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Minority Stress, Resilience, and Trouble Falling Asleep among Gender and Sexual Minority Adolescents

Title: Minority Stress, Resilience, and Trouble Falling Asleep among Gender and Sexual Minority Adolescents
Language: English
Authors: Will J. Beischel (ORCID 0000-0002-7430-4547); René-Marc Lavigne; Alexa Martin-Storey; Jean-Pascal Lemelin (ORCID 0000-0003-1114-2234); Ryan J. Watson
Source: Journal of Adolescence. 2025 97(6):1581-1596.
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 16
Publication Date: 2025
Sponsoring Agency: National Institute on Drug Abuse (NIDA) (DHHS/PHS)
Contract Number: K01DA047918
Document Type: Journal Articles; Reports - Research
Descriptors: Minority Group Students; LGBTQ People; Adolescents; Stress Variables; Sleep; Resilience (Psychology); Victims; Violence; Social Bias; Family Relationship; Environmental Influences; Teacher Role; Social Support Groups; Gender Differences
DOI: 10.1002/jad.12520
ISSN: 0140-1971; 1095-9254
Abstract: Introduction: Gender and sexual minority adolescents experience greater stress and report worse sleep outcomes compared to their cisgender and/or heterosexual peers. Understanding how minority stress and resilience factors are linked to sleep health provides levers for improving sleep within these populations. Methods: Using a cross-sectional survey of LGBTQ+ adolescents in the US conducted in 2017 (n = 11,282; M[subscript age] = 15.6 years; 65% white), we compared gender/sex and sexuality subgroups' trouble falling asleep and conducted linear regressions relating trouble falling asleep to minority stress (i.e., violent victimization, bias-based victimization, and family rejection) and resilience (i.e., familial warmth, family acceptance, gender-affirming environments, teacher support, trusted adult at school, and presence of a gender-sexuality alliance [GSA]) factors for both gender and sexual minority adolescents. Results: We found small but significant differences in sleep across gender/sex categories, with gender minorities and youth assigned female at birth having worse sleep than cisgender sexual minorities and youth assigned male at birth, respectively. Further, violent LGBTQ+ victimization and gender expression-based victimization were associated with more trouble falling asleep, and familial warmth was associated with less trouble falling asleep for both groups. For cisgender sexual minorities, family rejection and gender-based victimization were also linked with worse sleep while presence of a GSA and a trusted adult at school were linked with better sleep. For gender minorities, gender-segregated restroom use was also linked with better sleep. Conclusions: Victimization prevention, increased access to school supports, and improved family connectedness may help enhance LGBTQ+ youth sleep quality and overall health.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1479147
Database: ERIC