Sexual orientation, parental support, and health during the transition to young adulthood.
Some recent studies suggest that sexual minorities may have worse health-related outcomes during adolescence because they report lower levels of family connectedness, a key protective resource. Using data from wave 3 of the National Longitudinal Study of Adolescent Health (n = 11,153; 50.6% female; mean age = 21.8 years), this study extends prior research on adolescents to young adults. We examine whether lesbian, gay, and bisexual (LGB) young adults report lower levels of parental support than their heterosexual peers and whether differences in parental support help explain why LGB young adults tend to have worse health-related outcomes. We find that lesbian and bisexual women report lower levels of parental support than heterosexual women and that gay men report lower levels of parental support than bisexual and heterosexual men. Compared to heterosexual women, lesbian and bisexual women have higher odds of suicidal thoughts and recent drug use; bisexual women also have higher odds of elevated depressive symptomatology and heavy drinking. Gay men have higher odds of suicidal thoughts than heterosexual men. With the exception of heavy drinking, parental support either partially or fully mediates each of the observed associations. Even though the transition from adolescence to young adulthood is characterized by increased independence from parents, parental support remains an important correlate of health-related outcomes during this stage of life. Sexual minorities report lower levels of parental support during young adulthood, which helps explain why they have worse health-related outcomes. Interventions designed to strengthen relationships between LGB young adults and their parents could lead to a reduction in health disparities related to sexual orientation.
Needham
Belinda L
BL
Department of Sociology and Social Work, University of Alabama at Birmingham, HHB 460K, 1530 3rd Ave. S., Birmingham, AL 35294-1152, USA. bneedham@uab.edu
Austin
Erika L
EL
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D000328:Adult; D001008:Anxiety Disorders / Q000453:epidemiology / Q000523:psychology; D001727:Bisexuality / Q000523:psychology / Q000706:statistics & numerical data; D015897:Comorbidity; D005260:Female; D006304:Health Status; D018452:Homosexuality, Female / Q000523:psychology / Q000706:statistics & numerical data; D018451:Homosexuality, Male / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D010287:Parent-Child Relations; D011287:Prejudice; D011606:Psychosexual Development; D017678:Sex Distribution; D019529:Sexuality / Q000523:psychology* / Q000706:statistics & numerical data*; D012944:Social Support; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
J Adolesc. 2001 Feb;24(1):111-27
11259074
Science. 1988 Jul 29;241(4865):540-5
3399889
Psychol Addict Behav. 2004 Jun;18(2):122-34
15238054
J Adolesc. 2001 Feb;24(1):5-13
11259066
Arch Gen Psychiatry. 1999 Oct;56(10):876-80
10530626
Am J Public Health. 2009 Jan;99(1):110-7
19008523
J LGBT Health Res. 2007;3(1):67-78
18029317
Am J Public Health. 2007 Nov;97(11):2017-9
17901445
Arch Sex Behav. 2000 Dec;29(6):607-27
11100265
J Adolesc Health. 1998 Sep;23(3):181-8
9730361
Am J Public Health. 2001 Aug;91(8):1276-81
11499118
Am Psychol. 2000 May;55(5):469-80
10842426
J Public Health (Oxf). 2010 Jun;32(2):191-201
19864495
Arch Gen Psychiatry. 2009 Feb;66(2):181-8
19188540
J Adolesc Health. 2006 Nov;39(5):662-8
17046502
Am J Public Health. 2002 Feb;92(2):198-202
11818291
Pediatrics. 2009 Jan;123(1):346-52
19117902