A New Piece of the Puzzle: Sexual Orientation, Gender, and Physical Health Status
A New Piece of the Puzzle: Sexual Orientation, Gender, and Physical Health Status
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DOI：
10.1007/s13524-015-0406-1
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发表时间：
2015-08-01
期刊：
影响因子：
3.5
通讯作者：
Medeiros, Rose Anne
中科院分区：
文献类型：
--
作者：
Gorman, Bridget K.;Denney, Justin T.;Medeiros, Rose Anne
虽然研究早就证明了性别与健康的相关性，但同时纳入不同性取向群体相关性的研究很少。我们通过应用交叉的视角来评估性取向和性别如何交叉以形成美国成年人的自测健康状况，从而解决这些缺点。我们的项目汇总了2005年至2010年间美国七个州的行为风险因素监测系统（BRFSS）的概率样本，分析了10，128名性少数群体（男同性恋，女同性恋和双性恋）和405，145名异性恋成年人。Logistic回归模型和相应的预测概率研究了在调整既定的健康风险因素之前和之后，不同性别群体的性取向之间的自评健康状况如何不同。结果显示，性少数群体之间的不同模式。最初，双性恋男性和女性报告的自我健康状况不佳的比例最高，而同性恋成年人报告的比例最低，异性恋者介于两者之间。不同的社会经济地位概况占了这些差异的很大一部分。此外，在基线和完全调整的回归模型中，只有异性恋者中女性报告的健康状况与男性有显著差异。重要的是，研究结果强调了双性恋男性和女性健康状况不佳的比例较高，这部分归因于他们相对于其他群体在经济、行为和社会方面的劣势加剧。
Although research has long documented the relevance of gender for health, studies that simultaneously incorporate the relevance of disparate sexual orientation groups are sparse. We address these shortcomings by applying an intersectional perspective to evaluate how sexual orientation and gender intersect to pattern self-rated health status among U.S. adults. Our project aggregated probability samples from the Behavioral Risk Factor Surveillance System (BRFSS) across seven U.S. states between 2005 and 2010, resulting in an analytic sample of 10,128 sexual minority (gay, lesbian, and bisexual) and 405,145 heterosexual adults. Logistic regression models and corresponding predicted probabilities examined how poor self-rated health differed across sexual orientation-by-gender groups, before and after adjustment for established health risk factors. Results reveal distinct patterns among sexual minorities. Initially, bisexual men and women reported the highest-and gay and lesbian adults reported the lowest-rates of poor self-rated health, with heterosexuals in between. Distinct socioeconomic status profiles accounted for large portions of these differences. Furthermore, in baseline and fully adjusted regression models, only among heterosexuals did women report significantly different health from men. Importantly, the findings highlight elevated rates of poor health experienced by bisexual men and women, which are partially attributable to their heightened economic, behavioral, and social disadvantages relative to other groups.