Abstract

Background Mostly heterosexual adolescents experience heightened depressive symptoms compared to heterosexual adolescents, though prior comparisons with other sexual minority adolescents have been inconsistent and rarely used a comprehensive measure of sexual orientation. Method U.S. high school adolescents were considered mostly heterosexual if they either (a) self-identified as mostly heterosexual or (b) identified as heterosexual but reported same-gender attraction and/or sexual behavior. Result Depressive symptoms among both groups of mostly heterosexual adolescents were higher than exclusively heterosexual adolescents but similar to other sexual minority adolescents. Conclusion Mostly heterosexual adolescents may be at risk for depression like their other sexual minority peers.

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