Role of sleep quality in mediating the relationship between sexual minority status and suicidal behavior among Chinese adolescents
Yeen Huang,1,* Pengsheng Li,1,* Zhisheng Lai,2 Xiaofei Jia,3 Di Xiao,1 Tian Wang,1 Lan Guo,2,* Ciyong Lu1,4,* 1Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, People’s Republic of China; 2Department of HIV/AIDS Preve...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2018-12-01
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| Series: | Psychology Research and Behavior Management |
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| Online Access: | https://www.dovepress.com/role-of-sleep-quality-in-mediating-the-relationship-between-sexual-min-peer-reviewed-article-PRBM |
| _version_ | 1818127455321325568 |
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| author | Huang Y Li P Lai Z Jia X Xiao D Wang T Guo L Lu C |
| author_facet | Huang Y Li P Lai Z Jia X Xiao D Wang T Guo L Lu C |
| author_sort | Huang Y |
| collection | DOAJ |
| description | Yeen Huang,1,* Pengsheng Li,1,* Zhisheng Lai,2 Xiaofei Jia,3 Di Xiao,1 Tian Wang,1 Lan Guo,2,* Ciyong Lu1,4,* 1Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, People’s Republic of China; 2Department of HIV/AIDS Prevention and Control, Yuexiu District Center for Disease Control and Prevention, Guangzhou, Guangdong, People’s Republic of China; 3Department of HIV/AIDS Prevention and Control, Tianhe District Center for Disease Control and Prevention, Guangzhou, Guangdong, People’s Republic of China; 4Guangdong Provincial Key Laboratory of Food, Guangdong Engineering Technology Research Center of Nutrition Translation, Sun Yat-sen University, Guangzhou, Guangdong, People’s Republic of China *These authors contributed equally to this work Background: Studies suggest that sexual minority adolescents experience higher rates of sleep disturbance than their heterosexual peers, and disturbed sleep is a well-known risk factor for suicidality. This study aimed to explore whether sleep quality had mediating effects on the relationship between sexual minority status and suicidal behavior in Chinese adolescents. Methods: We analyzed data collected from 7th to 12th graders from seven randomly selected provinces of People’s Republic of China in the 2015 School-Based Chinese Adolescents Health Survey. The 123,459 students who completed questionnaires regarding sexual attraction, the Pittsburgh Sleep Quality Index, past-year suicidal ideation, and past-year suicide attempts were included in our study (response rate: 95.9%). Results: After adjustment for covariates, sexual minority status was associated with suicidal ideation (adjusted odds ratio =1.82, 95% CI=1.69–1.95) and suicide attempts (adjusted odds ratio =2.16, 95% CI=1.82–2.56). Sleep quality partially mediated the effects of sexual minority status on suicidal ideation (standardized β estimate=0.009, 95% CI=0.007–0.012) and suicide attempts (standardized β estimate=0.004, 95% CI=0.003–0.005). Conclusion: Poor sleep quality partially explained the increased risk of suicidality for Chinese sexual minority adolescents. To prevent subsequent suicidality, suicide interventions targeting sexual minorities should be made, with a focus on their disparities in sleep disturbance and sleep health promotion. Keywords: sexual minority, suicidal behavior, adolescents, sleep quality, mediating effect |
| first_indexed | 2024-12-11T07:17:38Z |
| format | Article |
| id | doaj.art-07abf6e2bac2499ba378b9c9c65e3eaf |
| institution | Directory Open Access Journal |
| issn | 1179-1578 |
| language | English |
| last_indexed | 2024-12-11T07:17:38Z |
| publishDate | 2018-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Psychology Research and Behavior Management |
