Physical health inequalities among gay and bisexual men in England: a large community-based cross-sectional survey
Physical health inequalities among gay and bisexual men in England: a large community-based cross-sectional survey
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DOI：
10.1093/pubmed/fdw029
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发表时间：
2017-06-01
影响因子：
4.4
通讯作者：
Weatherburn, Peter
中科院分区：
文献类型：
--
作者：
Bourne, Adam;Davey, Calum;Weatherburn, Peter
与一般男性人口相比，男同性恋和双性恋男性承受着不成比例的健康不良负担。然而，人们对这一群体中存在的健康不平等知之甚少。我们描述了五个关键的身体健康指标和他们的变化跨越共同轴的inequality.Community为基础的机会主义抽样招募了5799同性恋和双性恋男子的自我完成的互联网调查。答复者提供了与其身高、体重、体力活动和物质使用（烟草、酒精、非法药物）有关的数据。对七个人口特征的答复进行了比较，发现有问题的健康行为指标集中在不同的群体中，而且在同一方向很少观察到不平等现象。老年男性更有可能超重和经常饮酒，但吸烟或使用非法药物的可能性较小。亚裔男性更可能不经常锻炼，但不太可能吸烟。生活在伦敦的男性更有可能吸烟和使用非法药物，但不太可能超重。然而，受教育程度较低的人与超重、经常饮酒、缺乏锻炼和吸烟有关，有证据表明，男同性恋和双性恋男子在与身体健康有关的行为方面存在显著的人口差异，受教育程度较低的男子的需求一直更大。
Gay and bisexual men experience a disproportionate burden of ill health compared with the general male population. However, little is known regarding health inequalities that exist within this group. We describe five key physical health indicators and their variation across common axes of inequality.Community-based opportunistic sampling recruited 5799 gay and bisexual men to a self-completion Internet survey. Respondents provided data relating to their height, weight, physical activity and substance use (tobacco, alcohol, illicit drugs). Responses were compared across seven demographic characteristics.Indicators of problematic health behaviour were concentrated within different groups and inequalities were rarely observed in the same direction. Older men were more likely to be overweight and drink alcohol frequently but less likely to smoke or use illicit drugs. Men of Asian ethnicity were more likely to exercise infrequently but less likely to smoke. Men living in London were more likely to smoke and use illicit drugs but less likely to be overweight. However, lower education was associated with being overweight, frequent alcohol, low exercise and smoking.There is evidence of significant demographic variation in physical health-related behaviours among gay and bisexual men, and men with lower levels of education are consistently in greater need.