Mental health disorders in a sexual minority population

性少数人群的心理健康障碍

• 批准号: 6775656
• 负责人: SUSAN D COCHRAN
• 金额: $ 59.95万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-20 至 2006-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6775656
• 关键词: behavioral /social science research tag; clinical research; comorbidity; health care service utilization; health services research tag; human data; human subject; interview; mental health epidemiology; mental health services; quality of life; sexual orientation; social perception; socioenvironment; substance abuse epidemiology

DESCRIPTION (provided by applicant): Recent epidemiologic studies using existing population-based health datasets repeatedly find elevated risk for mental health morbidity and mental health services use among lesbians, gay men or individuals likely to be of minority sexual orientation. In particular, greater than expected prevalences of stress sensitive disorders (e.g. depression, anxiety, and substance use dependency) have been repeatedly observed. Unfortunately, current methodological limitations in the existing datasets (primarily low statistical power, indirect measurement of sexual orientation, and lack of measurement of probable sexual orientation-specific effect modifiers) hampers understanding of the mental health services needs in this at risk population. In response to NIMH PA-01-096, the current application proposes to capitalize on information available from the biennial California Health Interview Survey (CHIS) to examine mental health morbidity and mental health-related services use among lesbians and gay men. We will reinterview a systematic sample of 2,700 CHIS II participants, oversampled for minority sexual orientation, to conduct an assessment of the relationships among mental health, substance use, and sexual orientation-specific issues. We will compare individuals varying in sexual orientation in order to investigate differences in prevalence of mental health and substance use morbidity, patterns of mental health and substance use comorbidity, and use of mental health and substance-related services. A second goal is to identify factors that modify mental health/substance use morbidity risk among lesbians and gay men, including HIV infection status, experiences with discrimination, levels of social support, and neighborhood characteristics. A further goal is to investigate, among those seeking services, sexual orientation-specific differences in barriers and obstacles to receiving care, indicators of services quality, and levels of satisfaction. Findings will clarify the nature and basis of excess risk for mental health/substance use morbidity among those of minority sexual orientation, as well as identify factors that promote resiliency. Results will also provide critical information about problems in service delivery, assisting efforts to design effective interventions.

描述（由申请人提供）：最近的流行病学研究使用现有的基于人群的健康数据集反复发现，女同性恋者，男同性恋者或可能是少数性取向的个人的心理健康发病率和心理健康服务使用的风险升高。特别是，反复观察到压力敏感性障碍（如抑郁症、焦虑症和药物依赖）的发病率高于预期。不幸的是，现有数据集（主要是低统计能力，间接测量性取向，并缺乏测量可能的性取向特定的效果修饰符）的方法的局限性阻碍了对精神卫生服务需求的理解，在这一风险人群。作为对NIMH PA-01-096的响应，当前申请建议利用两年一次的加州健康访谈调查（CHIS）中的可用信息，以检查男女同性恋者的精神健康发病率和精神健康相关服务使用情况。我们将重新采访2，700名CHIS II参与者的系统样本，对少数性取向进行过抽样，以评估心理健康、药物使用和特定性取向问题之间的关系。我们将比较不同性取向的个体，以调查精神健康和物质使用发病率，精神健康和物质使用共患病模式，以及精神健康和物质相关服务的使用的差异。第二个目标是确定改变男女同性恋者心理健康/药物使用发病风险的因素，包括艾滋病毒感染状况，歧视经历，社会支持水平和邻里特征。另一个目标是调查寻求服务的人在接受护理的障碍和障碍、服务质量指标和满意度方面的具体性取向差异。调查结果将澄清少数性取向人群中心理健康/药物使用发病率过度风险的性质和基础，并确定促进弹性的因素。成果还将提供关于服务提供问题的重要信息，协助设计有效干预措施。