| spelling | doaj.art-07abf6e2bac2499ba378b9c9c65e3eaf2022-12-22T01:16:10ZengDove Medical PressPsychology Research and Behavior Management1179-15782018-12-01Volume 1160761542904Role of sleep quality in mediating the relationship between sexual minority status and suicidal behavior among Chinese adolescentsHuang YLi PLai ZJia XXiao DWang TGuo LLu CYeen Huang,1,* Pengsheng Li,1,* Zhisheng Lai,2 Xiaofei Jia,3 Di Xiao,1 Tian Wang,1 Lan Guo,2,* Ciyong Lu1,4,* 1Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, People’s Republic of China; 2Department of HIV/AIDS Prevention and Control, Yuexiu District Center for Disease Control and Prevention, Guangzhou, Guangdong, People’s Republic of China; 3Department of HIV/AIDS Prevention and Control, Tianhe District Center for Disease Control and Prevention, Guangzhou, Guangdong, People’s Republic of China; 4Guangdong Provincial Key Laboratory of Food, Guangdong Engineering Technology Research Center of Nutrition Translation, Sun Yat-sen University, Guangzhou, Guangdong, People’s Republic of China *These authors contributed equally to this work Background: Studies suggest that sexual minority adolescents experience higher rates of sleep disturbance than their heterosexual peers, and disturbed sleep is a well-known risk factor for suicidality. This study aimed to explore whether sleep quality had mediating effects on the relationship between sexual minority status and suicidal behavior in Chinese adolescents. Methods: We analyzed data collected from 7th to 12th graders from seven randomly selected provinces of People’s Republic of China in the 2015 School-Based Chinese Adolescents Health Survey. The 123,459 students who completed questionnaires regarding sexual attraction, the Pittsburgh Sleep Quality Index, past-year suicidal ideation, and past-year suicide attempts were included in our study (response rate: 95.9%). Results: After adjustment for covariates, sexual minority status was associated with suicidal ideation (adjusted odds ratio =1.82, 95% CI=1.69–1.95) and suicide attempts (adjusted odds ratio =2.16, 95% CI=1.82–2.56). Sleep quality partially mediated the effects of sexual minority status on suicidal ideation (standardized β estimate=0.009, 95% CI=0.007–0.012) and suicide attempts (standardized β estimate=0.004, 95% CI=0.003–0.005). Conclusion: Poor sleep quality partially explained the increased risk of suicidality for Chinese sexual minority adolescents. To prevent subsequent suicidality, suicide interventions targeting sexual minorities should be made, with a focus on their disparities in sleep disturbance and sleep health promotion. Keywords: sexual minority, suicidal behavior, adolescents, sleep quality, mediating effecthttps://www.dovepress.com/role-of-sleep-quality-in-mediating-the-relationship-between-sexual-min-peer-reviewed-article-PRBMsexual minoritysuicidal behavioradolescentssleep qualitymediating effect |
| spellingShingle | Huang Y Li P Lai Z Jia X Xiao D Wang T Guo L Lu C Role of sleep quality in mediating the relationship between sexual minority status and suicidal behavior among Chinese adolescents Psychology Research and Behavior Management sexual minority suicidal behavior adolescents sleep quality mediating effect |
| title | Role of sleep quality in mediating the relationship between sexual minority status and suicidal behavior among Chinese adolescents |
| title_full | Role of sleep quality in mediating the relationship between sexual minority status and suicidal behavior among Chinese adolescents |
| title_fullStr | Role of sleep quality in mediating the relationship between sexual minority status and suicidal behavior among Chinese adolescents |
| title_full_unstemmed | Role of sleep quality in mediating the relationship between sexual minority status and suicidal behavior among Chinese adolescents |
| title_short | Role of sleep quality in mediating the relationship between sexual minority status and suicidal behavior among Chinese adolescents |
| title_sort | role of sleep quality in mediating the relationship between sexual minority status and suicidal behavior among chinese adolescents |
| topic | sexual minority suicidal behavior adolescents sleep quality mediating effect |
| url | https://www.dovepress.com/role-of-sleep-quality-in-mediating-the-relationship-between-sexual-min-peer-reviewed-article-PRBM |
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