Depressive symptoms among Hong Kong adolescents: relation to atypical sexual feelings and behaviors, gender dissatisfaction, pubertal timing, and family and peer relationships

Arch Sex Behav. 2004 Oct;33(5):487-96. doi: 10.1023/B:ASEB.0000037429.79394.c6.

Abstract

A representative community sample of Hong Kong boys (n = 1,024) and girls (n = 1,403), age 14-18 years, provided information regarding same-sex attraction, gender dissatisfaction, pubertal timing, early experience with sexual intercourse, and depressive symptoms. They also rated the quality of their family and peer relationships and self-perceived attractiveness. Depressive symptoms were higher in youths reporting same-sex attraction, gender dissatisfaction, early pubertal maturation, and early sexual intercourse. Family relationships were less satisfactory for those who reported same-sex attraction, gender dissatisfaction, and early sexual intercourse, and peer relationships were also worse for those who reported gender dissatisfaction. In multivariate analyses, same-sex attraction, early sexual intercourse, and early pubertal maturation were unique and direct contributors to depressive symptoms; however, gender dissatisfaction's association with depressive symptoms was largely accounted for by shared correlations with negative family and peer relationships. The multivariate model explained 11% of the variance of depressive symptoms. These findings offer a preliminary documentation of the prevalence and correlates of atypical sexual self-assessments and behavior among adolescents in Hong Kong. Such information is important if theories of sexual identity and risk factors for depressive symptoms are to have cross-cultural utility.

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Analysis of Variance
  • Coitus / psychology*
  • Cross-Sectional Studies
  • Depression / diagnosis
  • Depression / epidemiology*
  • Depression / etiology
  • Family Relations*
  • Female
  • Gender Identity*
  • Health Behavior
  • Hong Kong / epidemiology
  • Humans
  • Life Style
  • Male
  • Multivariate Analysis
  • Peer Group*
  • Psychology, Adolescent
  • Puberty / psychology*
  • Risk Assessment
  • Risk Factors
  • Surveys and Questionnaires