{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T19:45:09Z","timestamp":1791315909450,"version":"4.3.1"},"reference-count":56,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T00:00:00Z","timestamp":1709510400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000071","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) of the National Institutes of Health","doi-asserted-by":"publisher","award":["1R15HD094281-01"],"award-info":[{"award-number":["1R15HD094281-01"]}],"id":[{"id":"10.13039\/100000071","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>We examined online and offline social supports for sexual minority adolescents, underscoring the understudied developmental period of early adolescence and the mental outcome of loneliness. Stemming from a larger study in the northeast U.S., 967 youth participants were 26% sexual minority, 53% female, 45% male, and 2% other\/nonbinary (mean age = 13.1, SD = 1.52). LGBTQ+ youth reported significantly higher levels of loneliness compared to their heterosexual counterparts. To understand potential sources of social support while exploring their sexual identities, we compared the experiences of LGBTQ+ youth at both ends of the loneliness spectrum. Gaining knowledge about their sexual orientation from LGBTQ+ organization websites, participating in gender\u2013sexuality alliances, and using TikTok or Instagram were associated with lower levels of loneliness. Providing social support to online friends was associated with lower loneliness; however, receiving online support was not associated with lower loneliness. Furthermore, proactive social media engagement such as posting uplifting content, joining online communities, or raising awareness about social issues were associated with lower levels of loneliness. The results provide guidance on specific youth behaviors and online communities beyond a focus on screen time while highlighting the continued need for social support to ameliorate loneliness, such as gender\u2013sexuality alliance networks.<\/jats:p>","DOI":"10.3390\/ijerph21030300","type":"journal-article","created":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T03:03:20Z","timestamp":1709607800000},"page":"300","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Sexual Minorities and Loneliness: Exploring Sexuality through Social Media and Gender\u2013Sexuality Alliance (GSA) Supports"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6413-0451","authenticated-orcid":false,"given":"Linda","family":"Charmaraman","sequence":"first","affiliation":[{"name":"Youth, Media, & Wellbeing Research Lab, Wellesley Centers for Women, Wellesley College, Wellesley, MA 02481, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9641-2735","authenticated-orcid":false,"given":"Alice","family":"Zhang","sequence":"additional","affiliation":[{"name":"Youth, Media, & Wellbeing Research Lab, Wellesley Centers for Women, Wellesley College, Wellesley, MA 02481, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlyn","family":"Wang","sequence":"additional","affiliation":[{"name":"Youth, Media, & Wellbeing Research Lab, Wellesley Centers for Women, Wellesley College, Wellesley, MA 02481, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Becky","family":"Chen","sequence":"additional","affiliation":[{"name":"Youth, Media, & Wellbeing Research Lab, Wellesley Centers for Women, Wellesley College, Wellesley, MA 02481, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,4]]},"reference":[{"key":"ref_1","unstructured":"Murthy, V. (2024, February 19). Our Epidemic of Loneliness and Isolation: The, U.S. Surgeon General\u2019s Advisory on the Healing Effects of Social Connection and Community. Office of the Surgeon General, Available online: https:\/\/www.hhs.gov\/sites\/default\/files\/surgeon-general-social-connection-advisory.pdf."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1111\/aphw.12376","article-title":"Loneliness and depressive symptoms differ by sexual orientation and gender identity during physical distancing measures in response to COVID-19 pandemic in Germany","volume":"15","author":"Herrmann","year":"2023","journal-title":"Appl. Psychol. Health Well Being"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.jadohealth.2020.08.006","article-title":"Mental Health Needs Among Lesbian, Gay, Bisexual, and Transgender College Students during the COVID-19 Pandemic","volume":"67","author":"Gonzales","year":"2020","journal-title":"J. Adolesc. Health"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Nesi, J., Telzer, E.H., and Prinstein, M.J. (2022). Handbook of Adolescent Digital Media Use and Mental Health, Cambridge University Press.","DOI":"10.1017\/9781108976237"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1006\/drev.1999.0483","article-title":"Patterns of Adolescent Identity Development: Review of Literature and Longitudinal Analysis","volume":"19","author":"Meeus","year":"1999","journal-title":"Dev. Rev."