ArticleBMJ open2017
Is sexual minority status associated with poor sleep quality among adolescents? Analysis of a national cross-sectional survey in Chinese adolescents.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Prevalence of sleep disturbances in Chinese adolescents: A systematic review and meta-analysis.PloS one · 2021Pooled it
- The relationship between minority stress and biological outcomes: A systematic review.Journal of behavioral medicine · 2020Pooled it
- Prevalence of depression, anxiety and suicide among men who have sex with men in China: a systematic review and meta-analysis.Epidemiology and psychiatric sciences · 2020Pooled it
- Patterns, motivations, and healthcare experiences of medical cannabis use among gender and sexuality diverse people in Australia: findings from the Cannabis as Medicine Survey 2022 (CAMS-22).Harm reduction journal · 2026Article
- The Diversity Effect of Psychological Resilience on the Relationship between Bullying Victimization and Multiple Psychological Symptoms Among Chinese Adolescents: A Large-Scale Regional Study.Child psychiatry and human development · 2026Article
- Sexual minority populations and disparities in cardiovascular healthcare.European heart journal · 2025Review
- Minority Stress, Resilience, and Trouble Falling Asleep Among Gender and Sexual Minority Adolescents.Journal of adolescence · 2025Article
- Longitudinal association between adolescent sexual identity and sleep quality: The mediating roles of peer victimization and perceived social support.Sleep health · 2025Article
- Disparities in sleep among diverse adolescents in two large statewide samples: A need for intersectional interventions.Sleep health · 2025Article
- Exploring Social-Ecological Pathways From Sexual Identity to Sleep Among Chinese Women: Structural Equation Modeling Analysis.JMIR public health and surveillance · 2025Article
- The role of victimisation and sleep quality in self-harm and depression among sexual minority adolescents. A prospective cohort study.European child & adolescent psychiatry · 2024Article
- Mapping the role of sexuality in adolescent mental health and substance use.Royal Society open science · 2024Article
- Bullying Perpetration and Homophobic Teasing: Mediation through Gender Role Attitudes.Children (Basel, Switzerland) · 2022Article
- A Comprehensive Review of the Literature on Sleep Difficulties and Suicidality in Youth to Inform an Integrative Developmental Model and Future Directions.Current sleep medicine reports · 2022Article
- Sleep problems among sexual minorities: a longitudinal study on the influence of the family of origin and chosen family.BMC public health · 2021Article
- Understanding the Associations of Prenatal Androgen Exposure on Sleep Physiology, Circadian Proteins, Anthropometric Parameters, Hormonal Factors, Quality of Life, and Sex Among Healthy Young Adults: Protocol for an International, Multicenter Study.JMIR research protocols · 2021Article
- Sleep among gender minority adolescents.Sleep · 2021Article
- Gender Dysphoria, Mental Health, and Poor Sleep Health Among Transgender and Gender Nonbinary Individuals: A Qualitative Study in New York City.Transgender health · 2020Article
- Victimization of Traditional and Cyber Bullying During Childhood and Their Correlates Among Adult Gay and Bisexual Men in Taiwan: A Retrospective Study.International journal of environmental research and public health · 2019Article
- Sexual Orientation and Sleep Behaviors in a National Sample of Adolescents Followed Into Young Adulthood.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019Article
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesRecent studies have suggested that sexual minorities are more likely to have poor sleep quality. This study aims to explore sleep quality among sexual minority adolescents and examines the association between sexual minority status and sleep quality.
designCross-sectional survey.
settingA total of 506 high schools in seven Chinese provinces.
participantsA total of 150 822 students in grades 7-12 completed the questionnaires, and 123 459 students who reported being aware of their sexual orientation were included in analyses.
main outcome measuresThe Pittsburgh Sleep Quality Index, sexual attraction and school bullying victimisation.
resultsOf the 123 459 students who were analysed, 5.00% self-reported as sexual minorities. Only 26.67% of sexual minority students slept 8 or more hours/day, which is less than their heterosexual peers (35.70%; χ
conclusionsOur study suggested that poor sleep quality was common in sexual minority adolescents, and more attention should be paid to sleep problems in this population. Conducting interventions to reduce school bullying behaviours is an important step to improving sleep quality in sexual minority adolescents. Further, studies are warranted that focus on the risk factors and mechanisms of and interventions for sleep problems in sexual minority adolescents.
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