Sexual orientation and symptoms of common mental disorder or low wellbeing: combined meta-analysis of 12 UK population health surveys
Sexual orientation and symptoms of common mental disorder or low wellbeing: combined meta-analysis of 12 UK population health surveys
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DOI：
10.1186/s12888-016-0767-z
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发表时间：
2016-03-24
期刊：
影响因子：
4.4
通讯作者：
Hagger-Johnson, Gareth
中科院分区：
文献类型：
--
作者：
Semlyen, Joanna;King, Michael;Hagger-Johnson, Gareth
背景资料：先前的研究表明，与异性恋成年人相比，女同性恋、男同性恋和双性恋（LGB）成年人的精神障碍症状、自杀和药物滥用风险增加。我们的目的是从英国12项人口调查中确定性取向认同与成年人心理健康和幸福感差之间的关联估计，并考虑特定人群的影响是否不同。方法：个体数据汇总自2012年英国队列研究，2011年、2012年和2013年英格兰健康调查，2008年至2013年苏格兰健康调查，2009/10年度英格兰青年纵向研究和2011/12年度理解社会。个体参与者的荟萃分析被用来汇集每个研究的估计值，允许研究间的变异。结果：在94，818名参与者中，1.1%被确定为女同性恋/男同性恋，0.9%为双性恋，0.8%为“其他”，97.2%为异性恋。调整一系列协变量后，与异性恋者相比，被确定为女同性恋/男同性恋的成年人有更高的常见精神障碍患病率，但这种关联在不同年龄组中是不同的：对于35岁以下的人来说（OR = 1.78，95% CI 1.40，2.26），在35-54.9岁时较弱（OR = 1.42，95% CI 1.10，1.84），但在55岁以上时最强（OR = 2.06，95% CI 1.29，3.31）。这些影响更强的双性恋成年人，类似的那些确定为“其他”，和类似的“低幸福感”。结论：在英国，LGB成年人有较高的患病率心理健康状况不佳和低幸福感相比，异性恋者，特别是年轻和老年LGB成年人。性取向身份应定期测量在所有健康研究和行政数据在英国，以影响国家和地方的政策制定和服务提供。这些结果再次表明，地方政府、NHS提供者和公共卫生政策制定者需要考虑如何解决这些少数群体在心理健康方面的不平等问题。
Background: Previous studies have indicated increased risk of mental disorder symptoms, suicide and substance misuse in lesbian, gay and bisexual (LGB) adults, compared to heterosexual adults. Our aims were to determine an estimate of the association between sexual orientation identity and poor mental health and wellbeing among adults from 12 population surveys in the UK, and to consider whether effects differed for specific subgroups of the population.Methods: Individual data were pooled from the British Cohort Study 2012, Health Survey for England 2011, 2012 and 2013, Scottish Health Survey 2008 to 2013, Longitudinal Study of Young People in England 2009/10 and Understanding Society 2011/12. Individual participant meta-analysis was used to pool estimates from each study, allowing for between-study variation.Results: Of 94,818 participants, 1.1 % identified as lesbian/gay, 0.9 % as bisexual, 0.8 % as 'other' and 97.2 % as heterosexual. Adjusting for a range of covariates, adults who identified as lesbian/gay had higher prevalence of common mental disorder when compared to heterosexuals, but the association was different in different age groups: apparent for those under 35 (OR = 1.78, 95 % CI 1.40, 2.26), weaker at age 35-54.9 (OR = 1.42, 95 % CI 1.10, 1.84), but strongest at age 55+ (OR = 2.06, 95 % CI 1.29, 3.31). These effects were stronger for bisexual adults, similar for those identifying as 'other', and similar for 'low wellbeing'.Conclusions: In the UK, LGB adults have higher prevalence of poor mental health and low wellbeing when compared to heterosexuals, particularly younger and older LGB adults. Sexual orientation identity should be measured routinely in all health studies and in administrative data in the UK in order to influence national and local policy development and service delivery. These results reiterate the need for local government, NHS providers and public health policy makers to consider how to address inequalities in mental health among these minority groups.