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Sexual Fluidity in Identity and Behavior Among Cisgender Youth: Findings from the Longitudinal Growing up with Media Study - 17/06/23

Doi : 10.1016/j.jpeds.2023.01.020 
Sabra L. Katz-Wise, PhD 1, 2, 3, , Nicholas S. Perry, PhD 4, Kimberly M. Nelson, PhD, MPH 5, 6 , Allegra R. Gordon, ScD 1, 2, 5, Michele L. Ybarra, MPH, PhD 7
1 Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA 
2 Department of Pediatrics, Harvard Medical School, Boston, MA 
3 Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA 
4 Department of Psychology, University of Denver, Denver, CO 
5 Department of Community Health Sciences, Boston University School of Public Health, Boston, MA 
6 Department of Psychiatry, Boston University School of Medicine, Boston, MA 
7 Center for Innovative Public Health Research, San Clemente, CA 

Reprint requests: Sabra L. Katz-Wise, PhD, Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115.Division of Adolescent/Young Adult MedicineBoston Children's Hospital300 Longwood AveBostonMA02115

Abstract

Objectives

To examine fluidity in sexual orientation identity and behavior among cisgender youth.

Study design

Data were analyzed from 5 survey waves of the longitudinal US Growing Up with Media Study (2010-2019). Participants were 989 cisgender youth, aged 13-20 years at baseline, who completed online surveys assessing sexual orientation identity and behavior (gender of sexual partners). Amount of change (mobility) and patterns of change across waves were assessed for identity and behavior.

Results

Consistently heterosexual was the most common sexual orientation identity (89%-97% for boys, 80%-90% for girls), followed by gay (3%) for boys, and bisexual (8%) for girls. Sexual minority identities increased (3%-11% for boys, 10%-20% for girls) over time, same-gender sexual behavior also increased. Girls had more identity mobility than boys; no gender difference was found for behavior mobility. Movement from heterosexual to a sexual minority identity occurred for 9% of girls and 6% of boys; movement from different-gender sexual behavior to same-gender sexual behavior occurred for 2% of girls and boys.

Conclusions

Findings highlight the need to assess multiple dimensions and patterns of change of youth sexual orientation in research and clinical care. Recognizing and creating space for conversations about changes in sexual identity and behavior over time will help providers accurately and effectively address the health needs of all patients.

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Abbreviations : IRB, LGBTQ+, M, SM, US


Plan


 Sabra Katz-Wise is a diversity consultant for McGraw Hill Publishers and Paramount Global, neither of whom were involved with or funded the current study. Allegra Gordon and Kimberly Nelson are consultants for EY, which was not involved with and did not fund the current study. The other authors do not have any conflicts of interest to disclose.
 The Growing Up with Media Study was funded by the Centers for Disease Control and Prevention (U49 CE000206; R01 CE001543) and the National Institute of Child Health and Human Development (R01HD083072), both awarded to Michele Ybarra. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Centers for Disease Control and Prevention or the National Institutes of Health. Sabra Katz-Wise was also funded by the Maternal and Child Health Bureau, Health Resources and Services Administration (Leadership Education in Adolescent Health project 6T71-MC00009). Allegra Gordon is supported by the National Institute on Drug Abuse (K01DA054357).


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Vol 257

Article 113355- juin 2023 Retour au numéro
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