Sexual Minority Stigma and Homelessness Linked to Poorer Health Outcomes

Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) youth were more susceptible to homelessness than their heterosexual peers, according to a new study in the December 2023 edition of Pediatrics (published online Nov. 20). Authors of the study “Homelessness Among Sexual Minority Youth” estimated that 12% of sexual minority youth experienced homelessness, while their heterosexual peers were at 4%. The findings come from a nationally representative health survey of public and private high school students in grades 9-12 in 21 states. It revealed a lack of acceptance of sexual diversity at the state level is associated with homelessness among both sexual minorities and heterosexual youth. Health disparities and challenges, such as suicidal ideations and attempts, are more common in sexual minority youth experiencing homelessness. This demographic is also more likely to engage in risky health behaviors, including sex with four or more partners, unprotected sex, use of substances before sex, alcohol use, tobacco use, cocaine use, and marijuana use compared to non-homeless sexual minority youth. Researchers advise that practitioners be aware of these health risks and push for more research, educational campaigns, and collaborative solutions to prevent homelessness among sexual minority youth.

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The American Academy of Pediatrics is an organization of 67,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults.