Sexual Identity, Sex of Sexual Contacts, and Health ...

1 Morbidity and Mortality Weekly Report Surveillance Summaries / Vol. 65 / No. 9 August 12, 2016. Sexual Identity, Sex of Sexual Contacts, and Health -Related Behaviors Among Students in Grades 9 12 United States and Selected Sites, 2015. Department of Health and Human Services centers for disease control and prevention Surveillance Summaries CONTENTS. 77. 80. 81. 81. The MMWR series of publications is published by the center for Surveillance, Epidemiology, and Laboratory Services, centers for disease control and prevention (CDC), Department of Health and Human Services, Atlanta, GA 30329-4027. Suggested citation: [Author names; first three, then et al.]

2 , if more than six.] [Title]. MMWR Surveill Summ 2016;65(No. SS-#):[inclusive page numbers]. centers for disease control and prevention Thomas R. Frieden, MD, MPH, Director Harold W. Jaffe, MD, MA, Associate Director for Science Joanne Cono, MD, ScM, Director, Office of Science Quality Chesley L. Richards, MD, MPH, Deputy Director for Public Health Scientific Services Michael F. Iademarco, MD, MPH, Director, center for Surveillance, Epidemiology, and Laboratory Services MMWR Editorial and Production Staff (Serials). Sonja A. Rasmussen, MD, MS, Editor-in-Chief Martha F. Boyd, Lead Visual Information Specialist Charlotte K.

3 Kent, PhD, MPH, Executive Editor Maureen A. Leahy, Julia C. Martinroe, Christine G. Casey, MD, Editor Stephen R. Spriggs, Moua Yang, Tong Yang, Teresa F. Rutledge, Managing Editor Visual Information Specialists David C. Johnson, Lead Technical Writer-Editor Quang M. Doan, MBA, Phyllis H. King, Terraye M. Starr, Denise Williams, MBA, Project Editor Information Technology Specialists MMWR Editorial Board Timothy F. Jones, MD, Chairman William E. Halperin, MD, DrPH, MPH Jeff Niederdeppe, PhD. Matthew L. Boulton, MD, MPH King K. Holmes, MD, PhD Patricia Quinlisk, MD, MPH. Virginia A. Caine, MD Robin Ikeda, MD, MPH Patrick L.

4 Remington, MD, MPH. Katherine Lyon Daniel, PhD Rima F. Khabbaz, MD Carlos Roig, MS, MA. Jonathan E. Fielding, MD, MPH, MBA Phyllis Meadows, PhD, MSN, RN William L. Roper, MD, MPH. David W. Fleming, MD Jewel Mullen, MD, MPH, MPA William Schaffner, MD. Surveillance Summaries Sexual Identity, Sex of Sexual Contacts, and Health -Related Behaviors Among Students in Grades 9 12 United States and Selected Sites, 2015. Laura Kann, PhD1. Emily O'Malley Olsen, MSPH1. Tim McManus, MS1. William A. Harris, MM1. Shari L. Shanklin, MPH1. Katherine H. Flint, MA2. Barbara Queen, MS3. Richard Lowry, MD1. David Chyen, MS1. Lisa Whittle, MPH1.

5 Jemekia Thornton, MPA1. Connie Lim, MPA1. Yoshimi Yamakawa, MPH1. Nancy Brener, PhD1. Stephanie Zaza, MD1. 1 Division of Adolescent and School Health , National center for HIV/AIDS, Viral Hepatitis, STD, and TB prevention , CDC. 2 ICF International, Rockville, Maryland 3 Westat, Rockville, Maryland Abstract Problem: Sexual identity and sex of Sexual contacts can both be used to identify Sexual minority youth. Significant Health disparities exist between Sexual minority and nonsexual minority youth. However, not enough is known about Health -related behaviors that contribute to negative Health outcomes among Sexual minority youth and how the prevalence of these Health -related behaviors compare with the prevalence of Health -related behaviors among nonsexual minorities.

6 Reporting Period: September 2014 December 2015. Description of the System: The Youth Risk Behavior Surveillance System (YRBSS) monitors six categories of priority Health - related behaviors among youth and young adults: 1) behaviors that contribute to unintentional injuries and violence; 2) tobacco use; 3) alcohol and other drug use; 4) Sexual behaviors related to unintended pregnancy and sexually transmitted infections, including human immunodeficiency virus infection; 5) unhealthy dietary behaviors; and 6) physical inactivity. In addition, YRBSS. monitors the prevalence of obesity and asthma and other priority Health -related behaviors.

7 YRBSS includes a national school- based Youth Risk Behavior Survey (YRBS) conducted by CDC and state and large urban school district school-based YRBSs conducted by state and local education and Health agencies. For the 2015 YRBSS cycle, a question to ascertain Sexual identity and a question to ascertain sex of Sexual contacts was added for the first time to the national YRBS questionnaire and to the standard YRBS questionnaire used by the states and large urban school districts as a starting point for their YRBS questionnaires. This report summarizes results for 118 Health -related behaviors plus obesity, overweight, and asthma by Sexual identity and sex of Sexual contacts from the 2015 national survey, 25 state surveys, and 19 large urban school district surveys conducted among students in grades 9 12.

8 Results: Across the 18 violence-related risk behaviors nationwide, the prevalence of 16 was higher among gay, lesbian, and bisexual students than heterosexual students and the prevalence of 15 was higher among students who had Sexual contact with only the same sex or with both sexes than students who had Sexual contact with only the opposite sex. Across the 13 tobacco use-related risk behaviors, the prevalence of 11 was higher among gay, lesbian, and bisexual students than heterosexual students and the prevalence of 10 was higher among students who had Sexual contact with only the same sex or with both sexes than students who had Sexual contact with only the opposite sex.

9 Similarly, across the 19 alcohol or other drug use-related risk behaviors, the prevalence of 18 was higher among gay, lesbian, and bisexual students than heterosexual students and the prevalence of 17 was higher among Corresponding author: Laura Kann, PhD, Division of Adolescent and students who had Sexual contact with only the same sex or with School Health , National center for HIV/AIDS, Viral Hepatitis, STD, and TB prevention . Telephone: 404-718-8132; E-mail: both sexes than students who had Sexual contact with only the opposite sex. This pattern also was evident across the six Sexual US Department of Health and Human Services/ centers for disease control and prevention MMWR / August 12, 2016 / Vol.

10 65 / No. 9 1. Surveillance Summaries risk behaviors. The prevalence of five of these behaviors was higher among gay, lesbian, and bisexual students than heterosexual students and the prevalence of four was higher among students who had Sexual contact with only the same sex or with both sexes than students who had Sexual contact with only the opposite sex. No clear pattern of differences emerged for birth control use, dietary behaviors, and physical activity. Interpretation: The majority of Sexual minority students cope with the transition from childhood through adolescence to adulthood successfully and become healthy and productive adults.