{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:33:57Z","timestamp":1792802037391,"version":"4.5.0"},"reference-count":54,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["LGBT Health"],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The current study extends the limited body of intersectional research on adolescents' sexual health by examining experiences of bias-based bullying and multiple intersecting social positions associated with engagement in sexual risk behaviors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Participants were 14,968 sexually active 9th and 11th grade students surveyed as part of the 2019 Minnesota Student Survey (15% lesbian\/gay\/bisexual\/queer\/pansexual\/questioning [LGBQ] and\/or transgender\/gender diverse [TGD] or gender questioning). Exhaustive Chi-square Automatic Interaction Detection analysis was used to identify experiences (i.e., bias-based bullying victimization) and intersecting social positions (i.e., sexual orientation identity; gender identity\/modality; race\/ethnicity; physical disabilities\/chronic illness; mental health\/behavioral\/emotional problems) associated with the highest prevalence of three sexual risk behaviors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Overall, 18% of adolescents reported 3+ sex partners in the last year, 14% reported drug\/alcohol use before last sex, and 36% reported not discussing protection from sexually transmitted infections with new sexual partners. Adolescents with 2+ marginalized social positions, some of whom also experienced bias-based bullying, were part of 53% of the highest prevalence risk groups. For example, 42% of Multiracial or Latina\/x\/o gender questioning adolescents who identified as LGBQ reported 3+ sex partners in the last year\u2014twice the sample average. Adolescents who were Black, American Indian\/Alaska Native, Latina\/x\/o, Multiracial, TGD, or gender questioning were in the highest prevalence nodes across all outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Adolescents with multiple marginalized social positions and who experience bias-based bullying engage in high-risk sexual behaviors at higher-than-average rates. Findings underscore the importance of addressing intersecting experiences of stigma to reduce high-risk sex behaviors and promote health equity among adolescents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lgbt.2022.0301","type":"journal-article","created":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T10:58:16Z","timestamp":1687777096000},"page":"608-616","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Exploring Bias-Based Bullying and Intersecting Social Positions as Correlates of Sexual Risk Behaviors Among Adolescents"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7436-6732","authenticated-orcid":false,"given":"Samantha E.","family":"Lawrence","sequence":"first","affiliation":[{"name":"Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy L.","family":"Gower","sequence":"additional","affiliation":[{"name":"Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4916-0828","authenticated-orcid":false,"given":"Hana-May","family":"Eadeh","sequence":"additional","affiliation":[{"name":"Department of Psychological and Brain Sciences, University of Iowa, Iowa City, Iowa, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Cardona-Correa","sequence":"additional","affiliation":[{"name":"Department of General Pediatrics, Children's Minnesota, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"De'Shay","family":"Thomas","sequence":"additional","affiliation":[{"name":"Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malavika","family":"Suresh","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0283-6288","authenticated-orcid":false,"given":"Ana","family":"Mar\u00eda del R\u00edo-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marla E.","family":"Eisenberg","sequence":"additional","affiliation":[{"name":"Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,12,4]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6803a3"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-017-1082-6"},{"issue":"9","key":"e_1_3_6_4_2","first-page":"1","article-title":"Sexual identity, sex of sexual contacts, and health-related behaviors among students in grades 9\u201312\u2014United States and selected sites, 2015","volume":"65","author":"Kann L","year":"2016","unstructured":"Kann L, , Olsen EM, , McManus T, et al. 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