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Research on Relationships between Sexual Identity, Adverse Childhood Experiences and Non-Suicidal Self-Injury among Rural High School Students in Less Developed Areas of China

Author

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  • Xuyang Li

    (Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang 330006, Jiangxi, China
    These authors contributed equally to the research.)

  • Huilie Zheng

    (Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang 330006, Jiangxi, China
    These authors contributed equally to the research.)

  • Winter Tucker

    (School of Community Science, University of Nevada, Reno, NV 89557, USA)

  • Wenyan Xu

    (Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang 330006, Jiangxi, China)

  • Xiaotong Wen

    (Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang 330006, Jiangxi, China)

  • Yixiang Lin

    (Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang 330006, Jiangxi, China)

  • Zhihui Jia

    (Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang 330006, Jiangxi, China)

  • Zhaokang Yuan

    (Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang 330006, Jiangxi, China)

  • Wei Yang

    (Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang 330006, Jiangxi, China
    School of Community Science, University of Nevada, Reno, NV 89557, USA)

Abstract

Purpose : The objective of this study was to examine the influence of sexual identity and adverse childhood experiences (ACEs) on non-suicidal self-injury (NSSI) among rural high school students in less developed areas of China. Methods : Behavior risk factors data collected from 1810 students from a high school in Jiangxi province, China. Five measures of childhood abuse and household dysfunction were summarized, and ACE was divided into 0, 1, 2, 3–5 ACEs. Logistic regression analysis was used to explore the influence of sexual identity, adverse childhood experiences, and their interaction with non-suicidal self-injury. Results : Compared with heterosexual students, high school students who identify as lesbian, gay, or bisexual (LGB) have a higher tendency of non-suicidal self-injury (AOR = 3.250, 95% CI = 1.69–6.28, p < 0.01). There was also a graded relationship between cumulative ACEs exposure and non-suicidal self-injury behaviors (AOR = 1.627, 95% CI = 1.02–2.60, p < 0.05). Odds for NSSI are higher among students with both experienced ACEs and identified as LGB (AOR = 2.821, 95% CI = 1.51–5.29, p < 0.05). Conclusions : Non-suicidal self-injury is associated with ACEs exposure and with those who identify as LGB, and the NSSI odds are greater when students identify as LGB and have experienced ACEs. More interventions to reduce non-suicidal self-injury should focus on LGB and ACEs and more attention needs to be paid to those who identify as LGB and have been exposed to ACEs.

Suggested Citation

  • Xuyang Li & Huilie Zheng & Winter Tucker & Wenyan Xu & Xiaotong Wen & Yixiang Lin & Zhihui Jia & Zhaokang Yuan & Wei Yang, 2019. "Research on Relationships between Sexual Identity, Adverse Childhood Experiences and Non-Suicidal Self-Injury among Rural High School Students in Less Developed Areas of China," IJERPH, MDPI, vol. 16(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:17:p:3158-:d:262209
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    References listed on IDEAS

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    1. Minhui Zhou & Rachel Murphy & Ran Tao, 2014. "Effects of Parents' Migration on the Education of Children Left Behind in Rural China," Population and Development Review, The Population Council, Inc., vol. 40(2), pages 273-292, June.
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    Cited by:

    1. Xuyang Li & Feiyu Chen & Yixiang Lin & Zhihui Jia & Winter Tucker & Jiangyan He & Lanyue Cui & Zhaokang Yuan, 2020. "Research on the Relationships between Psychological Problems and School Bullying and Non-Suicidal Self-Injury among Rural Primary and Middle School Students in Developing Areas of China," IJERPH, MDPI, vol. 17(10), pages 1-13, May.
    2. Lixia Zhang & Liwei Zhang & Alexander Testa, 2022. "Childhood Adversity and Risky Behaviors among Chinese Rural Young Adults: The Mediation Effect of Perceived Stress and Moderation Effect of Social Support," IJERPH, MDPI, vol. 19(20), pages 1-14, October.

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