{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T18:36:50Z","timestamp":1790966210876,"version":"4.1.0"},"reference-count":27,"publisher":"Centers for Disease Control MMWR Office","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MMWR Surveill. Summ."],"DOI":"10.15585\/mmwr.ss6509a1","type":"journal-article","created":{"date-parts":[[2016,8,11]],"date-time":"2016-08-11T16:05:43Z","timestamp":1470931543000},"page":"1-202","source":"Crossref","is-referenced-by-count":323,"title":["Sexual Identity, Sex of Sexual Contacts, and Health-Related Behaviors Among Students in Grades 9\u201312 \u2014 United States and Selected Sites, 2015"],"prefix":"10.15585","volume":"65","author":[{"given":"Laura","family":"Kann","sequence":"first","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily O\u2019Malley","family":"Olsen","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"McManus","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William A.","family":"Harris","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shari L.","family":"Shanklin","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine H.","family":"Flint","sequence":"additional","affiliation":[{"name":"ICF International, Rockville, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Queen","sequence":"additional","affiliation":[{"name":"Westat, Rockville, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Lowry","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Chyen","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Whittle","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jemekia","family":"Thornton","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Connie","family":"Lim","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshimi","family":"Yamakawa","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Brener","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Zaza","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6224","published-online":{"date-parts":[[2016,8,12]]},"reference":[{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R1","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1001\/archpedi.156.4.349","article-title":"Associations between health risk behaviors and opposite-, same-, and both-sex sexual partners in representative samples of vermont and massachusetts high school students.","volume":"156","author":"Robin","year":"2002","journal-title":"Arch Pediatr Adolesc Med"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R2","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1542\/peds.2010-0396","article-title":"Sexual behaviors and sexual violence: adolescents with opposite-, same-, or both-sex partners.","volume":"126","author":"Pathela","year":"2010","journal-title":"Pediatrics"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R3","doi-asserted-by":"publisher","first-page":"895","DOI":"10.1542\/peds.101.5.895","article-title":"The association between health risk behaviors and sexual orientation among a school-based sample of adolescents.","volume":"101","author":"Garofalo","year":"1998","journal-title":"Pediatrics"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R4","doi-asserted-by":"publisher","first-page":"989","DOI":"10.2105\/AJPH.2007.127811","article-title":"Sexual and gender minority health: what we know and what needs to be done.","volume":"98","author":"Mayer","year":"2008","journal-title":"Am J Public Health"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R5","doi-asserted-by":"publisher","first-page":"345.e1","DOI":"10.1016\/j.jadohealth.2004.06.002","article-title":"Measuring sexual orientation in adolescent health surveys: evaluation of eight school-based surveys.","volume":"35","author":"Saewyc","year":"2004","journal-title":"J Adolesc Health"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R6","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1006\/jado.2000.0369","article-title":"A critique of research on sexual-minority youths.","volume":"24","author":"Savin-Williams","year":"2001","journal-title":"J Adolesc"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R7","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1146\/annurev.publhealth.012809.103636","article-title":"The health and health care of lesbian, gay, and bisexual adolescents.","volume":"31","author":"Coker","year":"2010","journal-title":"Annu Rev Public Health"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R8","unstructured":"Institute of Medicine. The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding. Washington, DC: The National Academies Press; 2011. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK64806"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R9","article-title":"Sexual identity, sex of sexual contacts, and health-risk behaviors among students in grades 9\u201312\u2014youth risk behavior surveillance, selected sites, United States, 2001\u20132009.","volume":"60","author":"Kann","year":"2011","journal-title":"MMWR Surveill Summ"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R10","article-title":"Methodology of the Youth Risk Behavior Surveillance System\u20142013.","volume":"62","author":"Brener","year":"2013","journal-title":"MMWR Recomm Rep"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R11","unstructured":"US Department of Education, National Center for Education Statistics. Common Core of Data Public Elementary\/Secondary School Universe Survey: School Year 2013\u201314. Washington, DC: US Department of Education, National Center for Education Statistics. http:\/\/nces.ed.gov\/ccd"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R12","unstructured":"MDR National Education Database Master Extract, Shelton, CT: Market Data Retrieval, Inc.: April 29, 2014."