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1037\/pspi0000019","article-title":"From \u201cwe\u201d to \u201cme\u201d: Group identification enhances perceived personal control with consequences for health and well-being","volume":"109","author":"Greenaway","year":"2015","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1111\/j.1471-6402.2007.00389.x","article-title":"When the Relationship Becomes Her: Revisiting Women\u2019s Body Concerns from a Relationship Contingency Perspective","volume":"31","author":"Sanchez","year":"2007","journal-title":"Psychol. Women Q."},{"key":"ref_8","unstructured":"Turner, J.C., Hogg, M.A., Oakes, P.J., Reicher, S.D., and Wetherell, M.S. (1987). Rediscovering the Social Group: A Self-Categorization Theory, Basil Blackwell."},{"key":"ref_9","unstructured":"Trevor Project (2023, December 10). Age of Sexual Orientation Outness and Suicide Risk. Available online: https:\/\/www.thetrevorproject.org\/research-briefs\/age-of-sexual-orientation-outness-and-suicide-risk-oct-2022\/."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1037\/0012-1649.35.6.1389","article-title":"Sexual identity development among ethnic sexual-minority male youths","volume":"35","year":"1999","journal-title":"Dev. Psychol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1080\/1550428X.2020.1820414","article-title":"Same-Sex Attraction Disclosure and Sexual Communication Topics within Families","volume":"17","author":"Charmaraman","year":"2021","journal-title":"J. GLBT Fam. Stud."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1037\/a0026906","article-title":"Developmental changes in sexual prejudice from early to late adolescence: The effects of gender, race, and ideology on different patterns of change","volume":"48","author":"Poteat","year":"2012","journal-title":"Dev. Psychol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1177\/1359104502007003010","article-title":"Mental Health Problems among Lesbian, Gay, and Bisexual Youths Ages 14 to 21","volume":"7","year":"2002","journal-title":"Clin. Child Psychol. Psychiatry"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1037\/0033-2909.129.5.674","article-title":"Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence","volume":"129","author":"Meyer","year":"2003","journal-title":"Psychol. Bull."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s40653-017-0175-7","article-title":"Cyberbullying and LGBTQ Youth: A Systematic Literature Review and Recommendations for Prevention and Intervention","volume":"11","author":"Abreu","year":"2017","journal-title":"J. Child Adolesc. Trauma"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Valido, A., Rivas-Koehl, M., Rivas-Koehl, D., Espelage, D.L., Lawrence, T.I., and Robinson, L.E. (2022). Latent Class Analysis of Victimization Patterns and Associated Protective Factors among LGBTQ Youth. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19169953"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1037\/abn0000834","article-title":"Testing the minority stress model across gender identity, race, and ethnicity among, U.S. gender minority adolescents","volume":"132","author":"Jardas","year":"2023","journal-title":"J. Psychopathol. Clin. Sci."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e26207","DOI":"10.2196\/26207","article-title":"Young Sexual Minority Adolescent Experiences of Self-expression and Isolation on Social Media: Cross-sectional Survey Study","volume":"8","author":"Charmaraman","year":"2021","journal-title":"JMIR Ment. Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1080\/17441692.2019.1682028","article-title":"Social isolation and connectedness as determinants of well-being: Global evidence mapping focused on LGBTQ youth","volume":"15","author":"Garcia","year":"2020","journal-title":"Glob. Public Health"},{"key":"ref_20","unstructured":"Trevor Project (2024, February 19). U.S. National Survey on the Mental Health of LGBTQ Young People. Available online: https:\/\/www.thetrevorproject.org\/survey-2023\/#."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1002\/jclp.22850","article-title":"The minority strengths model: Development and initial path analytic validation in racially\/ethnically diverse LGBTQ individuals","volume":"76","author":"Perrin","year":"2020","journal-title":"J. Clin. Psychol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1891\/LGBTQ-2021-0020","article-title":"The Role of LGBTQ Identity Pride in the Associations among Discrimination, Social Support, andDepression in a Sample of LGBTQ Adolescents","volume":"2","author":"Chang","year":"2020","journal-title":"Ann. LGBTQ Public Popul. Health"},{"key":"ref_23","unstructured":"GLSEN, CiPHR, and CCRC (2013). Out Online: The Experiences of Lesbian, Gay, Bisexual and Transgender Youth on the Internet, GLSEN. Available online: https:\/\/www.glsen.org\/sites\/default\/files\/2020-01\/Out_Online_Full_Report_2013.pdf."