Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States
Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States
复制标题
DOI：
10.2105/ajph.91.11.1869
复制
发表时间：
2001-11-01
影响因子：
12.7
通讯作者：
Cochran, SD
中科院分区：
文献类型：
--
作者：
Mays, VM;Cochran, SD
目标.最近的研究表明，女同性恋者和男同性恋者比异性恋者患压力敏感性精神障碍的风险更高。我们研究了感知歧视在产生这种风险中的可能作用。美国中年发展全国调查是一项具有全国代表性的25至74岁成年人样本，调查了自认为是同性恋或双性恋（n = 73）或异性恋（n = 2844）的个人，了解他们一生和日常的歧视经历。还评估了1年的抑郁、焦虑和物质依赖性障碍患病率;当前的心理困扰;以及自我评定的心理健康状况。同性恋者和双性恋者比异性恋者更经常报告一生和日常的歧视经历。大约42%的人将其全部或部分归因于他们的性取向。在总样本中，感知到的歧视与对生活质量和精神病发病率指标的有害影响呈正相关。控制歧视经历的差异减弱了观察到的精神病发病率和性取向之间的关联。更高的歧视水平可能是最近观察到的女同性恋、男同性恋和双性恋者精神病发病风险更大的基础。
Objectives. Recent studies suggest that lesbians and gay men are at higher risk for stress-sensitive psychiatric disorders than are heterosexual persons. We examined the possible role of perceived discrimination in generating that risk.Methods. The National Survey of Midlife Development in the United States, a nationally representative sample of adults aged 25 to 74 years, surveyed individuals self-identifying as homosexual or bisexual (n = 73) or heterosexual (n = 2844) about their lifetime and day-to-day experiences with discrimination. Also assessed were 1-year prevalence of depressive, anxiety, and substance dependence disorders; current psychologic distress; and self-rated mental health.Results. Homosexual and bisexual individuals more frequently than heterosexual persons reported both lifetime and day-to-day experiences with discrimination. Approximately 42% attributed this to their sexual orientation, in whole or part. Perceived discrimination was positively associated with both harmful effects on quality of life and indicators of psychiatric morbidity in the total sample. Controlling for differences in discrimination experiences attenuated observed associations between psychiatric morbidity and sexual orientation.Conclusions. Higher levels of discrimination may underlie recent observations of greater psychiatric morbidity risk among lesbian, gay, and bisexual individuals.