont & eacute;galement fait & eacute;tat d'une plus faible satisfaction moyenne & agrave; l'& eacute;gard de la vie et & eacute;taient moins susceptibles d'& eacute;valuer leur sant & eacute; mentale, leur bonheur, leur autonomie, leurs comp & eacute;tences et leur appartenance sociale comme & eacute;tant & eacute;lev & eacute;s.ConclusionBien que cette & eacute;tude fournisse des preuves de l'existence de disparit & eacute;s en mati & egrave;re de SMP, sa focalisation sur les points forts de la SMP documente & eacute;galement la pr & eacute;sence du bien-& ecirc;tre chez de nombreux jeunes des minorit & eacute;s sexuelles et de genre au Canada.
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页码:86 / 96
页数:11
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