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Abstract

Experiences of sexual violence are often underreported and can lead to comorbidities related to mental health and substance use across all populations, yet little is known about these experiences among sexual and gender diverse youth (SGDY). Drawing from the 2022 LGBTQ National Teen Survey, the current study (N = 10,527) used an intersectional analytic approach to investigate sexual violence at the intersection of sexual orientation, gender identity, race, and ethnicity among SGDY. Participants were selected based on responses to at least one survey item about sexual violence or harassment. Of the included participants, most identified their gender as non-binary (16.5%) or transgender boys (19.65%) and their sexual orientation as gay/lesbian (28.8%). Participants were predominantly white (73%), non-Hispanic/Latina/x/o (83.1%), and between the ages of 13 to 18. Results showed that 14.4% reported having ever been forced to have sex and 30.2% experienced nonconsensual sexual touching in the past 12 months. Using exhaustive chi-square automatic interaction detection, we identified disproportionate intersectional experiences of forced sex among American Indian, Alaska Native, or Native Hawaiian/Pacific Islander adolescents, identifying these populations as almost two times more likely to experience forced sex in comparison to the rest of the sample. In addition, transgender boys, especially those who identified as queer or pansexual, experienced some of the highest rates of sexual violence. Findings can be used to inform sexual violence prevention and treatment programs aimed at bolstering access to more inclusive social services for groups sharing disproportionate burdens of sexual violence.

Keywords

violence against LGBTQIA+sexual assault youth violence

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References

Atteberry-Ash

Wallsa

Kattari

Peitzmeier

Kattari

Langenderfer-Magruder

(2020). Forced sex among youth: Accrual of risk by gender identity, sexual orientation, mental health and bullying. Journal of LGBT Youth, 17(2), 193–213.

Bentivegna

Patalay

(2022). The impact of sexual violence in mid-adolescence on mental health: A UK population-based longitudinal study. Lancet Psychiatry, 9(11), 874–883. https://doi.org/10.1016/S2215-0366(22)00271-1

Briskman

Sullivan

C. T.

Spurway

Leha

Trewlynn

Soldatic

(2022). (Re)Claiming health: The human rights of young LGBTIQ+ indigenous people in Australia. Health and Human Rights, 24(1), 35–47. https://www.ncbi.nlm.nih.gov/pubmed/35747273

CDC. (2018). LGBT Youth: Lesbian, Gay, Bisexual, and Transgender Health. https://www.cdc.gov

CDC. (2021). YRBSS Data Highlights. https://www.cdc.gov/healthyyouth/data/yrbs/index.htm

Chen

Walters

M. L.

Gilbert

L. K.

Patel

(2020). Sexual violence, stalking, and intimate partner violence by sexual orientation, United States. Psychological Violence, 10(1), 110–119. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/32064141

Clayton

H. B.

Kilmer

DeGue

Estefan

L. F.

V. D.

Suarez

N. A.

Lyons

B. H.

Thornton

J. E.

(2023). Dating violence, sexual violence, and bullying victimization among high school students-Youth Risk Behavior Survey, United States, 2021. MMWR Supplements, 72(1), 66–74. https://doi.org/10.15585/mmwr.su7201a8

Collibee

Fox

Folk

Rizzo

Kemp

Tolou-Shams

(2022). Dating aggression among court-involved adolescents: Prevalence, offense type, and gender. Journal of Interpersonal Violence, 37(13–14), NP12695–NP12705. https://doi.org/10.1177/0886260521997955

Crenshaw

(1991). Mapping the margins: Intersectionality, identity, politics, and violence against women of color. Standford Law Review, 43, 1241–1299.

10.

Dunn

E. C.

Nishimi

Gomez

S. H.

Powers

Bradley

(2018). Developmental timing of trauma exposure and emotion dysregulation in adulthood: Are there sensitive periods when trauma is most harmful? Journal of Affective Disorders, 227, 869–877. https://doi.org/10.1016/j.jad.2017.10.045

11.

Dunn

E. C.

Nishimi

Powers

Bradley

(2017). Is developmental timing of trauma exposure associated with depressive and post-traumatic stress disorder symptoms in adulthood? Journal of Psychiatric Research, 84, 119–127. https://doi.org/10.1016/j.jpsychires.2016.09.004

12.

Dworkin

E. R.

(2020). Risk for mental disorders associated with sexual assault: A meta-analysis. Trauma Violence Abuse, 21(5), 1011–1028. https://doi.org/10.1177/1524838018813198

13.

Edwards

K. M.

Herrington

Charge

L. L.

Charge

D. L.

Hopfauf

Camp

E. E.

Simon

Waterman

E. A.

Banyard

V. L.

(2022). Engaging Native American youth and their caregivers in sexual violence research: A case study documenting challenges, opportunities, and lessons learned. Journal of Interpersonal Violence, 37(23–24), NP22273–NP22299. https://doi.org/10.1177/08862605211072158

14.

