{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T02:18:04Z","timestamp":1789265884887,"version":"build-2803163510"},"reference-count":34,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>This study examines the prevalence and types of homelessness experienced by sexual minority and heterosexual youth. Then, we examine whether state-level nondiscrimination policies and\/or public attitudes on sexual diversity are associated with reduced homelessness among sexual minority youth. Finally, we investigate the differences in health risk behaviors at the intersections of sexual minority and homelessness status.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>We conducted a secondary data analysis using a large population-based sample from 21 states collected in the 2017 and 2019 Youth Risk Behavior Surveys. Self-reported data were obtained from sexual minority (n = 28\u2009405) and heterosexual (n = 136\u2009232) youth through a survey administered in high schools. We assessed the prevalence of homelessness and the types of homelessness. Sexual minority-stratified bivariate and multivariable analyses assessed associations between homelessness, state-level policy and cultural environments, and health-risk behaviors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Sexual minority youth were significantly more likely (12%) to be homeless compared with heterosexual youth (4.1%). Greater acceptance of sexual diversity at the state-level was associated with reduced homelessness among both sexual minority and heterosexual youth. Finally, homeless sexual minority youth experienced a broad array of health risk behaviors in excess of both nonhomeless sexual minority youth and homeless heterosexual youth.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Sexual minority high school students were more likely to experience homelessness than their heterosexual peers. Public attitudes and greater acceptance of sexual diversity were associated with lower levels of sexual minority homelessness. More research and public health programs are needed to prevent and address homelessness among sexual minority youth.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2023-062227","type":"journal-article","created":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T08:08:04Z","timestamp":1700467684000},"source":"Crossref","is-referenced-by-count":13,"title":["Homelessness Among Sexual Minority Youth"],"prefix":"10.1542","volume":"152","author":[{"given":"Cameron","family":"Deal","sequence":"first","affiliation":[{"name":"aVanderbilt LGBTQ+ Policy Lab, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilbert","family":"Gonzales","sequence":"additional","affiliation":[{"name":"aVanderbilt LGBTQ+ Policy Lab, and"},{"name":"bDepartment of Medicine, Health, and Society, Program for Public Policy Studies, Department of Health Policy, Vanderbilt University, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2023,11,20]]},"reference":[{"issue":"6","key":"2023120103005319000_B1","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1016\/j.jadohealth.2017.06.024","article-title":"Transgender youth substance use disparities: results from a population-based sample","volume":"61","author":"Day","year":"2017","journal-title":"J Adolesc Health"},{"issue":"5","key":"2023120103005319000_B2","doi-asserted-by":"crossref","first-page":"e20191183","DOI":"10.1542\/peds.2019-1183","article-title":"Suicidality disparities between transgender and cisgender adolescents","volume":"144","author":"Thoma","year":"2019","journal-title":"Pediatrics"},{"issue":"43","key":"2023120103005319000_B3","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.15585\/mmwr.mm6743a4","article-title":"Violence victimization, substance use, and suicide risk among sexual minority high school students - United States, 2015\u20132017","volume":"67","author":"Johns","year":"2018","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"8","key":"2023120103005319000_B4","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1093\/jpepsy\/jsaa040","article-title":"Health disparities in transgender and gender expansive adolescents: a topical review from a minority stress framework","volume":"45","author":"Delozier","year":"2020","journal-title":"J Pediatr Psychol"},{"issue":"3","key":"2023120103005319000_B5","first-page":"278","article-title":"The gender minority stress and resilience measure: psychometric validity of an adolescent extension","volume":"7","author":"Hidalgo","year":"2019","journal-title":"Clin Pract Pediatr Psychol"},{"key":"2023120103005319000_B6","volume-title":"Serving Our Youth: Findings from a National Survey of Services Providers Working with Lesbian, Gay, Bisexual and Transgender Youth Who are Homeless or At Risk of Becoming Homeless","author":"Durso","year":"2012"},{"issue":"3","key":"2023120103005319000_B7","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1080\/00918369.2013.842426","article-title":"Is there an emotional cost of completing high school? 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