Sexual minority youth, compared to their heterosexual peers, have a disproportionate burden of sexual risks, but it remains unclear whether such inequalities exist across cultures and countries. We used data from eight European countries participating in the 2018 Health Behaviour in School-aged Children (HBSC) study to analyze sexual behavior in representative samples of adolescents aged 14.5-16.5 years (N = 10,583). Overall, 19.1% of the participants reported that they had had sexual intercourse. Compared to their non-minority peers (those exclusively attracted to opposite-gender partners), sexual minority youth - attracted to same- or both-gender partners - were significantly more likely to report having had sexual intercourse and sex before age 14. Those attracted to both-gender partners had similar odds of having had sexual intercourse, but higher odds of not using condoms, or neither condoms nor contraceptive pill use at last intercourse. Those not attracted to anyone had similar odds of having had sexual intercourse but were more likely to report early sex and not using protection at last intercourse. Adjusting for gender, country and family affluence did not substantially change the pattern of results. In interpreting the findings, the onset of puberty, sexual abuse, stigma management and experimentation with sexual identity should be considered. We discuss the practical, clinical and research implications of the findings.

中文翻译：

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来自 8 个欧洲国家的性少数群体和非少数群体青年的性行为。


与异性恋同龄人相比，性少数群体青少年承受着不成比例的性风险负担，但目前尚不清楚这种不平等是否存在于不同文化和国家之间。我们使用了来自参与 2018 年学龄儿童健康行为 （HBSC） 研究的八个欧洲国家的数据来分析 14.5-16.5 岁青少年代表性样本的性行为 （N = 10,583）。总体而言，19.1% 的参与者报告他们曾发生过。与非少数群体同龄人（完全被异性伴侣吸引的人）相比，被同性或双方伴侣吸引的性少数群体青少年报告在 14 岁之前发生和性行为的可能性要大得多。那些被两性伴侣吸引的人发生的几率相似，但不使用避孕套的几率更高，或者在最后一次时既不使用避孕套也不使用避孕药的几率更高。那些没有被任何人吸引的人有过的类似几率，但更有可能报告早期性行为并且在最后一次时不使用保护措施。根据性别、国家和家庭富裕程度进行调整并未实质性改变结果模式。在解释研究结果时，应考虑青春期的开始、性虐待、耻辱管理和性身份实验。我们讨论了研究结果的实践、临床和研究意义。