The Impact of Institutional Discrimination on Psychiatric Disorders in Lesbian, Gay, and Bisexual Populations: A Prospective Study
The Impact of Institutional Discrimination on Psychiatric Disorders in Lesbian, Gay, and Bisexual Populations: A Prospective Study
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DOI：
10.2105/ajph.2009.168815
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发表时间：
2010-03-01
影响因子：
12.7
通讯作者：
Hasin, Deborah S.
中科院分区：
文献类型：
--
作者：
Hatzenbuehler, Mark L.;McLaughlin, Katie A.;Hasin, Deborah S.
目标。我们研究了生活在 2004 年和 2005 年选举期间禁止同性婚姻的州与女同性恋、男同性恋和双性恋 (LGB) 人群中精神疾病患病率之间的关系。方法。我们使用了全国酒精及相关病症流行病学调查 (N=34653) 第 1 波 (2001-2002) 和第 2 波 (2004-2005) 的数据，这是一项针对非机构化美国成年人的纵向、全国代表性研究。结果。 《精神疾病诊断和统计手册》第四版定义的精神疾病在第一波和第二波之间，生活在禁止同性婚姻的州的 LGB 受访者中显着增加，其结果如下：任何情绪障碍（增加 36.6%）、广泛性焦虑症（增加 248.2%）、任何酒精使用障碍（增加 41.9%）和精神合并症（增加 36.3%）。在生活在没有宪法修正案的州的 LGB 受访者中，这些精神疾病并没有显着增加。此外，我们没有发现任何证据表明生活在宪法修正案各州的异性恋人数出现同样幅度的增长。结论。生活在实行歧视性政策的州可能会对男女同性恋、双性恋和变性者群体的心理健康产生有害后果。这些发现为最近推翻这些政策的努力提供了科学支持。 （美国公共卫生杂志。2010；100：452-459。doi：10.2105/AJPH.2009.168815）
Objectives. We examined the relation between living in states that instituted bans on same-sex marriage during the 2004 and 2005 elections and the prevalence of psychiatric morbidity among lesbian, gay, and bisexual (LGB) populations.Methods. We used data from wave 1 (2001-2002) and wave 2 (2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions (N=34653), a longitudinal, nationally representative study of non-institutionalized US adults.Results. Psychiatric disorders defined by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, increased significantly between waves 1 and 2 among LGB respondents living in states that banned gay marriage for the following outcomes: any mood disorder (36.6% increase), generalized anxiety disorder (248.2% increase), any alcohol use disorder (41.9% increase), and psychiatric comorbidity (36.3% increase). These psychiatric disorders did not increase significantly among LGB respondents living in states without constitutional amendments. Additionally, we found no evidence for increases of the same magnitude among heterosexuals living in states with constitutional amendments.Conclusions. Living in states with discriminatory policies may have pernicious consequences for the mental health of LGB populations. These findings lend scientific support to recent efforts to overturn these policies. (Am J Public Health. 2010;100:452-459. doi:10.2105/AJPH.2009.168815)