This study explored weight-based victimization by family members, accepting lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) attitudes, and family connectedness, and how these experiences are associated with health, self-esteem, and depressive symptoms among LGBTQ adolescents. Data came from the LGBTQ National Teen Survey (N = 9261, mean age = 15.6 years). The 3 key variables were significantly associated with poorer self-rated health, self-esteem, and depressive symptoms. For example, weight-based victimization was associated with approximately 2 more points on the depressive symptoms scale (β = 1.81, P <.001), adjusting for covariates. Findings highlight the negative impact of weight-based victimization among LGBTQ youth, even in the context of other types of family support.
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Author Affiliations: Department of Pediatrics, University of Minnesota, Minneapolis (Dr Eisenberg); Department of Human Development and Family Sciences, University of Connecticut, Storrs (Drs Puhl and Watson); and Rudd Center for Food Policy and Obesity, University of Connecticut, Hartford (Dr Puhl). This research uses data from the LGBTQ Teen Study, designed by Ryan J. Watson and Rebecca M. Puhl in collaboration with the Human Rights Campaign, and supported by the Office for Vice President of Research at the University of Connecticut. Dr Watson also acknowledges support from the National Institutes of Drug Abuse grant K01DA047918. The authors acknowledge the intensive efforts of Ellen Kahn, Gabe Murchison, and Liam Miranda in their support, conceptualization, and management related to the LGBTQ Teen Study. The authors declare no conflicts of interest. Correspondence: Marla E. Eisenberg, ScD, MPH, 717 Delaware St SE, Minneapolis, MN 55414 (firstname.lastname@example.org). Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved. DOI: 10.1097/FCH.0000000000000239
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- gender identity
- sexual orientation