Not all adolescents are the same: Addressing the unique needs of gay and bisexual male youth

Robert Garofalo*, Gary W. Harper

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

32 Scopus citations


Gay and bisexual male youth confront the everyday struggles of adolescence with the added stress of growing up and shaping their identities within a society that may marginalize or disapprove of them. Despite a resilience and inner-strength that helps them to overcome many of these challenges, gay and bisexual adolescents face unique threats to their health and well-being and are disproportionately affected by many of the leading causes of preventable morbidity and mortality among adolescents. These include human immunodeficiency virus (HIV), other sexually transmitted infections, club drugs, alcohol and other substance use, suicidal thoughts and behavior, exposure to violence and victimization, and disordered eating. This chapter describes the unique challenges of coping with and understanding an emerging sexual minority orientation, reviews the relevant literature on the health threats facing gay and bisexual male youth, and provides a guide for primary care screening and interventions targeting this subpopulation of youth.

Original languageEnglish (US)
Pages (from-to)595-611
Number of pages17
JournalAdolescent Medicine
Issue number3
StatePublished - Oct 1 2003

ASJC Scopus subject areas

  • Medicine(all)


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