Discrimination and Mental Health Among Lesbian, Gay, and Bisexual Adults in the United States

Discrimination and Mental Health Among Lesbian, Gay, and Bisexual Adults in the United States
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DOI:
10.1037/h0098851
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发表时间:
2014-01-01
影响因子:
3.3
通讯作者:
McCabe, Sean Esteban
McCabe, Sean Esteban
中科院分区:
医学2区
文献类型:
--
作者:
Bostwick, Wendy B.;Boyd, Carol J.;McCabe, Sean Esteban

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性少数群体之间的健康差异,特别是心理健康差异,有充分的记录。许多研究表明,与异性恋者相比,女同性恋者、男同性恋者和双性恋者中抑郁症和焦虑症的患病率更高。一些作者认为,这些差异是偏见和歧视造成的压力的结果。目前的研究扩展了以前的研究,通过检查基于种族或民族,性别和性取向的多种类型的歧视之间的关联,以及在全国范围内自我认定的女同性恋,男同性恋和双性恋女性和男性(n = 577)的样本中过去一年的心理健康障碍。研究结果表明,不同类型的歧视可能与过去一年的心理健康障碍有不同的联系。值得注意的是,性取向歧视仅与其他类型的歧视相结合,才与去年疾病的更高几率相关。这些研究结果指出,歧视的经验和心理健康之间的关系的复杂性,并建议,需要进一步的工作,以更好地解释多重边缘化的身份,歧视和心理健康之间的相互作用。
Health disparities among sexual minority groups, particularly mental health disparities, are well-documented. Numerous studies have demonstrated heightened prevalence of depressive and anxiety disorders among lesbian, gay, and bisexual groups as compared with heterosexuals. Some authors posit that these disparities are the result of the stress that prejudice and perceived discrimination can cause. The current study extends previous research by examining the associations between multiple types of discrimination, based on race or ethnicity, gender, and sexual orientation, and past-year mental health disorders in a national sample of self-identified lesbian, gay, and bisexual women and men (n = 577). Findings suggest that different types of discrimination may be differentially associated with past-year mental health disorders. Notably, sexual orientation discrimination was associated with higher odds of a past-year disorder only in combination with other types of discrimination. These findings point to the complexity of the relationship between discrimination experiences and mental health, and suggest that further work is needed to better explicate the interplay among multiple marginalized identities, discrimination, and mental health.