TABLE 4. Trends in violence victimization and suicide risk behaviors among lesbian, gay, and bisexual high school students, by race/ethnicity — Youth Risk Behavior Survey, United States, 2015–2019*.
| Health risk behavior | Main effect |
2015 |
2017 |
2019 |
Linear trend |
|
|---|---|---|---|---|---|---|
| aOR (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | Beta | p value† | |
|
Violence victimization
| ||||||
| Feeling unsafe at school (past 30 days) | ||||||
| Black, non-Hispanic |
1.63 (1.13–2.35) |
17.8 (11.4–26.6) |
12.5 (7.4–20.4) |
15.2 (8.3–26.2) |
–0.0269 |
0.93 |
| Hispanic |
1.46 (1.07–1.99) |
15.6 (11.5–21.0) |
12.4 (8.4–18.0) |
13.7 (9.5–19.5) |
–0.0688 |
0.75 |
| White, non-Hispanic |
1.0 (Ref.) |
9.0 (6.7–12.0) |
8.6 (6.4–11.6) |
11.1 (8.0–15.1) |
0.1309 |
0.41 |
| Threatened or injured with a weapon at school (past 12 months) | ||||||
| Black, non-Hispanic |
1.60 (1.07–2.41) |
15.6 (8.0–28.1) |
15.7 (11.7–20.7) |
12.9 (7.2–22.0) |
–0.0494 |
0.89 |
| Hispanic |
0.89 (0.63–1.27) |
9.0 (5.5–14.3) |
9.4 (6.7–13.0) |
7.7 (4.9–11.8) |
–0.1270 |
0.61 |
| White, non-Hispanic |
1.0 (Ref.) |
8.2 (5.5–12.0) |
7.1 (4.9–10.1) |
12.9 (8.6–18.9) |
0.4292 |
0.09 |
| Bullied at school (past 12 months) | ||||||
| Black, non-Hispanic |
0.31 (0.22–0.44) |
21.4 (12.2–34.7) |
17.2 (10.6–26.9) |
18.2 (12.2–26.2) |
–0.0651 |
0.82 |
| Hispanic |
0.56 (0.45–0.70) |
31.2 (25.1–38.0) |
26.6 (21.0–33.1) |
27.6 (23.2–32.5) |
–0.1077 |
0.44 |
| White, non-Hispanic |
1.0 (Ref.) |
42.2 (34.8–50.0) |
40.8 (32.8–49.3) |
37.6 (33.6–41.7) |
–0.1265 |
0.31 |
| Electronically bullied (past 12 months) | ||||||
| Black, non-Hispanic |
0.41 (0.31–0.54) |
17.0 (12.6–22.6) |
16.3 (12.1–21.5) |
20.5 (12.5–31.6) |
0.1336 |
0.61 |
| Hispanic |
0.55 (0.42–0.71) |
24.8 (17.8–33.4) |
17.7 (13.3–23.2) |
25.4 (20.1–31.5) |
0.0619 |
0.75 |
| White, non-Hispanic |
1.0 (Ref.) |
36.0 (29.1–43.5) |
36.0 (30.1–42.4) |
28.2 (22.8–34.1) |
–0.2484 |
0.09 |
| Physical dating violence (past 12 months) | ||||||
| Black, non-Hispanic |
1.19 (0.81–1.75) |
14.2 (8.8–22.2) |
23.8 (15.5–34.7) |
11.6 (7.0–18.6) |
–0.1425 |
0.53 |
| Hispanic |
1.13 (0.83–1.54) |
22.6 (16.3–30.4) |
19.1 (14.2–25.2) |
9.8 (5.8–16.2) |
–0.7080 |
0.003 |
| White, non-Hispanic |
1.0 (Ref.) |
15.3 (11.9–19.5) |
14.1 (10.4–18.7) |
13.8 (10.6–17.6) |
–0.0883 |
0.55 |
| Sexual dating violence (past 12 months) | ||||||
| Black, non-Hispanic |
0.44 (0.27–0.72) |
20.4 (11.5–33.7) |
6.4 (3.3–12.0) |
10.3 (5.5–18.7) |
–0.7987 |
0.11 |
| Hispanic |
0.97 (0.68–1.39) |
23.0 (14.8–34.1) |
18.6 (11.4–29.0) |
18.3 (11.3–28.2) |
–0.2334 |
0.41 |
| White, non-Hispanic |
1.0 (Ref.) |
22.3 (16.8–29.1) |
18.2 (13.7–23.8) |
16.7 (11.8–23.1) |
–0.2426 |
0.21 |
| Forced sexual intercourse (lifetime) | ||||||
