Chronic pain among U.S. sexual minority adults who identify as gay, lesbian, bisexual, or "something else".
Chronic pain among U.S. sexual minority adults who identify as gay, lesbian, bisexual, or "something else".
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DOI：
10.1097/j.pain.0000000000002891
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发表时间：
2023-09-01
期刊：
影响因子：
7.4
通讯作者：
中科院分区：
文献类型：
--
作者：
补充数字内容可在正文中找到。慢性疼痛在性行为小型化人群中的患病率很高。认为自己是双性恋或“其他身份”的成年人疼痛患病率最高；同性恋成年人疼痛较少，尽管仍明显多于异性恋成年人。这项研究评估了自我认同为男/女同性恋、双性恋或其他身份的美国少数族裔成年人的慢性疼痛患病率，并检查了选定的协变量在观察模式中的作用。分析基于2013年至2018年全国健康访谈调查的浪潮，这是一项代表美国人口的领先横断面调查。用稳健泊松回归和非线性分解方法分析了18岁至年龄段(N=134,266和95,675)3个以上部位的一般慢性疼痛和慢性疼痛；协变量包括人口统计、社会经济、医疗保健和心理痛苦测量。我们发现这两种疼痛结果都有很大的差异。自认为是双性恋或其他身份的美国人的慢性疼痛患病率最高(分别为23.7%和27.0%)，而男女同性恋者和异性恋成年人的这一比例分别为21.7%和17.2%。对于3+网站的疼痛，差异甚至更大：与异性恋成年人相比，年龄调整后的患病率在自认为是双性恋或其他身份的成年人中高出两倍以上，在男/女同性恋者中高出50%。心理痛苦是这种差异最显著的相关性，而社会经济地位和医疗保健变量只能解释适度的比例。因此，研究结果表明，即使在一个有意义的社会和政治进步的时代，性少数的美国成年人也比他们的异性恋成年人有明显更多的慢性疼痛。我们呼吁数据收集工作包括关于被认为是歧视、偏见和耻辱的信息，作为潜在的关键上游因素，导致这些微区化群体成员之间的疼痛差异。
Supplemental Digital Content is Available in the Text. Chronic pain prevalence is high among sexual minoritized groups. Adults who identify as bisexual or “something else” have the highest pain prevalence; gay/lesbian adults have less pain, although still significantly more than straight adults. This study assesses chronic pain prevalence among sexual minority U.S. adults who self-identify as gay/lesbian, bisexual, or “something else,” and examines the role of select covariates in the observed patterns. Analyses are based on 2013 to 2018 waves of the National Health Interview Survey, a leading cross-sectional survey representative of the U.S. population. General chronic pain and chronic pain in 3+ sites among adults aged 18 to 64 years (N = 134,266 and 95,675, respectively) are analyzed using robust Poisson regression and nonlinear decomposition; covariates include demographic, socioeconomic, healthcare, and psychological distress measures. We find large disparities for both pain outcomes. Americans who self-identify as bisexual or “something else” have the highest general chronic pain prevalence (23.7% and 27.0%, respectively), compared with 21.7% among gay/lesbian and 17.2% straight adults. For pain in 3+ sites, disparities are even larger: Age-adjusted prevalence is over twice as high among adults who self-identify as bisexual or “something else” and 50% higher among gay/lesbian, compared with straight adults. Psychological distress is the most salient correlate of the disparities, whereas socioeconomic status and healthcare variables explain only a modest proportion. Findings thus indicate that even in an era of meaningful social and political advances, sexual minority American adults have significantly more chronic pain than their straight counterparts. We call for data collection efforts to include information on perceived discrimination, prejudice, and stigma as potential key upstream factors that drive pain disparities among members of these minoritized groups.
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