},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R13","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1016\/S1054-139X(02)00339-7","article-title":"Reliability of the 1999 youth risk behavior survey questionnaire.","volume":"31","author":"Brener","year":"2002","journal-title":"J Adolesc Health"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R14","unstructured":"Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, CDC growth charts: United States. In: Advance Data from Vital and Health Statistics, no. 314. Hyattsville, MD: National Center for Health Statistics; 2000."},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R15","unstructured":"SAS Institute, Inc. SAS, version 9.3 [software and documentation]. Cary, NC: SAS Institute; 2010."},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R16","unstructured":"Research Triangle Institute. SUDAAN, version 11.0.0 [software and documentation]. Research Triangle Park, NC: Research Triangle Institute; 2012."},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R17","unstructured":"Hinkle DE, Wiersma W, Jurs SG. Applied statistics for the behavioral sciences. 5th ed. Boston, MA: Houghton Mifflin Co; 2003."},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R18","unstructured":"Snyder TD, Dillow SA. Digest of Education Statistics 2013 (NCES 2015\u2013011). Table 105.20. National Center for Education Statistics, Institute of Education Sciences, U.S. Department of Education. Washington, DC; 2015. http:\/\/nces.ed.gov\/programs\/digest\/d13"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R19","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1080\/02796015.2008.12087894","article-title":"Homophobic teasing, psychological outcomes, and sexual orientation among high school students: What influence do parents and schools have?","volume":"37","author":"Espelage","year":"2008","journal-title":"School Psych Rev"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R20","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1002\/pits.20173","article-title":"School support groups, other school factors, and the safety of sexual minority adolescents.","volume":"43","author":"Goodenow","year":"2006","journal-title":"Psychol Sch"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R21","doi-asserted-by":"publisher","first-page":"89","DOI":"10.18357\/ijcyfs.saewyce.512014","article-title":"School-based strategies to reduce suicidal ideation, suicide attempts, and discrimination among sexual minority and heterosexual adolescents in Western Canada.","volume":"5","author":"Saewyc","year":"2014","journal-title":"Int J Child Youth Fam Stud"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R22","unstructured":"Kosciw JG, Greytak EA, Palmer NA, Boesen MJ. The 2013 National School Climate Survey: The experiences of lesbian, gay, bisexual and transgender youth in our nation\u2019s schools. New York: GLSEN; 2014. http:\/\/www.glsen.org\/sites\/default\/files\/2013%20National%20School%20Climate%20Survey%20Full%20Report_0.pdf"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R23","unstructured":"CDC. Results from the School Health Policies and Practices Study 2014. Atlanta: US Department of Health and Human Services, CDC; 2015. http:\/\/www.cdc.gov\/healthyyouth\/data\/shpps\/pdf\/shpps-508-final_101315.pdf"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R24","unstructured":"Demissie Z, Brener ND, McManus T, Shanklin SL, Hawkins J, Kann L. School health profiles 2014: Characteristics of health programs among secondary schools. Atlanta: US Department of Health and Human Services, CDC; 2015. http:\/\/www.cdc.gov\/healthyyouth\/data\/profiles\/pdf\/2014\/2014_profiles_report.pdf"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R25","unstructured":"Stark P, Noel AM. Trends in high school dropout and completion rates in the United States: 1972\u20132012 (NCES 2015\u2013015). US Department of Education. Washington, DC: National Center for Education Statistics; 2015. http:\/\/nces.ed.gov\/pubs2015\/2015015.pdf"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R26","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/j.jsp.2013.12.001","article-title":"School absenteeism and mental health among sexual minority youth and heterosexual youth.","volume":"52","author":"Burton","year":"2014","journal-title":"J Sch Psychol"},{"key":"key-10.15585\/mmwr.ss6509a1-201608111203-R27","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1016\/S1054-139X(02)00708-5","article-title":"Reliability and validity of self-reported height and weight among high school students.","volume":"32","author":"Brener","year":"2003","journal-title":"J Adolesc Health"}],"container-title":["MMWR. Surveillance Summaries"],"original-title":[],"deposited":{"date-parts":[[2020,9,25]],"date-time":"2020-09-25T03:12:21Z","timestamp":1601003541000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.cdc.gov\/mmwr\/volumes\/65\/ss\/ss6509a1.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8,12]]},"references-count":27,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2016,8,12]]}},"URL":"https:\/\/doi.org\/10.15585\/mmwr.ss6509a1","relation":{},"ISSN":["1546-0738","1545-8636"],"issn-type":[{"value":"1546-0738","type":"print"},{"value":"1545-8636","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2016,8,12]]},"published":{"date-parts":[[2016,8,12]]}}}