Health disparities in one of the world's most progressive countries: a scoping review of mental health and substance use among sexual and gender minority people in the Netherlands.
Health disparities in one of the world's most progressive countries: a scoping review of mental health and substance use among sexual and gender minority people in the Netherlands.
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DOI：
10.1186/s12889-023-17466-x
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发表时间：
2023-12-18
影响因子：
4.5
通讯作者：
Bos, Henny
中科院分区：
文献类型：
--
作者：
Hughes, Tonda L.;Bochicchio, Lauren;Drabble, Laurie;Muntinga, Maaike;Jukema, Jan S.;Veldhuis, Cindy B.;Bruck, Suncica;Bos, Henny
关键词：
来自世界许多地方的证据表明，性和性别少数群体（SGM）的健康状况比他们的顺性别异性恋同行更差。少数群体的压力源，特别是耻辱和歧视，已被确定为性取向和性别认同相关的健康差距，特别是负面的心理健康和行为健康结果的主要贡献者。为了更好地了解导致这些差异的因素，我们对荷兰的SGM心理健康和物质使用研究进行了范围审查，荷兰是一个长期享有SGM平等先驱声誉的国家。使用Joanna Briggs研究所指南和PRISMA-ScR协议，我们检索了7个数据库，以确定2010年至2022年期间发表的研究，这些研究侧重于荷兰SGM青年和成人的物质使用和/或心理健康。尽管有一些证据表明，荷兰的SGM人报告的药物使用和心理健康问题比进步程度较低的国家少，但除了极少数例外，研究发现SGM参与者的结果比顺性别，异性恋参与者更差。然而，鉴于文献中的重大空白，必须谨慎考虑这一观察结果。例如，只有一项研究专门关注成年性少数群体妇女，两项研究关注老年SGM成年人，很少关注非二元个体。大多数研究使用的是非常同质的非概率样本。许多研究，特别是那些与青年，评估性取向的基础上性吸引力;一些研究的成年人操作SGM状态有同性伴侣。重要的是，我们没有发现直接评估结构性污名与健康结果之间关系的研究。研究主要集中在个人层面和健康问题上;很少关注力量或复原力。尽管荷兰SGM支持政策的历史相对较长，但持续健康风险的调查结果突出表明，需要进行更多的研究，并更加关注代表性不足的人群。这种研究不仅将为改善荷兰SGM人群健康的战略提供指导，而且还将为其他寻求减少健康不平等的国家提供指导。解决荷兰和其他地方的SGM健康差距是复杂的，需要采取多方面的方法，解决个人，人际和结构因素。
Evidence from many parts of the world shows that sexual and gender minority (SGM) people have poorer health than their cisgender heterosexual counterparts. Minority stressors, particularly stigma and discrimination, have been identified as major contributors to sexual orientation- and gender identity-related health disparities, particularly negative mental health and behavioral health outcomes. To better understand factors that contribute to these disparities, we conducted a scoping review of SGM mental health and substance use research in the Netherlands—a country with a long-standing reputation as a pioneer in SGM equality. Using Joanna Briggs Institute guidelines and the PRISMA-ScR protocol, we searched seven databases to identify studies published between 2010 and 2022 that focused on substance use and/or mental health of SGM youth and adults in the Netherlands. Although there was some evidence that SGM people in the Netherlands report fewer substance use and mental health concerns than those in less progressive countries, with very few exceptions studies found poorer outcomes among SGM participants than cisgender, heterosexual participants. However, this observation must be considered cautiously given major gaps in the literature. For example, only one study focused exclusively on adult sexual minority women, two focused on older SGM adults, and very little attention was given to nonbinary individuals. Most studies used non-probability samples that were quite homogenous. Many studies, especially those with youth, assessed sexual orientation based on sexual attraction; some studies of adults operationalized SGM status as having a same-sex partner. Importantly, we found no studies that directly assessed associations between structural-level stigma and health outcomes. Studies were mostly focused at the individual level and on health problems; very little attention was given to strengths or resilience. Findings of persistent health disparities—despite the relatively long history of SGM supportive policies in the Netherlands—highlight the need for more research and greater attention to population groups that have been underrepresented. Such research would not only provide guidance on strategies to improve the health of SGM people in the Netherlands, but also in other countries that are seeking to reduce health inequities. Addressing SGM health disparities in the Netherlands and elsewhere is complex and requires a multifaceted approach that addresses individual, interpersonal and structural factors.
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影响因子：
3.5
作者：
Barger BT;Obedin-Maliver J;Capriotti MR;Lunn MR;Flentje A
通讯作者：
Flentje A
影响因子：
6.2
作者：
Bauer, Greta R.;Scheim, Ayden I.;Massarella, Carys
通讯作者：
Massarella, Carys
影响因子：
2.5
作者：
Branstrom, Richard;Fellman, Daniel;Pachankis, John
通讯作者：
Pachankis, John
影响因子：
3.1
作者：
Bos HM;Boschloo L;Schoevers RA;Sandfort TG
通讯作者：
Sandfort TG
影响因子：
15.1
作者：
Achterbergh RCA;Hoornenborg E;Boyd A;Coyer L;Meuzelaar SJA;Hogewoning AA;Davidovich U;van Rooijen MS;Schim van der Loeff MF;Prins M;de Vries HJC
通讯作者：
de Vries HJC