Resumen de Out Yonder: Sexual-Minority Adolescents in Rural Communities in British Columbia.
Colleen S. Poon, Elizabeth M. Saewyc
Objectives. We compared sexual-minority adolescents living in rural communities with their peers in urban areas in British Columbia, exploring differences in emotional health, victimization experiences, sexual behaviors, and substance use. Methods. We analyzed a population-based sample of self-identified lesbian) gay, or bisexual respondents from the British Columbia Adolescent Health Survey of 2003 (weighted n = 6905). We tested rural-urban differences separately by gender with the χ² test and logistic regressions. Results. We found many similarities and several differences. Rural sexual-minority adolescent boys were more likely than were their urban peers to report suicidal behaviors and pregnancy involvement. Rural sexual-minority adolescents, especially girls, were more likely to report various types of substance use. Rural status was associated with a lower risk of dating violence and higher risk of early sexual debut for sexual-minority girls and a higher risk of dating violence and lower risk of early sexual debut for sexual-minority boys. Conclusions. Location should be a demographic consideration in monitoring the health of sexual-minority adolescents. Lesbian, gay, and bisexual adolescents in rural communities may need additional support and services as they navigate adolescence. (Am J Public Health. 2009;99:118-124. doi:10.2105/AJPH.2007.122945) [ABSTRACT FROM AUTHOR]
