Sexual orientation differences in functional limitations, disability, and mental health services use: Results from the 2013-2014 National Health Interview Survey.
Sexual orientation differences in functional limitations, disability, and mental health services use: Results from the 2013-2014 National Health Interview Survey.
复制标题
DOI：
10.1037/ccp0000243
复制
发表时间：
2017-12
影响因子：
5.9
通讯作者：
Mays VM
中科院分区：
文献类型：
--
作者：
Cochran SD;Björkenstam C;Mays VM
我们调查了在全国代表性的2013-2014年全国健康访谈调查（NHIS）中接受采访的成年人中心理健康发病率，功能限制/残疾和心理健康服务使用风险的性取向差异。受访者为68，816名成年人（n= 67，152名异性恋和n= 1，664名女同性恋，男同性恋和双性恋（LGB）个体），年龄在18岁及以上。完全结构化的访谈评估性取向身份，健康状况和服务的使用。使用性别分层分析，同时调整人口混杂因素，我们比较了LGB和异性恋个体的心理健康相关障碍和使用心理健康服务的证据。与异性恋成年人相比，LGB成年人表现出更高的精神健康发病率和功能限制。然而，这因性别而异，LGB女性表现出精神健康和药物滥用（MHSA）以及非MHSA限制的风险升高。在男性中，性取向差异集中在MHSA相关的限制中。总体而言，LGB成年人比异性恋成年人更有可能使用服务，功能限制的来源缓和了男性的这些影响。MHSA相关的发病率是LGB个体中的一个重要问题，并且与较高水平的功能限制/残疾相关。我们的研究结果强调，LGB人使用MHSA相关治疗的比率高于异性恋者，并且在男性中，更有可能在没有MHSA或非MHSA相关功能限制的情况下这样做。这在综合护理环境中提出了一系列独特的问题，包括需要提供文化上胜任的护理，对男女同性恋、双性恋和变性者之间可能存在的性别差异保持敏感。
We investigated sexual orientation differences in risk for mental health morbidity, functional limitations/disability, and mental health services use among adults interviewed in the nationally representative 2013–2014 National Health Interview Survey (NHIS). Respondents were 68,816 adults (n=67,152 heterosexual and n=1,664 lesbian, gay, and bisexual (LGB) individuals), age 18 and older. Fully structured interviews assessed sexual orientation identity, health status, and services use. Using sex-stratified analyses while adjusting for demographic confounding, we compared LGB and heterosexual individuals for evidence of mental health-related impairments and use of mental health services. LGB adults, as compared to heterosexual adults, demonstrated higher prevalences of mental health morbidity and functional limitations. However, this varied by gender with LGB women evidencing elevated risk for both mental health and substance abuse (MHSA) and non-MHSA limitations. Among men, sexual orientation differences clustered among MHSA-related limitations. Overall, LGB adults were more likely than heterosexual adults to use services, with the source of functional limitations moderating these effects among men. MHSA-related morbidity is a significant concern among LGB individuals and is associated with higher levels of functional limitations/disability. Our findings highlight that LGB persons use MHSA-related treatment at higher rates than heterosexuals do, and, among men, are more likely to do so absent MHSA or non-MHSA-related functional limitations. This presents a unique set of concerns within the integrated care setting, including the need to deliver culturally competent care sensitive to the context of probablep sex differences among LGB individuals.
登录
查看更多内容
影响因子：
4.6
作者：
Cochran, Susan D.;Mays, Vickie M.
通讯作者：
Mays, Vickie M.
影响因子：
3.9
作者：
Flentje, Annesa;Livingston, Nicholas A.;Sorensen, James L.
通讯作者：
Sorensen, James L.
影响因子：
12.7
作者：
Cochran, Susan D.;Bandiera, Frank C.;Mays, Vickie M.
通讯作者：
Mays, Vickie M.
影响因子：
3.3
作者：
Bostwick, Wendy B.;Boyd, Carol J.;McCabe, Sean Esteban
通讯作者：
McCabe, Sean Esteban
影响因子：
3.8
作者：
Garcia J;Muñoz-Laboy M;Parker R;Wilson PA
通讯作者：
Wilson PA