Psychological Distress, Suicidal Ideation, and Suicide Attempt Among Lesbian, Gay, and Bisexual Immigrants: Population-Based Findings from the Stockholm Public Health Cohort.
Psychological Distress, Suicidal Ideation, and Suicide Attempt Among Lesbian, Gay, and Bisexual Immigrants: Population-Based Findings from the Stockholm Public Health Cohort.
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DOI：
10.1007/s10508-021-01997-8
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发表时间：
2021-11
影响因子：
3.8
通讯作者：
Bjorkenstam, Emma
中科院分区：
文献类型：
--
作者：
Clark, Kirsty A.;Bjorkenstam, Charlotte;Kosidou, Kyriaki;Bjorkenstam, Emma
在瑞典的一个大的，以人口为基础的样本中，我们试图研究不同移民身份的女同性恋，男同性恋和双性恋（LGB）和异性恋个体之间的心理健康差异。我们进行了一项基于人群的研究，包括1799名LGB和69,324名异性恋者，他们在2010年和2014年招募，作为斯德哥尔摩公共卫生队列的一部分。数据来自与全国登记册挂钩的自我管理调查。我们检查了心理健康结果之间的关联（即，心理困扰，自杀意念和自杀企图）和性取向（LGB与异性恋），移民身份（移民与北欧出生），以及它们的相互作用。性别分层加权多变量逻辑回归分析用于计算调整后的比值比和95%置信区间。与异性恋者相比，LGB个体表现出所有心理健康结果的几率显著升高;与北欧出生的个体相比，移民报告了心理困扰和自杀企图的几率适度升高，但没有自杀意念。性取向和移民身份之间的相互作用项在两性心理困扰和女性自杀意念和企图方面具有显著性，p < 0.05。出乎意料的是，模型探测的相互作用一般表明，北欧出生的LGB个人表现出更大的风险，心理困扰，自杀意念，自杀企图比移民LGB个人，特别是女性。补充分析显示，北欧出生的双性恋女性在所有研究结果中表现出最高的风险。在瑞典，LGB通常是北欧出生的人比移民人口心理健康状况差的一个更大的风险因素。这些研究结果呼吁未来的交叉性为重点的研究，以描绘独特的文化，社会和心理因素与心理健康和弹性之间的LGB移民。
In a large, population-based sample in Sweden, we sought to examine mental health disparities between lesbian, gay and bisexual (LGB) and heterosexual individuals with different immigration statuses. We conducted a population-based study including 1799 LGB and 69,324 heterosexual individuals, recruited in 2010 and 2014 as part of the Stockholm Public Health Cohort. Data were obtained from self-administered surveys that were linked to nationwide registers. We examined associations between mental health outcomes (i.e., psychological distress, suicidal ideation, and suicide attempt) and sexual orientation (LGB versus heterosexual), immigration status (immigrant versus Nordic-born), and their interaction. Sex-stratified weighted multivariable logistic regression analyses were used to calculate adjusted odds ratios with 95% confidence intervals. LGB individuals demonstrated substantially elevated odds of all mental health outcomes compared to heterosexuals; immigrants reported moderately elevated odds of psychological distress and suicide attempt, but not suicidal ideation, compared to Nordic-born individuals. Interaction terms between sexual orientation and immigration status were significant at p < 0.05 for psychological distress for both sexes and for suicidal ideation and attempt among women. Unexpectedly, models probing interactions generally demonstrated that Nordic-born LGB individuals demonstrated greater risk of psychological distress, suicidal ideation, and suicide attempt than did immigrant LGB individuals, especially among women. Supplemental analyses showed that Nordic-born bisexual women demonstrated the highest risk of all studied outcomes. Being LGB in Sweden is generally a stronger risk factor for poor mental health among Nordic-born than immigrant populations. These findings call for future intersectionality-focused research to delineate the unique cultural, social, and psychological factors associated with mental health and resilience among LGB immigrants.
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影响因子：
2.6
作者：
Chavez, Karma R.
通讯作者：
Chavez, Karma R.
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：
4.9
作者：
Almeida, Joanna;Johnson, Renee M.;Corliss, Heather L.;Molnar, Beth E.;Azrael, Deborah
通讯作者：
Azrael, Deborah
DOI：
10.1016/bs.acdb.2015.12.001
发表时间：
2016-01-01
期刊：
EQUITY AND JUSTICE IN DEVELOPMENTAL SCIENCE: THEORETICAL AND METHODOLOGICAL ISSUES
影响因子：
--
作者：
Ghavami, Negin;Katsiaficas, Dalal;Rogers, Leoandra Onnie
通讯作者：
Rogers, Leoandra Onnie
影响因子：
13.6
作者：
Bjorkenstam, Charlotte;Andersson, Gunnar;Kosidou, Kyriaki
通讯作者：
Kosidou, Kyriaki