Eisenberg

M. E.

Lawrence

S. E.

Gower

A. L.

Rider

G. N.

Brown

Crutcher

Schuster

Watson

R. J.

(2024). Are HIV prevention services reaching all LGBTQ+ youth? An intersectional analysis in a national sample. AIDS and Behavior, 28(4), 1435–1446. https://doi.org/10.1007/s10461-023-04230-w

15.

Finkelhor

Turner

H. A.

Shattuck

Hamby

S. L.

(2015). Prevalence of childhood exposure to violence, crime, and abuse: Results from the National Survey of Children’s Exposure to violence. JAMA Pediatrics, 169(8), 746–754. https://doi.org/10.1001/jamapediatrics.2015.0676

16.

Garthe

R. C.

Kaur

Rieger

Blackburn

A. M.

Kim

Goffnett

(2021). Dating violence and peer victimization among male, female, transgender, and gender-expansive youth. Pediatrics, 147(4), e2020004317. doi:10.1542/peds.2020-004317

17.

Garthe

R. C.

Sullivan

T. N.

Behrhorst

K. L.

(2021). A latent class analysis of early adolescent peer and dating violence: Associations with symptoms of depression and anxiety. Journal of Interpersonal Violence, 36(5–6), 2031–2049. https://doi.org/10.1177/0886260518759654

18.

Hailes

H. P.

Danese

Fazel

(2019). Long-term outcomes of childhood sexual abuse: an umbrella review. Lancet Psychiatry, 6(10), 830–839. https://doi.org/10.1016/S2215-0366(19)30286-X

19.

Hankivsky

(2012). Women’s health, men’s health, and gender and health: Implications of intersectionality. Social Science & Medicine, 74(11), 1712–1720. https://doi.org/10.1016/j.socscimed.2011.11.029

20.

Kann

McManus

Harris

W. A.

Shanklin

S. L.

Flint

K. H.

Queen

Lowry

Chyen

Whittle

Thronton

Lim

Bradford

Yamakawa

Leon

Brener

Ethier

K. A.

(2018). Youth risk behavior surveillance—United States, 2017. MMWR Surveillance Summaries, 67(8), 1–114. https://doi.org/10.15585/mmwr.ss6708a1

21.

Kann

Olsen

E. O.

McManus

Kinchen

Chyen

Harris

W. A.

Wechsler

, & Division of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion. (2011). Sexual identity, sex of sexual contacts, and health-risk behaviors among students in grades 9-12–youth risk behavior surveillance, selected sites, United States, 2001–2009. MMWR Surveillance Summaries, 60(7), 1–133. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21659985

22.

Kapilashrami

Hankivsky

(2018). Intersectionality and why it matters to global health. Lancet, 391(10140), 2589–2591. https://doi.org/10.1016/S0140-6736(18)31431-4

23.

Kass

(1980). An exploratory technique for investigating large quantities of categorical data. Journal of the Royal Statistical Society: Series C (Applied Statistics), 29(2), 119–127. https://doi.org/10.2307/2986296

24.

Kattari

Harner

(2021). Increased prevalence, predictors, and in-group differences of forced sex and physical dating violence among trans/gender diverse youth. Social Sciences, 10(6), 236.

25.

Kirk-Provencher

K. T.

Schick

M. R.

Spillane

N. S.

Tobar-Santamaria

(2020). History of sexual assault, past-year alcohol use, and alcohol-related problems in American Indian adolescents. Addictive Behaviors, 108, 106441. https://doi.org/10.1016/j.addbeh.2020.106441

26.

Koss

M. P.

Anderson

Peterson

Z. D.

Littleton

Abbey

Kowalski

Thompson

Canan

White

McCauley

Orchowski

Fedina

Lopez

Allen

(2024). The revised sexual experiences survey victimization version (SES-V): Conceptualization, modifications, items and scoring. Journal of Sex Research, 61(6), 839–867. https://doi.org/10.1080/00224499.2024.2358407

27.

Mahendran

Lizotte

Bauer

G. R.

(2022). Quantitative methods for descriptive intersectional analysis with binary health outcomes. SSM Population Health, 17, 101032. https://doi.org/10.1016/j.ssmph.2022.101032

28.

Maheux

A. J.

Zhou

Thoma

B. C.

Salk

R. H.

Choukas-Bradley

(2021). Examining sexual behavior among U.S. transgender adolescents. Journal of Sex Research, 58(8), 1050–1060. https://doi.org/10.1080/00224499.2020.1855408

29.

McKinley

C. E.

Knipp

(2022). “You can get away with anything here . . . No justice at all”—Sexual violence against U.S. indigenous females and its consequences. Gender Issues, 39(3), 291–319. https://doi.org/10.1007/s12147-021-09291-6

30.

