Disparities in Unstable Housing at the Intersection of Sexual Orientation and Race/Ethnicity Among Adolescents in a Population-Based Sample.

The purpose of this study is to identify disparities in unstable housing at the intersection of sexual orientation and race/ethnicity among adolescents in California. We examined differences in current housing status by sexual orientation and race/ethnicity among adolescents participating in the population-based California Healthy Kids Survey (N = 927,549; 2017–2019). Generalized linear mixed models included sexual orientation-by-race/ethnicity interactions and adjusted for potential confounders. Stratified models quantified the relationship between race/ethnicity and housing status by sexual orientation and between sexual orientation and housing status by race/ethnicity. Sexually minoritized adolescents had a higher prevalence of living in unstable housing conditions (e.g., living in a friend's home, foster/group home, hotel/motel, or shelter/car/campground) and other living arrangements compared with their heterosexual peers. In models stratified by race/ethnicity, LGBQ adolescents were more likely to experience unstable housing relative to their heterosexual counterparts. In models stratified by sexual orientation, American Indian/Alaska Native, Black/African American, multiracial, and Native Hawaiian/Pacific Islander adolescents generally had greater odds of unstable housing compared with their White peers of the same sexual orientation, whereas for Asian and Hispanic/Latinx adolescents the findings were less consistent. Understanding differences in housing status for adolescents at the intersection of sexual orientation and race/ethnicity can identify groups with the greatest needs for supportive housing resources. Agencies serving these populations may benefit from interventions that are sensitive to the needs of sexually minoritized adolescents of minoritized racial or ethnic backgrounds. [ABSTRACT FROM AUTHOR]