Health Behavior Differences Between Male and Female US Military Personnel by Sexual Orientation: The Importance of Disaggregating Lesbian, Gay, and Bisexual Groups
Health Behavior Differences Between Male and Female US Military Personnel by Sexual Orientation: The Importance of Disaggregating Lesbian, Gay, and Bisexual Groups
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DOI：
10.1093/milmed/usaa539
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发表时间：
2021-05-01
影响因子：
1.2
通讯作者：
Shell, Donald
中科院分区：
文献类型：
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作者：
Jeffery, Diana D.;Beymer, Matthew R.;Shell, Donald
简介：本研究的目的是确定现役军人中与性取向相关的健康相关行为，并比较女同性恋、男同性恋和双性恋 (LGB) 群体汇总和分类时的这些行为。材料和方法：我们使用了 2015 年现役军人健康相关行为调查的公开数据。采用二项逻辑回归分析来检查异性恋、同性和双性恋群体之间和内部的差异，并通过以下相关性进行预测：人口特征、体力活动、物质使用、可能的情绪障碍、不想要的性接触、身体虐待、自杀行为和性传播感染 (STI)。 结果：在单变量分析中，与其他群体相比，双性恋女性一生中不想要的性接触和一生自杀意念的发生率显着更高。回归分析的结果根据 LGB 群体是聚合还是分解而有所不同。汇总的 LGB 与异性恋模型发现，在不想要的性接触、终生自杀未遂、性传播感染、吸烟和吸食大麻方面存在显着差异。分类模型发现了显着相关性的不同模式，例如，比较同性恋与异性恋男性的相关性是性传播感染、性接触、一生自杀企图和年龄；将女同性恋与异性恋女性进行比较的相关因素包括酗酒、可能患有创伤后应激障碍、曾经吸食过大麻、终生自杀未遂、终生身体虐待和吸烟。结论：研究结果与之前的研究结果一致，显示双性恋个体自杀行为和药物滥用的风险最高。我们建议未来的研究和临床护理将 LGB 性别认同视为异质群体；否则，不良健康行为的风险可能会被忽视。
Introduction:The aims of the study are to identify health-related behaviors associated with sexual orientation among active duty military personnel and to compare those behaviors when lesbian, gay, and bisexual (LGB) groups are aggregated and disaggregated.Materials and Methods:We used public data from the 2015 Health-Related Behavior Survey of Active Duty Military Personnel. Binomial logistic regression analyses were used to examine differences between and within heterosexual, same-sex, and bisexual groups as predicted by the following correlates: demographic characteristics, physical activity, substance use, probable mood disorders, unwanted sexual contact, physical abuse, suicidal behaviors, and sexually transmitted infection (STI).Results:In univariate analyses, rates of lifetime unwanted sexual contact and lifetime suicidal ideation were significantly higher for bisexual females compared to other groups. The results of regression analyses differed depending on whether LGB groups were aggregated or disaggregated. Aggregated LGB versus heterosexual model found significant differences with respect to unwanted sexual contact, lifetime suicide attempt, STI, smoking, and marijuana use. Disaggregated models found different patterns of significant correlates, e.g., correlates comparing gays to heterosexual males were STI, sexual contact, lifetime suicide attempt, and age; correlates comparing lesbians to heterosexual females were heavy drinking, probable post-traumatic stress disorder, ever used marijuana, lifetime suicide attempt, lifetime physical abuse, and smoking.Conclusion:The findings are consistent with those of previous research showing highest risk for suicidal behaviors and substance abuse among bisexual individuals. We recommend that future studies and clinical care consider LGB sexual identities as heterogeneous groups; otherwise, risks for adverse health behaviors may be overlooked.