@article{ref1,
title="Sexual assault and co-occurrence of mental health outcomes among cisgender female, cisgender male, and gender minority U.S. college students",
journal="Journal of Adolescent Health",
year="2020",
author="Parr, Nicholas J.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: The aim of this study was to examine the co-occurrence of mental health (depression, anxiety, nonsuicidal self-injury, and suicide ideation) and substance use outcomes among cisgender female, cisgender male, and gender minority college students exposed to sexual assault (SA). <br><br>METHODS: Data were drawn from a 2018 U.S. national survey of college student well-being (N = 50,438). Inverse propensity-weighted three-step latent class analysis was used to examine co-occurrence of outcomes while adjusting for 31 potential confounders of the relation between SA and outcome classes. <br><br>RESULTS: Four latent classes were identified for cisgender female and male participants and two for gender minority participants, reflecting a range from low to high risk of co-occurring outcomes. SA was associated with significantly and substantially increased odds (odds ratio: 2.03-3.64) of membership to the highest-risk outcome class compared with the lowest-risk class across gender identity subgroups. <br><br>CONCLUSIONS: SA in the college setting is associated with substantially increased odds of co-occurring depression, anxiety, nonsuicidal self-injury, and suicide ideation, regardless of gender identity.<br><br>Copyright © 2020 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1054-139X",
doi="10.1016/j.jadohealth.2020.03.040",
url="http://dx.doi.org/10.1016/j.jadohealth.2020.03.040"
}