Mental health and quality of life of gay men and lesbians in England and Wales - Controlled, cross-sectional study
Mental health and quality of life of gay men and lesbians in England and Wales - Controlled, cross-sectional study
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DOI：
10.1192/bjp.183.6.552
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发表时间：
2003-12-01
影响因子：
10.5
通讯作者：
Davidson, O
中科院分区：
文献类型：
--
作者：
King, M;McKeown, E;Davidson, O
背景对生活在欧洲的男女同性恋者的心理健康状况知之甚少。目的比较男女同性恋者和异性恋者的心理状况、生活质量和心理健康服务的使用情况。方法在英格兰和威尔士进行横断面研究，采用滚雪球抽样。结果研究对象：男同性恋者656人，异性恋者505人，女同性恋者430人，异性恋女性588人。男同性恋者比异性恋者更容易在临床访谈中得分超过临界值，表明心理困扰程度更高(RR 1.24，95%CI 1.07~1.43)，女同性恋者与异性恋女性相比(RR 1.30，95%CI 1.11~1.52)。男同性恋者和女同性恋者比异性恋者更有可能在过去咨询过心理健康专业人员，故意伤害自己，并使用娱乐性药物。女同性恋者比异性恋女性更容易受到言语和身体上的恐吓，饮酒更多。结论对男女同性恋者心理健康问题的认识应成为心理健康专业人员培训的标准部分，他们需要意识到这一群体中潜在的物质滥用和自我伤害，以及许多女同性恋者经历的歧视。在致谢中详细说明了资金。
Background Little is known about the mental health of gay men and lesbians living in Europe.Aims To compare psychological status, quality of life and use of mental health services by lesbians and gay men with heterosexual people.Method Cross-sectional study in England and Wales using 'snowball' sampling.Results Participants: 656 gay men, 505 heterosexual men, 430 lesbians and 588 heterosexual women. Gay men were more likely than heterosexual men to score above threshold on the Clinical Interview Schedule, indicating greater levels of psychological distress (RR 1.24, 95% CI 1.07-1.43), as were lesbians compared with heterosexual women (RR 1.30, 95% CI 1.11-1.52). Gay men and lesbians were more likely than heterosexuals to have consulted a mental health professional in the past, deliberately harmed themselves and used recreational drugs. Lesbians were more likely to have experienced verbal and physical intimidation and to consume more alcohol than heterosexual women.Conclusions Awareness of mental health issues for gay men and lesbians should become a standard part of training for mental health professionals, who need to be aware of the potential for substance misuse and self-harm in this group and of the discrimination experienced by many lesbians.Declaration of interest None. Funding detailed in Acknowledgements.