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1080\/19361653.2015.1040193","article-title":"Media: A Catalyst for Resilience in Lesbian, Gay, Bisexual, Transgender, and Queer Youth","volume":"12","author":"Craig","year":"2015","journal-title":"J. LGBT Youth"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1037\/sgd0000265","article-title":"Multiple Minority Stress and LGBT Community Resilience among Sexual Minority Men","volume":"5","author":"McConnell","year":"2018","journal-title":"Psychol. Sex. Orientat. Gend. Divers."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.chiabu.2014.08.006","article-title":"Online social support as a buffer against online and offline peer and sexual victimization among, U.S. LGBT and non-LGBT youth","volume":"39","author":"Ybarra","year":"2015","journal-title":"Child Abuse Negl."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.chb.2016.07.051","article-title":"A tool for help or harm? How associations between social networking use, social support, and mental health differ for sexual minority and heterosexual youth","volume":"65","author":"Ceglarek","year":"2016","journal-title":"Comput. Hum. Behav."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e38449","DOI":"10.2196\/38449","article-title":"Social Media Use and Health and Well-being of Lesbian, Gay, Bisexual, Transgender, and Queer Youth: Systematic Review","volume":"24","author":"Berger","year":"2022","journal-title":"J. Med. Internet Res."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.jsp.2020.02.001","article-title":"Membership experiences in gender-sexuality alliances (GSAs) predict increased hope and attenuate the effects of victimization","volume":"79","author":"Poteat","year":"2020","journal-title":"J. Sch. Psychol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1037\/sgd0000557","article-title":"Holding the space: Individual- and group-level factors predicting member retention in gender-sexuality alliances","volume":"10","author":"Poteat","year":"2023","journal-title":"Psychol. Sex. Orientat. Gend. Divers."},{"key":"ref_31","unstructured":"Kosciw, J.G., Clark, C.M., Truong, N.L., and Zongrone, A.D. (2020). The 2019 National School Climate Survey: The Experiences of Lesbian, Gay, Bisexual, Transgender, and Queer Youth in Our Nation\u2019s Schools, GLSEN. Available online: https:\/\/www.glsen.org\/sites\/default\/files\/2020-10\/NSCS-2019-Full-Report_0.pdf."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"e215","DOI":"10.1111\/cdev.13923","article-title":"Gender-Sexuality Alliance meeting experiences predict weekly variation in hope among LGBTQ+ youth","volume":"94","author":"Poteat","year":"2023","journal-title":"Child Dev."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.appdev.2018.01.001","article-title":"Gay-Straight Alliance Involvement and Youths\u2019 Participation in Civic Engagement, Advocacy, and Awareness-Raising","volume":"56","author":"Poteat","year":"2018","journal-title":"J. Appl. Dev. Psychol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.1007\/s10964-022-01585-6","article-title":"The Role of Perceived Gay-Straight Alliance Social Support in the Longitudinal Association between Homophobic Cyberbullying and LGBTQIA Adolescents\u2019 Depressive and Anxiety Symptoms","volume":"51","author":"Wright","year":"2022","journal-title":"J. Youth Adolesc."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1080\/14681811.2014.914024","article-title":"Gay\u2013straight alliance (GSA) members\u2019 engagement with sex education in Canadian high schools","volume":"14","author":"Lapointe","year":"2014","journal-title":"Sex Educ."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.annepidem.2023.03.004","article-title":"Associations between sexual orientation and early adolescent screen use: Findings from the Adolescent Brain Cognitive Development (ABCD) Study","volume":"82","author":"Nagata","year":"2023","journal-title":"Ann. Epidemiol."},{"key":"ref_37","first-page":"23","article-title":"Fostering Support for LGBTQ Youth? The Effects of A Gay Adolescent Media Portrayal on Young Viewers","volume":"10","author":"Gillig","year":"2016","journal-title":"Int. J. Commun."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.jadohealth.2019.08.011","article-title":"Transgender Adolescents\u2019 Uses of Social Media for Social Support","volume":"66","author":"Selkie","year":"2020","journal-title":"J. Adolesc. Health"},{"key":"ref_39","first-page":"2239","article-title":"\u201cHey, I\u2019m having these experiences\u201d: Tumblr use and young people\u2019s queer (dis)connections","volume":"13","author":"Byron","year":"2019","journal-title":"Int. J. Commun."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e46604","DOI":"10.2196\/46604","article-title":"Associations Among Web-Based Civic Engagement and Discrimination, Web-Based Social Support, and Mental Health and Substance Use Risk Among LGBT Youth: Cross-Sectional Survey Study","volume":"25","author":"Tao","year":"2023","journal-title":"J. Med. Internet Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1080\/15228835.2019.1617823","article-title":"LGBTQ+ youths\u2019 community engagement and resource-seeking online versus offline","volume":"37","author":"McInroy","year":"2019","journal-title":"J. Technol. Hum. Serv."