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Ancheta AJ, Caceres BA, Jackman KB, et al. Sexual Identity Differences in Health Behaviors and Weight Status among Urban High School Students. Behav Med. 2020;47(4):259-271doi: 10.1080/08964289.2020.1763903.
Ancheta, A. J., Caceres, B. A., Jackman, K. B., Kreuze, E., & Hughes, T. L. (2021). Sexual Identity Differences in Health Behaviors and Weight Status among Urban High School Students. Behavioral medicine (Washington, D.C.), 47(4), 259-271. https://doi.org/10.1080/08964289.2020.1763903
Ancheta, April J, et al. "Sexual Identity Differences in Health Behaviors and Weight Status among Urban High School Students." Behavioral medicine (Washington, D.C.) vol. 47,4 (2021): 259-271. doi: https://doi.org/10.1080/08964289.2020.1763903
Ancheta AJ, Caceres BA, Jackman KB, Kreuze E, Hughes TL. Sexual Identity Differences in Health Behaviors and Weight Status among Urban High School Students. Behav Med. 2021 Jul-Sep;47(4):259-271. doi: 10.1080/08964289.2020.1763903. Epub 2020 Jun 17. PMID: 34719340; PMCID: PMC8560978.
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Behav Med. 2021 Jul-Sep;47(4):259-271. doi: 10.1080/08964289.2020.1763903. Epub 2020 Jun 17.

Sexual Identity Differences in Health Behaviors and Weight Status among Urban High School Students.

Behavioral medicine (Washington, D.C.)

April J Ancheta, Billy A Caceres, Kasey B Jackman, Elizabeth Kreuze, Tonda L Hughes

Affiliations

  1. Columbia University School of Nursing, New York, New York, USA.
  2. Henrik H. Bendixen Professor of International Nursing (in Psychiatry), Columbia University School of Nursing, New York, New York, USA.

PMID: 34719340 PMCID: PMC8560978 DOI: 10.1080/08964289.2020.1763903

Abstract

Although racial/ethnic disparities in childhood obesity are well documented in the United States (U.S.), fewer studies have investigated elevated body mass index (BMI) and related health behaviors among sexual minority youth (SMY; gay/lesbian, bisexual, not sure). We examined pooled data from the 2009-2017 Youth Risk Behavior Surveys, which included high school students from 12 urban U.S. school districts. We used sex-stratified logistic regression models to estimate the association of sexual identity with health behaviors and elevated BMI (reference = heterosexual participants). A total of 133,615 participants were included. Sexual minority boys were more likely to report physical inactivity than heterosexual boys. Gay and not sure boys were also less likely to consume the recommended daily intake of fruit. Bisexual girls were more likely than heterosexual girls to report watching television ≥ 3 hours on a school day and to consume sugar-sweetened beverages (AOR 1.30, 95% CI= 1.18-1.43). All SMY reported higher rates of current tobacco use than their heterosexual peers. Sexual minority girls and bisexual boys had significantly higher rates of obesity than their heterosexual counterparts. These findings can inform tailored health promotion initiatives to reduce obesity risk in SMY.

Keywords: adolescent health; health behaviors; health disparities; health promotion; physical activity; sexual minority; weight status

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