The Association between State Policy Environments and Self-Rated Health Disparities for Sexual Minorities in the United States.
The Association between State Policy Environments and Self-Rated Health Disparities for Sexual Minorities in the United States.
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DOI：
10.3390/ijerph15061136
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发表时间：
2018-06-01
影响因子：
--
通讯作者：
Ehrenfeld JM
中科院分区：
文献类型：
--
作者：
Gonzales G;Ehrenfeld JM
大量研究记录了美国女同性恋者、男同性恋者和双性恋者在健康和获得护理方面的差异。较少的研究考察了为LGB人群提供的法律保护水平(国家政策环境)如何影响性少数群体的健康差距。这项研究使用了2014-2016年行为风险因素监测系统中14,687名少数性行为成年人和490,071名异性恋成年人的数据，以记录健康方面的差异。未调整的州特定患病率估计和多变量Logistic回归模型用于比较按性别、性别少数群体状况和国家政策环境(对LGB人群的全面保护与有限保护)自评健康状况较差/较好的情况。我们发现，在大多数州，性少数族裔成年人和异性恋成年人在自我评估健康方面存在差异。平均而言，在保护有限的州，性少数男性和在全面或有限保护的州的性少数女性，与异性恋同行相比，更有可能报告较差/公平的自我评估健康。这项研究增加了关于国家政策环境与性少数群体自我评估健康之间的关联的新发现，并表明这种关系按性别存在差异。影响LGB人口的国家具体政策的关联和影响可能因性别以及其他跨部门身份而异。
A large body of research has documented disparities in health and access to care for lesbian, gay, and bisexual (LGB) people in the United States. Less research has examined how the level of legal protection afforded to LGB people (the state policy environment) affects health disparities for sexual minorities. This study used data on 14,687 sexual minority adults and 490,071 heterosexual adults from the 2014–2016 Behavioral Risk Factor Surveillance System to document differences in health. Unadjusted state-specific prevalence estimates and multivariable logistic regression models were used to compare poor/fair self-rated health by gender, sexual minority status, and state policy environments (comprehensive versus limited protections for LGB people). We found disparities in self-rated health between sexual minority adults and heterosexual adults in most states. On average, sexual minority men in states with limited protections and sexual minority women in states with either comprehensive or limited protections were more likely to report poor/fair self-rated health compared to their heterosexual counterparts. This study adds new findings on the association between state policy environments and self-rated health for sexual minorities and suggests differences in this relationship by gender. The associations and impacts of state-specific policies affecting LGB populations may vary by gender, as well as other intersectional identities.
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影响因子：
12.7
作者：
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通讯作者：
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通讯作者：
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