Burden of psychiatric morbidity among lesbian, gay, and bisexual individuals in the California Quality of Life Survey.

Burden of psychiatric morbidity among lesbian, gay, and bisexual individuals in the California Quality of Life Survey.
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DOI:
10.1037/a0016501
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发表时间:
2009-08
影响因子:
4.6
通讯作者:
Mays, Vickie M.
Mays, Vickie M.
中科院分区:
心理学1区
文献类型:
--
作者:
Cochran, Susan D.;Mays, Vickie M.

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在最近的以人口为基础的调查中,少数族裔的性取向已被确定为精神疾病发病率的潜在风险指标。然而,到目前为止,研究中的方法限制导致了人们的担忧,即目前的估计是有偏见的,因为对性取向的测量不充分,以及与流行的艾滋病毒感染的不受控制的混淆。在本研究中,作者利用从加州生活质量调查中采访的2272名个人获得的信息,调查性取向与精神健康/药物使用发病率之间的关系,其中包括652名年龄在18至72岁的性取向少数族裔。结果证实,少数民族的性取向是精神疾病发病率的风险指标。然而,在这一亚群中,风险增加的水平因性别和性取向表达模式而有所不同。在男同性恋者/双性恋者中,这种更大的负担很大程度上与同时感染艾滋病毒有关。减少性取向少数人群中过多的精神健康发病率风险可能会导致在这里评估的成年人口中的障碍负担减少5%到11%。性取向是精神疾病发病率的一个重要但相对较少被研究的个体特征形成风险。
In recent population-based surveys, minority sexual orientation has been identified as a potential risk indicator for psychiatric morbidity. However, methodological limitations in the studies to date have led to concerns that current estimates are biased due to inadequate measurement of sexual orientation and uncontrolled confounding from prevalent HIV infection. In the present study, the authors investigate associations between sexual orientation and mental health/substance use morbidity using information obtained from 2272 individuals, including 652 sexual orientation minorities, age 18 to 72 years, interviewed in the California Quality of Life Survey. Results confirm that minority sexual orientation is a risk indicator for psychiatric morbidity. However, levels of increased risk vary within this subpopulation by both gender and patterns of sexual orientation expression. Among gay/bisexual men, much of this greater burden is related to concurrent HIV infection. Reducing excess mental health morbidity risk among sexual orientation minorities could result in possibly a 5% to 11% reduction in the burden of the disorders assessed here among the adult population. Sexual orientation represents an important, but relatively understudied, individual characteristic shaping risk for psychiatric morbidity.
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