Lifetime Victimization, Hazardous Drinking, and Depression Among Heterosexual and Sexual Minority Women.
Lifetime Victimization, Hazardous Drinking, and Depression Among Heterosexual and Sexual Minority Women.
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DOI：
10.1089/lgbt.2014.0014
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发表时间：
2014-09
期刊：
影响因子：
4.8
通讯作者：
Everett B
中科院分区：
文献类型：
--
作者：
Hughes TL;Johnson TP;Steffen AD;Wilsnack SC;Everett B
大量的研究记录了与性取向有关的心理健康差异，但相对较少的研究探讨了这些差异的根本原因。本文的目的是（1）了解性别认同和受害经历的差异如何影响危险饮酒和抑郁症的风险，以及（2）描述性少数亚组之间的差异。我们汇总了2001年全国妇女健康和生活经验研究（NSHLEW）和2001年芝加哥妇女健康和生活经验研究（CHLEW）的数据，比较了异性恋妇女和性少数妇女（SMW）之间的受害率、危险饮酒率和抑郁率，并在五个性别认同亚组中检验受害经历数量与研究结果之间的关系。每个主要研究变量的发生率因性别身份而有很大差异，双性恋和大多数异性恋女性在一个或两个研究结果上显示出比异性恋女性显着更高的风险。受害经历的数量解释了一些，但不是全部，危险饮酒和抑郁症的风险在法定最低工资。虽然受害起着重要的作用，性少数群体特有的压力，如耻辱和歧视，可能也有助于解释物质使用和心理健康的差异之间的法定最低工资。
Substantial research documents sexual-orientation-related mental health disparities, but relatively few studies have explored underlying causes of these disparities. The goals of this paper were to (1) understand how differences in sexual identity and victimization experiences influence risk of hazardous drinking and depression, and (2) describe variations across sexual minority subgroups. We pooled data from the 2001 National Study of Health and Life Experiences of Women (NSHLEW) and the 2001 Chicago Health and Life Experiences of Women (CHLEW) study to compare rates of victimization, hazardous drinking, and depression between heterosexual women and sexual minority women (SMW), and to test the relationship between number of victimization experiences and the study outcomes in each of five sexual identity subgroups. Rates of each of the major study variables varied substantially by sexual identity, with bisexual and mostly heterosexual women showing significantly higher risk than heterosexual women on one or both of the study outcomes. Number of victimization experiences explained some, but not all, of the risk of hazardous drinking and depression among SMW. Although victimization plays an important role, sexual-minority-specific stressors, such as stigma and discrimination, likely also helps explain substance use and mental health disparities among SMW.
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