Peitzmeier

S. M.

Malik

Kattari

S. K.

Marrow

Stephenson

Agenor

Reisner

S. L.

(2020). Intimate partner violence in transgender populations: Systematic review and meta-analysis of prevalence and correlates. American Journal of Public Health, 110(9), e1–e14. https://doi.org/10.2105/AJPH.2020.305774

31.

Price

M. N.

Green

A. E.

DeChants

J. P.

Davis

C. K.

(2023). Physical dating violence victimization among LGBTQ youth: Disclosure and association with mental health. Journal of Interpersonal Violence, 38(15–16), 9059–9085. https://doi.org/10.1177/08862605231162655

32.

Russell

Fish

(2016). Mental health in lesbian, gay, bisexual, and transgender (LGBT) youth. Annual Review of Clinical Psychology, 12, 465–487.

33.

Ryan

Huebner

Diaz

R. M.

Sanchez

(2009). Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay, and bisexual young adults. Pediatrics, 123(1), 346–352. https://doi.org/10.1542/peds.2007-3524

34.

Sanchez

Romero-Briones

Foxworth

(2024). Murdered and missing women is the top issue facing Native American communities heading into the 2024 elections. Brookings.

35.

Schwab-Reese

L. M.

Currie

Mishra

A. A.

Peek-Asa

(2021). A comparison of violence victimization and polyvictimization experiences among sexual minority and heterosexual adolescents and young adults. Journal of Interpersonal Violence, 36(11–12), NP5874–NP5891. doi:10.1177/0886260518808853

36.

Shaw

Chan

McMahon

(2011). Intersectionality and disability harassment: The interactive effects of disability, race, age, and gender. Rehabilitation Counseling Bulletin, 55(2), 82–91.

37.

Soldatic

Briskman

Trewlynn

Leha

Spurway

(2022). Social and emotional wellbeing of indigenous gender and sexuality diverse youth: Mapping the evidence. Culture, Health & Sexuality, 24(4), 564–582. https://doi.org/10.1080/13691058.2021.1873421

38.

Stotzer. (2009). Violence against transgender people: A review of the United States data. Aggression & Violent Behavior, 14(3), 170–179.

39.

The Trevor Project. (2022). The mental health and well-being of multiracial LGBTQ youth. https://www.thetrevorproject.org

40.

The Trevor Project. (2024). Sexual violence and mental health among LGBTQ+ young people. https://www.thetrevorproject.org/research-briefs/sexual-violence-and-suicide-risk-among-lgbtq-young-people/#:~:text=Nearly%20half%20of%20transgender%20boys,boys%20and%20men%20(22%25)

41.

Thomas

McCoy

Jeffries

Haverkate

Naswood

Leston

Platero

(2022). NATIVE American two spirit and LGBTQ health: A systematic review of the literature. Journal of Gay & Lesbian Mental Health, 26(4), 367–402.

42.

Tillewein

Shokeen

Powers

Rijo Sanchez

A. J.

Sandles-Palmer

Desjarlais

(2023). Silencing the rainbow: Prevalence of LGBTQ+ students who do not report sexual violence. International Journal of Environmental Research and Public Health, 20(3), 1–12. doi:10.3390/ijerph20032020

43.

Watson

R. J.

Caba

A. E.

Lawrence

S. E.

Renley

B. M.

McCauley

P. S.

Wheldon

C. W.

Eaton

L. A.

Russell

S. T.

Eisenberg

M. E.

(2024). Examining mental health and bullying concerns at the intersection of sexuality, gender, race, and ethnicity among a national sample of sexual and gender diverse youth. LGBT Health, 11(1), 20–27. https://doi.org/10.1089/lgbt.2023.0072

44.

Watson

R. J.

Wheldon

C. W.

Puhl

R. M.

(2020). Evidence of diverse identities in a large national sample of sexual and gender minority adolescents. Journal of Research on Adolescence, 30 Suppl 2, 431–442. https://doi.org/10.1111/jora.12488

45.

Wei

Robertson

Steen

Mushquash

Wekerle

(2024). Global Indigenous gender concepts, gender-based violence and resilience: A scoping review. Child Abuse & Neglect, 148, 106185.

46.

Williams

R. D.

Jr. Gutierrez

(2022). Increased likelihood of forced sexual intercourse, sexual violence, and sexual dating violence victimization among sexual minority youth. Journal of Community Health, 47(2), 193–200. https://doi.org/10.1007/s10900-021-01033-9

47.

Ybarra

M. L.

Goodman

K. L.

Saewyc

Scheer

J. R.

Stroem

I. F.

(2022). Youth characteristics associated with sexual violence perpetration among transgender boys and girls, cisgender boys and girls, and nonbinary youth. JAMA Netw Open, 5(6), e2215863. https://doi.org/10.1001/jamanetworkopen.2022.15863

Examining Experiences of Sexual Violence at the Intersection of Gender,Sexual Orientation,Race,and Ethnicity Using National U.S. Data Among Sexual and Gender Diverse Youth

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