New Morbidity and Mortality Weekly Report (MMWR) on “Sexual Identity, Sex of Sexual Contacts, and Health-Risk Behaviors Among Students in Grades 9–12 — Youth Risk Behavior Surveillance, Selected Sites, United States, 2001–2009” reports on the high health risks round among gay, lesbian and bisexual students from state risk surveys that collect this information. Below are some of the highlights found from the report drawn from the executive summary.
You may recall that the CDC was developing this report from Dr. Frieden’s letter to the Network, and we’ve been discussing the importance of including LGBT questions on the (Youth Risk Behavior Surveillance Survey) YRBSS.
Where is the data coming from?
The YRBSS data from 2001-2009, but from only states that collect information on sexual orientation—Connecticut, Delaware, Maine, Massachusetts, Rhode Island, Vermont, and Wisconsin—and six large urban school districts—Boston, Chicago, Milwaukee, New York City, San Diego, and San Francisco.
What does it study? (highlighted points show areas LGB students are more at-risk than their peers)
- Behaviors that contribute to violence (e.g., did not go to school because of safety concerns)
- Behaviors related to attempted suicide (e.g., made a suicide plan)
- Behaviors that contribute to unintentional injuries (e.g., rarely or never wore a seat belt)
- Tobacco use (e.g., ever smoked cigarettes)
- Alcohol use (e.g., binge drinking)
- Other drug use (e.g., current marijuana use)
- Sexual behaviors (e.g., condom use)
- Dietary behaviors (e.g., ate vegetables 3 or more times per day)
- Physical activity and sedentary behaviors (e.g., physically active at least 60 minutes per day for 7 days)
- Weight management (e.g., did not eat for 24 or more hours to lose weight or to keep from gaining weight)
What does it say?
That gay, lesbian and bisexual students are at “disproportionate” risk than their heterosexual counterparts among all these above categories that were studied. In fact the overall prevalence or risk for LGB students was 49-90% higher than that of straight students.
As suspected, the prevalence of current cigarette use among straight students ranged from 8% to 19% but ranged from 20% to 48% among gay and lesbian students.
Bisexual students seemed to have the worst of all health disparities with higher prevalence. For example the prevalence of students who did not go to school because of safety concerns on at least 1 day during the 30 days before the survey ranged from 4% to 11% among heterosexual students but ranged from 11% to 25% among bisexual students.
What this means?
This report represents the first time that the federal government has conducted an analysis of this magnitude across such a wide array of states, large urban school districts, and risk behaviors. Even more states and cities are now collecting LGB questions in their surveys, so hopefully this will lead to more information, and with increased advocacy of late, even more states will add these questions.
Public health and school health policies and practices should be developed to support the establishment of safe and supportive environments for sexual minority students.
More cultural competency trainings, like requirements we saw of NYC hospital staff, should be required of school staff and faculty.
More needs to be done to assess risk and collect data on LGB (and T) questions on youth surveys. CDC has some answers on what it is doing: LGBTQ Youth Programs-At-A-Glance.
Read more here: http://cdc.gov/healthyyouth/disparities/smy.htm