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Disparities in safety belt use by sexual orientation identity among US high school students

Author

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  • Reisner, S.L.
  • Van Wagenen, A.
  • Gordon, A.
  • Calzo, J.P.

Abstract

Objectives. We examined associations between adolescents' safety belt use and sexual orientation identity. Methods. We pooled data from the 2005 and 2007 Youth Risk Behavior Surveys (n = 26 468 weighted; mean age = 15.9 years; 35.4% White, 24.7% Black, 23.5% Latino, 16.4% other). We compared lesbian and gay (1.2%), bisexual (3.5%), and unsure (2.6%) youths with heterosexuals (92.7%) on a binary indicator of passenger safety belt use. We stratified weighted multivariable logistic regression models by sex and adjusted for survey wave and sampling design. Results. Overall, 12.6% of high school students reported "rarely" or "never" wearing safety belts. Sexual minority youths had increased odds of reporting nonuse relative to heterosexuals (48% higher for male bisexuals, 85% for lesbians, 46% for female bisexuals, and 51% for female unsure youths; P > .05), after adjustment for demographic (age, race/ethnicity), individual (body mass index, depression, bullying, binge drinking, riding with a drunk driver, academic achievement), and contextual (living in jurisdictions with secondary or primary safety belt laws, percentage below poverty, percentage same-sex households) risk factors. Conclusions. Public health interventions should address sexual orientation identity disparities in safety belt use.

Suggested Citation

  • Reisner, S.L. & Van Wagenen, A. & Gordon, A. & Calzo, J.P., 2014. "Disparities in safety belt use by sexual orientation identity among US high school students," American Journal of Public Health, American Public Health Association, vol. 104(2), pages 311-318.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301745_0
    DOI: 10.2105/AJPH.2013.301745
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