Age-Associated Differences in Mental Distress Among Sexual and Gender Minority Adults.
Age-Associated Differences in Mental Distress Among Sexual and Gender Minority Adults.
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性少数和性别少数成年人的精神困扰与年龄相关的差异。
DOI：
10.1176/appi.ps.202100059
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Miranda,Jeanne
中科院分区：
文献类型：
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作者：
Zullo,Lucas;Grzenda,Adrienne;Vargas,SylvannaM;Miranda,Jeanne
本研究的目的是使用一个大的人口为基础的样本，以调查年龄相关的差异，在精神痛苦的性和性别少数（SGM）的成年人相比，他们的异性恋，cisgender同行。（2014-2018）行为风险因素监测系统（BRFSS）调查（N= 762，541），并包括在该间隔期间管理可选SGM模块的州。分别使用线性和logistic回归计算每个年龄和SGM身份分层的自我报告精神痛苦的平均天数和频繁精神痛苦（每月精神痛苦≥14天）的发生率。控制社会经济因素和医学共病条件的模型。所有的分析占复杂的调查设计的BRFSS.ResultsAmong那些年龄在18-24岁，平均天的精神困扰和频繁的精神困扰的比率是显着较高的SGM亚组相比，顺性别，异性恋成年人。在这些年龄45-54，55-64，或≥65，SGM组和他们的顺性别，异性恋peer.ConclusionsYounger SGM受访者报告的精神困扰水平最高的之间没有差异。随着年龄的增长，一般精神痛苦的差异越来越小。研究结果表明，SGM年轻人对心理健康服务的需求增加。
ObjectiveThis study aimed to use a large population-based sample to investigate age-associated differences in mental distress among sexual and gender minority (SGM) adults compared with their heterosexual, cisgender counterparts.MethodsData were pooled from five cycles (2014–2018) of the Behavioral Risk Factor Surveillance System (BRFSS) survey (N=762,541) and included states that administered the optional SGM module during that interval. Mean days of self-reported mental distress and the rate of frequent mental distress (≥14 days of mental distress per month) were calculated for each age and SGM identity stratum by using linear and logistic regression, respectively. Models controlled for socioeconomic factors and medical comorbid conditions. All analyses accounted for the complex survey design of the BRFSS.ResultsAmong those ages 18–24 years, mean days of mental distress and the rate of frequent mental distress were significantly higher for SGM subgroups compared with cisgender, heterosexual adults. Among those ages 45–54, 55–64, or ≥65, no differences were noted between SGM groups and their cisgender, heterosexual peers.ConclusionsYounger SGM respondents reported the highest levels of mental distress. Differences in general mental distress were less detectable with increasing age. The findings suggest that SGM young adults have an increased need for mental health services.