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"2056305121988931","DOI":"10.1177\/2056305121988931","article-title":"Can Social Media Participation Enhance LGBTQ+ Youth Well-Being? Development of the Social Media Benefits Scale","volume":"7","author":"Craig","year":"2021","journal-title":"Soc. Media Soc."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"107053","DOI":"10.1016\/j.chb.2021.107053","article-title":"Associations of early social media initiation on digital behaviors and the moderating role of limiting use","volume":"127","author":"Charmaraman","year":"2022","journal-title":"Comput. Hum. Behav."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1037\/tps0000372","article-title":"Conceptualizing the role of racial\u2013ethnic identity in, U.S. adolescent social technology use and well-being","volume":"9","author":"Hernandez","year":"2023","journal-title":"Trans. Issues Psychol. Sci."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1177\/0164027504268574","article-title":"A Short Scale for Measuring Loneliness in Large Surveys: Results from Two Population-Based Studies","volume":"26","author":"Hughes","year":"2004","journal-title":"Res. Aging"},{"key":"ref_46","unstructured":"R Core Team (2021). R: A Language and Environment for Statistical Computing, R Foundation for Statistical Computing. Available online: https:\/\/www.R-project.org\/."},{"key":"ref_47","unstructured":"Truong, N.L., Clark, C.M., Rosenbach, S., and Kosciw, J.G. (2021). The GSA Study: Results of National Surveys about Students\u2019 and Advisors\u2019 Experiences in Gender and Sexuality Alliance Clubs, GLSEN. Available online: https:\/\/www.glsen.org\/gsa-study."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1097\/PSY.0000000000000302","article-title":"The Neurobiology of Giving Versus Receiving Support: The Role of Stress-Related and Social Reward-Related Neural Activity","volume":"78","author":"Inagaki","year":"2016","journal-title":"Psychosom. Med."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1037\/0022-3514.79.6.953","article-title":"Invisible support and adjustment to stress","volume":"79","author":"Bolger","year":"2000","journal-title":"J. Personal. Soc. Psychol."},{"key":"ref_50","unstructured":"Trevor Project (2024, February 19). LGBTQ Young People of Color in Online Spaces. Available online: https:\/\/www.thetrevorproject.org\/research-briefs\/lgbtq-young-people-of-color-in-online-spaces-jul-2023\/."},{"key":"ref_51","unstructured":"(2024, February 19). Map of Countries That Criminalise LGBT People. Human Dignity Trust. Available online: https:\/\/www.humandignitytrust.org\/lgbt-the-law\/map-of-criminalisation\/?type_filter_submitted=&type_filter%5B%5D=crim_lgbt."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1080\/14725843.2017.1319751","article-title":"\u2018Sometimes people kill you emotionally\u2019: Policing inclusion, experiences of self-identified homosexual youth in secondary schools in Namibia","volume":"15","author":"Brown","year":"2017","journal-title":"Afr. Identities"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"102358","DOI":"10.1016\/j.cpr.2023.102358","article-title":"Minority stress and mental health in European transgender and gender diverse people: A systematic review of quantitative studies","volume":"107","author":"Mezza","year":"2024","journal-title":"Clin. Psychol. Rev."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Santamaria, F., Scandurra, C., Mezzalira, S., Bochicchio, V., Salerno, M., Di Mase, R., and Capalbo, D. (2023). Unmet Needs of Pediatricians in Transgender-Specific Care: Results of a Short-Term Training. Horm. Res. Paediatr., 1\u20137.","DOI":"10.1159\/000533551"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"21501327211044357","DOI":"10.1177\/21501327211044357","article-title":"Perspectives of LGBTQ Youth and Pediatricians in the Primary Care Setting: A Systematic Review","volume":"12","author":"Stern","year":"2021","journal-title":"J. Prim. Care Commun. Health"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1177\/10731911211065167","article-title":"Loneliness in Gender-Diverse and Sexual Orientation-Diverse Adolescents: Measurement Invariance Analyses and Between-Group Comparisons","volume":"30","author":"McDanal","year":"2023","journal-title":"Assessment"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/3\/300\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:09:09Z","timestamp":1760105349000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/3\/300"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,4]]},"references-count":56,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,3]]}},"alternative-id":["ijerph21030300"],"URL":"https:\/\/doi.org\/10.3390\/ijerph21030300","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,4]]}}}