Health Inequalities by Sexual Orientation: Results from the 2016-2017 Barcelona Health Survey.
Health Inequalities by Sexual Orientation: Results from the 2016-2017 Barcelona Health Survey.
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按性取向划分的健康不平等：2016-2017 年巴塞罗那健康调查结果。
DOI：
10.1089/lgbt.2021.0171
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发表时间：
2022
期刊：
影响因子：
4.8
通讯作者：
Ferrer,Montse
中科院分区：
文献类型：
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作者：
Marti-Pastor,Marc;German,Danielle;Perez,Gloria;Bartoll,Xavier;Diez,Elia;Pont,Angels;Garín,Olatz;Alonso,Jordi;Hernandez,Gimena;Mayoral,Karina;Zamora,Victor;Vilagut,Gemma;Ferrer,Montse
目的：本研究的目的是评估2016-2017年巴塞罗那人口按性别分层的性吸引力健康不平等。方法：数据来自2016-2017巴塞罗那健康调查，3362名成年人回答了EuroQol-5维度-5水平(EQ-5D-5L)等工具，该量表测量五个维度，并将与健康相关的生活质量总结为单一效用指数得分。为了通过性吸引来评估健康差异，我们构建了EQ-5D指数得分的Tobit模型和EQ-5D维度的Poisson回归模型。结果：在调整了社会人口学变量后，感觉被多个性别吸引的女性的EQ-5D指数得分(健康状况较差)低于只有其他性别吸引的女性(−0.042，p= 0.012)，而行动能力、日常活动和焦虑/抑郁问题的患病率较高，调整后的患病率(APR)和可信区间(CI)分别为1.79(95%CI1.05-3.05)，1.84(95%CI1.05-3.21)，和1.76(95%可信区间为1.27~2.43)。只对同性有吸引力的女性焦虑/抑郁的患病率也较高(APR = 1.46，CI 95%1.10~1.92)。相反，没有观察到男性之间的差异。结论：在2016-2017年间，在巴塞罗那，女性，而不是男性，感觉到不止一个性别和唯一的同性吸引力，比那些只感觉到其他性别吸引的人健康状况更差，歧视在解释这种不平等中起到了中介作用。在妇女中的这些结果表明，考虑到性别和性取向的交集，巴塞罗那有必要制定针对女同性恋和双性恋妇女的公共卫生战略。
Purpose:The aim of this study was to assess health inequalities by sexual attraction in the 2016–2017 Barcelona population, stratifying by sex.Methods:Data came from the 2016–2017 Barcelona Health Survey, where 3362 adults answered among other instruments the EuroQol-5 dimensions-5 levels (EQ-5D-5L), which measures five dimensions and summarizes health-related quality of life into a single utility index score. To assess health differences by sexual attraction, we constructed Tobit models for the EQ-5D index score and Poisson regression models for the EQ-5D dimensions. Nested models were constructed to examine the mediating role of discrimination and health-related variables.Results:After adjusting for sociodemographic variables, women feeling attraction to more than one sex showed a lower EQ-5D index score (worse health) than those with only other sex attraction (−0.042,p= 0.012), and higher prevalence of problems with mobility, usual activities, and anxiety/depression with the following adjusted prevalence ratios (aPR) and confidence intervals (CIs): 1.79 (95% CI 1.05–3.05), 1.84 (95% CI 1.05–3.21), and 1.76 (95% CI 1.27–2.43). Women feeling attraction only to their same sex also presented higher prevalence of anxiety/depression (aPR = 1.46, CI 95% 1.10–1.92). In contrast, differences were not observed for men.Conclusion:Women, but not men, feeling attraction to more than one sex and only same-sex attraction in Barcelona in 2016–2017 presented worse health than those feeling only other sex attraction, with discrimination playing a mediating role in explaining such inequalities. These results among women indicate the need to develop public health strategies in Barcelona addressed to lesbian and bisexual women, considering the intersection of gender and sexual orientation.