{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T18:07:15Z","timestamp":1788890835603,"version":"build-2803163510"},"reference-count":73,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["R01AA029989"],"award-info":[{"award-number":["R01AA029989"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute of Drug Abuse","doi-asserted-by":"crossref","award":["K01DA047918"],"award-info":[{"award-number":["K01DA047918"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Since the COVID-19 pandemic began, a dramatic rise in anti-Asian sentiment as well as cissemxism and heterosexism (hereafter, cisheterosexism) has been documented, particularly affecting Asian American (AA) sexual and gender minority (SGM) adolescents who face intersecting oppressions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>We investigated the associations between state-level structural anti-Asian racism, structural cisheterosexism, and psychological, behavioral, and sleep health outcomes among AA SGM adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study analyzed a subsample of AA SGM adolescents (N\u2009=\u2009980) from a US cross-sectional national survey of 17 578 SGM adolescents aged 13-18\u2009years old conducted in 2022. To quantify state-level structural anti-Asian racism and structural cisheterosexism, we utilized data from multiple sources including Project Implicit (implicit and explicit prejudiced attitudes), Education Week (critical race theory legislation), and Movement Advancement Project (anti-SGM laws and policies). Multivariate regression analyses examined associations between structural oppression and health outcomes, adjusting for individual demographics and state-level covariates (poverty, income inequality, conservatism, and population density).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Higher levels of structural anti-Asian racism were associated with greater psychological distress (adjusted b\u2009=\u20090.58, robust SE\u2009=\u20090.21) and higher odds of recent vape use (adjusted odds ratio = 2.56, 95% CI: 1.77-3.70). Structural cisheterosexism was associated with greater odds of past-year alcohol use (adjusted OR\u2009=\u20092.07, 95% CI: 1.27-3.38), but less sleep trouble (adjusted b = \u22120.31, robust SE\u2009=\u20090.08). The adverse effects of structural anti-Asian racism on psychological distress were amplified for AA SGM adolescents living in states with higher structural cisheterosexism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings demonstrate how intersecting structural oppressions shape health outcomes among multiply marginalized youth, highlighting the urgent need for comprehensive policies addressing multiple forms of structural oppressions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/abm\/kaaf099","type":"journal-article","created":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T12:59:47Z","timestamp":1764421187000},"source":"Crossref","is-referenced-by-count":0,"title":["Structural anti-Asian racism, structural cisheterosexism, and psychological, behavioral, and sleep health among Asian American sexual and gender minority adolescents"],"prefix":"10.1093","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9257-6434","authenticated-orcid":false,"given":"Hyemin","family":"Lee","sequence":"first","affiliation":[{"name":"Lavender Lab, Department of Psychology, University of Maryland , College Park, MD 20742,","place":["United States"]},{"name":"Department of Health and Exercise Science, University of Oklahoma , Norman, OK 73019,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arushee","family":"Bhoja","sequence":"additional","affiliation":[{"name":"Lavender Lab, Department of Psychology, University of Maryland , College Park, MD 20742,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J","family":"Watson","sequence":"additional","affiliation":[{"name":"Department of Human Development & Family Sciences, University of Connecticut , Storrs, CT 06269,","place":["United 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