There is growg evince that lbian, gay, and bisexual (LGB) adults experience more sleep problems than the general populatn. As LGB dividuals experience a signifintly greater risk of fay rejectn and low fay support, our study vtigat the role of fay support as a potential termant of LGB sleep problems over a prolonged perd, and whether iend support (i.e. chosen fay) n migate the effect of low fay support. Given the importance of sleep on mental and physil health, study rults may help shed light on persistent health dispari across sexual orientatns. Our sample clud 1703 LGB dividuals om the UK Hoehold Longudal Study (UKHLS). Mixed-effect logistic regrsns were ed to timate the effect of fay and iend support on the velopment of sleep problems after 24 months while ntrollg for potential nfounrs. A modified Ptsburgh Sleep Qualy Inx was ed to measure 1) prence of any sleep problems, 2) short sleep duratn, and 3) poor sleep qualy. Fay support at basele was penntly associated wh all sleep problems our study after 24-months: 1 SD crease fay support was associated wh a 0.94 tim lower risk of sleep problems (95% C.I = 0.90-0.98), a 0.88 tim lower risk of short sleep duratn (95% C.I = 0.81-0.95), and a 0.92 tim lower risk of sleep qualy (95% C.I = 0.93-0.98). Support om one’s chosen fay (proxied by iend support) did not migate the effects of low fay support on sleep problems. Our study found a nsistent effect of fay support across all sleep out along wh evince of a persistent effect after 24 months. Our fdgs pot to the importance of targetg fay support signg terventns aimed at rcg LGB sleep problems.
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- MOM, I’M GAY. CAN MY FRIENDS SLEEP OVER?
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So when he told his fay he was gay, his father, Jeff Frnd, a prcipal at an arts mag middle school, asked himself, “Would I let his sister at that age have a sleepover wh a boy? “If they knew for sure my son was gay, I doubt they were gog to let them e over, ” he explaed.
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”“I thk parents always want to make space for the stuff of childhood to happen, ” said Stacey Karpen Dohn, who works wh the fai of transgenr and genr expansive youths as senr manager of Behavral Health at Whman-Walker Health, a muny health center focg on lbian, gay, bisexual and transgenr re Washgton, D.
BackgroundThere is growg evince that lbian, gay, and bisexual (LGB) adults experience more sleep problems than the general populatn. LGB-related discrimatn and social excln n crease proximal strsors the form of poor self-image, ternalized homophobia, fear of rejectn, and ncealg one’s sexual orientatn acrdg to Hatzenbuehler’s psychologil mediatn amework [10, 11].
A lack of fay support for LGB dividuals has been lked to a range of trimental health out, cludg higher risk of mood disorrs [13, 21], lower levels of psychologil well-beg [25], creased risks of suici-related behavurs [13, 26, 27], a higher likelihood of experiencg ternalized homophobia [28], and prsn [13, 21]. In a US populatn-based study, gay men had 32% higher (adjted) prevalence of trouble fallg asleep and a 22% higher prevalence of wakg up feelg unrted pared to heterosexual men, whereas bisexual women had a 43% higher prevalence of trouble fallg asleep pared to heterosexual women [29].
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The extensive iendship works, also known as one’s chosen fay, have been found to buffer the negative effects of homophobia and rejectn [40] by substutg support om one’s fay of orig. Sexual orientatn was ptured by askg participants to intify which of the followg bt scrib their sexual orientatn: “heterosexual or straight”, “gay or lbian”, “bisexual”, “other”, or “prefer not to say”. Other women (sexual mory but not homosexual or bisexual) were also penntly associated wh 1.