ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2024
Sexual and Gender Minority Sleep Health Disparities and Minority Stress in Early Adolescence.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Dietary behaviors, lifestyle habits, food insecurity risk and depressive symptoms among New York City adolescents: a cross-sectional study.BMC pediatrics · 2026Article
- Inequities in sleep duration among gender and sexual minority adolescents.Sleep health · 2025Article
- Sleep health among sexual and gender minority people in the United States: A scoping review.Sleep medicine · 2025Article
- Editorial: Long-term effects of adolescent stress, sleep deprivation, or circadian disruption on mood and anxiety.Frontiers in neuroscience · 2025Article
- Sufficient sleep and its contributing factors among high school students during the COVID-19 pandemic: results from adolescent behaviors and experiences survey.Frontiers in public health · 2024Article
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Authors and funding
4 authors.
Funding
Abstract
purposeSleep is essential to adolescent development. Sexual and gender minority (SGM; e.g., lesbian, gay, bisexual, transgender) adults are at high risk for poor sleep, partially due to minority stress (e.g., discrimination). However, sleep has rarely been studied among SGM adolescents. In a national sample of early adolescents, we analyzed sexual minority (SM) and gender minority (GM) identity, gender incongruence, and gender nonconformity in association with sleep and tested minority and general stressors as mediators.
methodsWe cross-sectionally analyzed data from 10,070 adolescents aged 10-14 in the Adolescent Brain Cognitive Development℠ Study. Using logistic regression models, we analyzed associations between identity (SM and GM), sexual identity discrimination, minority and general stressors (sexual identity discrimination, teasing, and conflict with parents) and sleep health (duration, latency, and disturbance). We used Baron and Kenny's method to test for mediation.
resultsParticipants reported sexual identity (4% SM, 4% questioning) and gender identity (0.4% GM, 0.6% questioning); 65% were White, 20% were Hispanic, and 52% were assigned male at birth. Compared to heterosexual, SM participants had higher odds of short sleep duration, long sleep latency, and sleep disturbance. GM participants and those reporting gender incongruence and nonconformity had higher odds of long sleep latency and sleep disturbance. Sexual identity discrimination and general social stressors partially mediated some associations. DISCUSSION: SGM participants reported poorer sleep. Minority and general social stressors partially accounted for some disparities. Policies need to address SGM identity-based discrimination and challenge social norms that produce minority stress for SGM early adolescents.
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