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Sexual Identity, Gender Identity, and Risk Behaviors in the 2019 Vermont Youth Risk Behavior Survey

Eckenrod, Alexandrea
Ivanciu, Alexandra
Fleming, Emily
Rasumussen, Avery
Gleason, Kelsey
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Abstract Title: Sexual Identity, Gender Identity, and Risk Behaviors in the 2019 Vermont Youth Risk Behavior Survey Objective To examine the association between self-reported sexual identity, gender identity, and sexual risk behaviors in the 2019 Vermont Youth Risk Behavior Survey (YRBS). Methods We built a multivariate binomial logistic regression models to assess the relationship among sexual identity, gender identity, and Sexual Risk Index (SRI), a novel binary summary score (low vs. high risk) of endorsed YRBS items related to sexual risk behaviors. The regression models included potential confounders and demographic variables of interest found to be statistically significant through univariate analyses (p < 0.05). Results Results of the analysis for the association between SRI and transgender identity demonstrated an OR = 4.5 (p < 0.01; 95% CI = 1.46, 13.99). Results of the analysis for the association between SRI and sexual identity (gay or lesbian) demonstrated an OR = 4.2 (p < 0.01; 95% CI = 2.47, 7.05). Conclusions Students identifying as gay or lesbian, or transgender are significantly more likely to engage in risky sexual behavior compared to cisgender, heterosexual peers. The results of this study underscore the need for increased support of LGBTQ youth in school settings.
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2021-01-01
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