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Accordingly, data from two population-based household surveys implemented in Colombia and Honduras between 2017 and 2018 were pooled to characterize disparities and mental health sequelae of physical violence victimization among AYAs aged 13 to 24\u2009years by sexual minority status. Framed by minority stress theory, sex-stratified weighted multivariable logistic regression with linearized variance correction determined if (a) sexual minority AYAs exhibited elevated odds of lifetime physical violence victimization by various perpetrators; and (b) violence-exposed sexual minority AYAs reported worse mental health outcomes than their heterosexual counterparts. In the pooled sample of 10,414 AYAs (mean age: 18.3\u2009years; 50% female), 2% reported same-sex attraction and\/or sexual behavior. Sexual minority AYAs experienced significantly elevated burdens of physical violence victimization by parents\/caregivers or adult relatives (adjusted odds ratio [aOR]\u2009=\u20091.86, 95% confidence interval [CI] [1.09, 3.16],\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.022) compared to heterosexual AYAs. Among violence-experienced AYAs (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u20093,774), sexual minority AYAs were significantly more likely than heterosexual AYAs to report self-harming behaviors (aOR\u2009=\u20093.36, 95% CI [1.71, 6.61],\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.001), suicidal ideation (aOR\u2009=\u20093.43, [1.63, 7.24],\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.001), and attempted suicide (aOR\u2009=\u20092.79, [1.21, 6.44],\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.017). This study provides evidence of excess burdens and mental health consequences of physical violence victimization among sexual minority AYAs in Colombia and Honduras, suggesting supportive services (i.e., acute post-violence care, longer-term mental health services) must be adequately prioritized and tailored to sexual minority survivors of violence.\n                  <\/jats:p>","DOI":"10.1177\/08862605251396832","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T07:44:33Z","timestamp":1765871073000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Excess Burdens and Mental Health Consequences of Physical Violence Victimization Among Sexual Minority Adolescents and Young Adults in Colombia and Honduras: A Pooled Population-Based Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4991-4033","authenticated-orcid":false,"given":"Joseph G.","family":"Rosen","sequence":"first","affiliation":[{"name":"Rhode Island Hospital, Providence, RI, USA"},{"name":"Brown University, Providence, RI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo","family":"Bardales","sequence":"additional","affiliation":[{"name":"Creative Associates International, Tegucigalpa, Honduras"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlyn","family":"Atkins","sequence":"additional","affiliation":[{"name":"Johns Hopkins University, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Glick","sequence":"additional","affiliation":[{"name":"Johns Hopkins University, Baltimore, MD, USA"},{"name":"Louisiana State University Health Sciences Center, New Orleans, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","unstructured":"Abaya M. 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