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This study examined mental health, substance use, and sexual health across sexual attraction groups. Methods:  428 adolescents recruited from school-based health centers completed self-report measures. 72% were only opposite-sex attracted, 19% both-sex attracted, 3% same-sex attracted, 4% not sure. Results:  Reported partners did not always align with reported attraction. Compared to opposite-sex attracted youth, 1) both-sex attracted youth had significantly higher rates of marijuana use (OR = 1.75,  p  = .04), depressive symptoms (OR = 2.62,  p  = .001) and inconsistent condom use (OR = 1.71,  p  = .05); 2) the “not sure” group had higher anxiety symptoms (OR = 4,  p  = .01). Conclusion:  This study highlights the importance of considering sexual attraction in providing quality care to young people.

Same, opposite and both-sex attracted adolescents’ mental health, safe-sex practices and substance use