TABLE 4—
Gender Nonconformity Before Age 11 Years as a Mediator of Sexual-Orientation Disparities in Exposure to Childhood Abuse Before Age 11 Years: United States, Growing Up Today Study, 2007 Wave
Sexual Abuse Before Age 11 Years |
Physical Abuse Before Age 11 Years |
Psychological Abuse Before Age 11 Years |
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Variable | Model 1: Sexual Orientation, RR (95% CI) | Model 2: Sexual Orientation and Gender Nonconformity, RR (95% CI) | Mediation Proportion, % | Model 3: Sexual Orientation, RR (95% CI) | Model 4: Sexual Orientation and Gender Nonconformity, RR (95% CI) | Mediation Proportion, % | Model 5: Sexual Orientation, RR (95% CI) | Model 6: Sexual Orientation and Gender Nonconformity, RR (95% CI) | Mediation Proportion, % |
Sexual orientation | |||||||||
Heterosexual (Ref) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | |||
Heterosexual, same-sex sexual contact | 2.9*** (2.0, 4.3) | 2.9*** (2.0, 4.2) | 5.9 | 1.6*** (1.1, 2.2) | 1.6*** (1.1, 2.2) | 8.7 | 1.3 (0.8, 1.9) | 1.2 (0.8, 1.9) | 7.6 |
Mostly heterosexual | 2.0*** (1.6, 2.4) | 1.9*** (1.6, 2.2) | 15.0* | 1.6*** (1.4, 1.9) | 1.6*** (1.4, 1.8) | 12.1* | 1.7*** (1.5, 1.9) | 1.7*** (1.4, 1.9) | 7.0 |
Bisexual | 3.2*** (2.3, 4.5) | 3.0*** (2.1, 4.2) | 13.3** | 2.4*** (1.9, 3.2) | 2.3*** (1.8, 3.0) | 8.6* | 2.7*** (2.1, 3.5) | 2.6*** (2.0, 3.3) | 5.2 |
Lesbian/gay | 2.4** (1.3, 4.3) | 2.0* (1.1, 3.8) | 33.2* | 1.5 (0.9, 2.5) | 1.3 (0.8, 2.1) | NAa | 1.7* (1.0, 2.9) | 1.5 (0.9, 2.6) | 25.6 |
Gender nonconformity | |||||||||
Below median (Ref) | 1.0 | 1.0 | 1.0 | ||||||
Above median, below top decile | 1.2 (1.0, 1.4) | 1.0 (0.9, 1.2) | 1.0 (0.8, 1.1) | ||||||
Top decile | 1.4** (1.1, 1.7) | 1.3*** (1.1, 1.5) | 1.3** (1.1, 1.5) |
Note. CI = confidence interval; NA = not applicable; RR = risk ratio. All models were adjusted for gender. The full sample size was n = 8968.
Because lesbians and gay men were not at statistically significant increased risk for physical abuse, there was no elevated risk to be mediated.
*P < .05; **P < .01; ***P < .001 (2-sided Wald χ2).