Historically, Black sexuality has been depicted through a risk-based lens rather than a sex-positive lens. This study analyzed data from a subset of 540 Black heterosexual adolescents and adults who participated in the 2018 National Survey of Sexual Health and Behavior. Masturbation, penile-vaginal intercourse, and oral sex were the most prevalent…

Sexual health education experienced by lesbian, gay, and bisexual (LGB) youth varies widely in relevancy and representation. However, associations among sexual orientation, type of sex education, and exposure to affirming or disaffirming content have yet to be examined. Understanding these patterns can help to address gaps in LGB-sensitive sex…

Few sexual health studies have examined subgroup differences in youth risk behaviors that sufficiently account for sexual orientation and gender identity. This study used 2017 New York City Youth Risk Behavior Survey data (N = 10,191), a stratified cluster-sampled survey, to examine descriptive differences in the prevalence of risky sexual…

Background: Mental health care is critical to improving mental health but factors associated with student utilization are poorly understood. Methods: Data were from high school students (N = 2933; mean age = 15.7 ± 0.6) enrolled in a California cohort. We examined associations of sociodemographic factors, substance use, and mental health symptoms…

Gender-Sexuality Alliances (GSAs) are school clubs for LGBTQ+ youth and peer allies to support one another. This eight-week weekly diary study considered whether a youth's positive and negative affect during a given week could be predicted by experiences in their most recently attended GSA meeting. Ninety-nine GSA members (M[subscript age] =…

For lesbian, gay, bisexual, or queer (i.e., sexual minority [SM]) youth, coming out is an important developmental milestone and is typically associated with positive well-being. However, coming out in high school may entail a higher risk of school-based victimization. Due to the greater risk of homophobic bullying, the implications of being out in…

The CDC reports that the association between bullying and suicides among teenagers has generated "concern, even panic," but policies aimed at combatting bullying have received little attention from researchers. Using a difference-in-differences estimation strategy, we find that state-level anti-bullying laws (ABLs) reduce bullying…

Because most parent-adolescent sex communication studies are from the perspectives of sexual and gender minority (SGM) adolescents rather than their parents, we surveyed 54 parents of SGM adolescents in the Southern region in the U.S. about their HIV-related parent-adolescent sex communication (PASC) practices. We compared topics discussed between…

Sexual minority adolescents have worse sleep health than their peers. Adolescents who identify as heterosexual and report prior same-sex sexual contact (termed 'discordant heterosexuals') have elevated health risks, but little is known about this group's sleep health. This study examined 2015-2017 Youth Risk Behavior Survey data (n = 12,773 high…

Bullying victimization remains to be a public health concern in the United States, especially among sexual and ethnic minority youth. However, few studies have examined how school outcomes might be associated with bullying victimization among heterosexual and sexual minority African American youth and the factors that may attenuate that…

The purpose of this study was to examine the association between sexual identity-behavior concordance and discordance with meeting recommendations for 24-hour movement behaviors in adolescents. Participants were US adolescents who reported a history of sexual partners from the 2015-2019 National Youth Risk Behavior Survey (N = 19688; 49.3%…

Objectives: To estimate individual and group trajectories of substance use among heterosexual and sexual minority adolescent females (SMFs) and evaluate longitudinal substance use disparities. Methods: Annual self-reported substance use data (frequency of cigarette, alcohol, and marijuana use) across ages 13-20 years were used to estimate…

Bullying is common among students; however, there are several individual characteristics or identities that make an adolescent more susceptible to victimization. This secondary data analysis of a sample of 20,302 high school students in Wisconsin uses a multilevel model to assess common risk factors such as gender identity, sexual orientation,…

This study quantified changes in self-reported sexual orientation from adolescence to early adulthood, and whether childhood gender nonconformity (GNC) predicted sexual orientation changes. Youth (2,678 boys and 3,359 girls; 96.09% ethnically White) from the Avon Longitudinal Study of Parents and Children (ALSPAC) were included. Self-reported…

This study presents results from a randomized experiment in the 2015-2017 National Survey of Family Growth, where a large national sample of U.S. individuals aged 15-49 was randomly assigned to one of two different versions of a survey question about sexual identity (one with three response options, including heterosexual, gay/lesbian, and…