Lesbian uses of and satisfaction with mental health services: results from Boston Lesbian Health Project.
Lesbian uses of and satisfaction with mental health services: results from Boston Lesbian Health Project.
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女同性恋者对心理健康服务的使用和满意度：波士顿女同性恋健康项目的结果。
DOI：
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发表时间：
1997
影响因子：
2.6
通讯作者：
Susan Jo Roberts
中科院分区：
文献类型：
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作者：
Lena Sorensen;Susan Jo Roberts
针对健康文献中关于女同性恋健康状况和实践的具体信息的缺乏，1987年，波士顿芬威社区健康中心的四名同事进行了一项利用自我管理问卷的全国性研究，以获取这些领域的数据。调查问卷收集了有关人口统计、健康习惯、个人和工作压力、精神和身体健康问题、性行为、健康相关问题的家族史以及与“同性恋”有关的基因特征等方面的信息。来自1633名女同性恋的调查问卷为这项研究提供了数据库。本文讨论了调查中涉及心理健康服务和生活经历的部分。过去调查女同性恋心理健康需求的研究主要关注心理健康提供者的治疗质量、自杀未遂率和酗酒率。本文将这些过去的调查结果与这项全国性、以社区为基础的研究中女同性恋者的反应进行了比较。研究结果表明，尽管样本中有相当数量的女同性恋女性接受过治疗，但她们将治疗作为一种应对策略，来处理与其他女性类似的问题，即抑郁和人际关系。在青春期和“出柜”之后，自杀企图显著减少。酒精使用和滥用率虽然难以与其他研究进行比较，但高于其他妇女，但与调查社区女同性恋样本的其他研究相似。即使有很高的酗酒家族史，也只有不到5%的人报告说他们寻求过治疗来处理酒精或药物使用的任何问题。
In response to the dearth of specific information about lesbians' health status and practices in the health literature, a national study utilizing a self-administered questionnaire was conducted in 1987 by four associates of the Fenway Community Health Center in Boston to access data in these areas. The questionnaire solicited information about demographics, health practices, stress in personal and work lives, mental and physical health problems, sexual practices, family history of health related problems, and genetic attributes hypothesized to be related to "gayness." Questionnaires from 1,633 lesbian women provided the database for the study. This paper discusses the portion of the survey that dealt with mental health services and life experiences. Past studies that investigated mental health needs of lesbians focused on the quality of treatment by mental health providers, rates of suicide attempts, and alcoholism. This paper compares these past findings with the responses of the lesbians in this national, community-based study. Findings indicate that although a significant number of the lesbian women in this sample had been in therapy, they sought out therapy as a coping strategy to deal with similar issues as other women, i.e., depression and relationships. Suicide attempts decreased considerably after adolescence and "coming out." Rates of alcohol use and abuse, although difficult to compare with other studies, were higher than other women but similar to other studies investigating a community sample of lesbians. Even with a high family history of alcoholism, less than 5 percent reported having sought out therapy to deal with any issues of alcohol or drug use.