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AJPH First Look, published online ahead of print Nov 13, 2008
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American Journal of Public Health, 10.2105/AJPH.2007.123109


Research and Practice

Protective Factors in the Lives of Bisexual Adolescents in North America

Elizabeth M. Saewyc 1*, Yuko Homma 1, Carol L. Skay 2, Linda H. Bearinger 2, Michael D. Resnick 3, Elizabeth Reis 4

1 University of British Columbia School of Nursing
2 University of Minnesota School of Nursing
3 University of Minnesota Department of Pediatrics
4 Public Health - Seattle and King County

* To whom correspondence should be addressed. E-mail: saewyc{at}interchange.ubc.ca.


   Abstract

Objectives. We compared protective factors among bisexual adolescents with those of heterosexual, mostly heterosexual, and gay or lesbian adolescents.

Methods. We analyzed 6 school-based surveys in Minnesota and British Columbia. Sexual orientation was measured by gender of sexual partners, attraction, or self-labeling. Protective factors included family connectedness, school connectedness, and religious involvement. General linear models, conducted separately by gender and adjusted for age, tested differences between orientation groups.

Results. Bisexual adolescents reported significantly less family and school connectedness than did heterosexual and mostly heterosexual adolescents and higher or similar levels of religious involvement. In surveys that measured orientation by self-labeling or attraction, levels of protective factors were generally higher among bisexual than among gay and lesbian respondents. Adolescents with sexual partners of both genders reported levels of protective factors lower than or similar to those of adolescents with same-gender partners.

Conclusions. Bisexual adolescents had lower levels of most protective factors than did heterosexual adolescents, which may help explain their higher prevalence of risky behavior. Social connectedness should be monitored by including questions about protective factors in youth health surveys.

Key Words: Adolescent Health, School Health, Lesbian/Gay/Bisexual/Transgender Persons, Surveys







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