Format

Send to

Choose Destination
Arch Sex Behav. 2019 Jul;48(5):1463-1479. doi: 10.1007/s10508-019-1404-y. Epub 2019 May 23.

Sexual Identity and Behavior Among U.S. High School Students, 2005-2015.

Author information

1
Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 625 N Michigan Ave., #14-043, Chicago, IL, 60611, USA. glp2@northwestern.edu.
2
Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 625 N Michigan Ave., #14-043, Chicago, IL, 60611, USA.
3
Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY, USA.

Abstract

Sexual orientation is a multidimensional construct which is increasingly recognized as an important demographic characteristic in population health research. For this study, weighted Youth Risk Behavior Survey data were pooled across 47 jurisdictions biennially from 2005 to 2015, resulting in a national sample of 98 jurisdiction-years (344,815 students). Respondents were a median of 15.5 years, 49.9% male, and 48.8% White. Sexual identity and behavior trends from 2005 to 2015 were assessed with logistic regression analysis. Overall, 13.9% of females and 7.0% of males identified as lesbian, gay, bisexual (LGB), or not sure, while 9.1% of females and 4.2% of males indicated both same-and-different-sex behavior or same-sex behavior. In total, 17.0% of female and 8.5% of male youth reported non-heterosexual (LGB or not sure) sexual identity, same-sex sexual behavior, or both. LGB youth were approximately twice as likely as other youth to report lifetime sexual behavior. White and Asian youth were less likely to report non-heterosexual identity and/or have engaged in same-sex sexual behaviors than youth of other races/ethnicities. Prevalence of non-heterosexual identities increased over time for both sexes, but only female youth reported significantly more same-sex behavior over time. This is the first study to simultaneously assess adolescent sexual identity and behavior over time within a national dataset. These findings are critical for understanding the sexual health needs of adolescents and for informing sexual health policy and practice.

KEYWORDS:

Sexual behavior; Sexual identity; Sexual minority; Sexual orientation; Youth Risk Behavior Survey

PMID:
31123950
PMCID:
PMC6597280
[Available on 2020-07-01]
DOI:
10.1007/s10508-019-1404-y

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center