| Black, non-Hispanic |
0.92 (0.66–1.29) |
16.0 (8.3–28.7) |
23.9 (17.7–31.6) |
15.4 (9.8–23.4) |
0.0759 |
0.77 |
| Hispanic |
1.10 (0.85–1.43) |
24.0 (18.7–30.3) |
21.8 (17.6–26.8) |
19.1 (13.3–26.7) |
–0.2740 |
0.17 |
| White, non-Hispanic |
1.0 (Ref.) |
15.5 (11.5–20.6) |
21.0 (16.8–26.1) |
21.3 (16.6–26.9) |
0.2531 |
0.12 |
|
Suicide risk behaviors
| ||||||
| Persistent feelings of sadness or hopelessness (past 12 months) | ||||||
| Black, non-Hispanic |
0.42 (0.33–0.55) |
44.8 (35.2–54.7) |
52.1 (42.6–61.4) |
51.1 (44.6–57.5) |
0.1107 |
0.56 |
| Hispanic |
0.69 (0.54–0.89) |
58.2 (50.6–65.5) |
61.2 (52.9–69.0) |
64.1 (56.0–71.4) |
0.1766 |
0.30 |
| White, non-Hispanic |
1.0 (Ref.) |
67.4 (60.3–73.8) |
66.3 (60.9–71.3) |
71.6 (65.7–76.8) |
0.1679 |
0.24 |
| Seriously considered attempting suicide (past 12 months) | ||||||
| Black, non-Hispanic |
0.43 (0.34–0.55) |
34.4 (25.7–44.3) |
28.4 (21.3–36.7) |
35.1 (29.2–41.4) |
–0.0389 |
0.85 |
| Hispanic |
0.65 (0.54–0.79) |
40.7 (34.7–46.9) |
45.3 (38.7–52.0) |
39.2 (33.2–45.6) |
–0.0625 |
0.63 |
| White, non-Hispanic |
1.0 (Ref.) |
48.9 (42.2–55.7) |
54.1 (50.4–57.6) |
52.4 (47.1–57.7) |
0.0959 |
0.44 |
| Made a suicide plan (past 12 months) | ||||||
| Black, non-Hispanic |
0.61 (0.46–0.82) |
32.9 (23.6–43.7) |
24.1 (16.8–33.2) |
36.0 (28.8–43.9) |
0.0564 |
0.81 |
| Hispanic |
0.86 (0.69–1.06) |
37.9 (31.3–45.0) |
35.5 (29.5–42.0) |
40.0 (32.8–47.7) |
0.0765 |
0.62 |
| White, non-Hispanic |
1.0 (Ref.) |
40.1 (34.5–46.0) |
42.8 (37.7–48.0) |
40.3 (35.8–45.0) |
0.0044 |
0.97 |
| Attempted suicide (past 12 months) | ||||||
| Black, non-Hispanic |
0.97 (0.70–1.34) |
29.2 (23.1–36.1) |
20.7 (12.5–32.3) |
27.2 (18.0–38.8) |
0.0293 |
0.91 |
| Hispanic |
1.06 (0.83–1.37) |
31.4 (26.4–36.9) |
24.6 (18.3–32.2) |
23.2 (17.3–30.4) |
–0.2610 |
0.12 |
| White, non-Hispanic |
1.0 (Ref.) |
28.6 (23.1–34.7) |
21.8 (16.4–28.4) |
22.3 (18.1–27.3) |
–0.2078 |
0.13 |
| Suicide attempt requiring medical treatment (past 12 months) | ||||||
| Black, non-Hispanic |
0.83 (0.50–1.40) |
5.9 (3.2–10.7) |
6.4 (3.1–12.9) |
7.3 (3.0–16.6) |
0.2889 |
0.50 |
| Hispanic |
1.20 (0.83–1.75) |
13.3 (9.2–19.0) |
8.7 (5.2–14.3) |
6.8 (4.3–10.5) |
–0.4683 |
0.05 |
| White, non-Hispanic | 1.0 (Ref.) | 9.3 (6.4–13.2) | 7.5 (5.2–10.8) | 5.6 (3.5–8.7) | –0.3545 | 0.11 |
Abbreviations: aOR = adjusted odds ratio; CI = confidence interval; Ref. = referent group.
* Logistic regression models were used to assess linear trends in the prevalence of violence victimization and indicators of suicide risk among lesbian, gay, and bisexual high school students, by race/ethnicity for 2015–2019, controlling for sex and grade.
† Statistical significance is defined as p<0.05 or a 95% CI that does not include 1.0.