Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the National Comorbidity Survey
Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the National Comorbidity Survey
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DOI：
10.2105/ajph.91.6.933
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发表时间：
2001-06-01
影响因子：
12.7
通讯作者：
Kessler, RC
中科院分区：
文献类型：
--
作者：
Gilman, SE;Cochran, SD;Kessler, RC
目标。这项研究调查了有同性性伴侣的个体患精神疾病的风险。方法。数据来自全国合并症调查，这是一项具有全国代表性的家庭调查。受访者被问及过去 5 年中与他们发生过性行为的女性和男性的数量。根据《精神疾病诊断和统计手册》修订版第三版 (DSM-III-R) 标准，使用修订版的综合国际诊断访谈对精神疾病进行评估。结果。共有 2.1% 的男性和 1.5% 的女性表示在过去 5 年内有 1 名或多名同性性伴侣。这些受访者的 12 个月患病率较高；与只有异性伴侣的受访者相比，他们的焦虑、情绪和药物滥用障碍以及自杀想法和计划的发生率更高。分解表明，同性 12 个月患病率升高主要是由于终生患病率较高。同性和异性子样本之间疾病的发病年龄和持续时间没有差异。结论。同性恋倾向被定义为拥有同性性伴侣，与焦虑、情绪和物质使用障碍以及自杀想法和计划的风险普遍升高有关。需要进一步的研究来复制和探索这种关联背后的因果机制。
Objectives. This study examined the risk of psychiatric disorders among individuals with same-sex sexual partners.Methods. Data are from the National Comorbidity Survey, a nationally representative household survey. Respondents were asked the number of women and men with whom they had sexual intercourse in the past 5 years. Psychiatric disorders according to Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition (DSM-III-R) criteria were assessed with a modified version of the Composite International Diagnostic Interview.Results. A total of 2.1% of men and 1.5% of women reported 1 or more same-sex sexual partners in the past 5 years. These respondents had higher 12-month prevalences; of anxiety, mood, and substance use disorders and of suicidal thoughts and plans than did respondents with opposite-sex partners only. Decomposition showed that the elevated same-sex 12-month prevalences were largely due to higher lifetime prevalences. Ages at onset and persistence of disorders did not differ between the same-sex and opposite-sex subsamples.Conclusions. Homosexual orientation, defined as having same-sex sexual partners, is associated with a general elevation of risk for anxiety, mood, and substance use disorders and for suicidal thoughts and plans. Further research is needed to replicate and explore the causal mechanisms underlying this association.