Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment
Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment
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DOI：
10.1016/j.jsat.2015.06.022
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发表时间：
2015-11-01
影响因子：
3.9
通讯作者：
Sorensen, James L.
中科院分区：
文献类型：
--
作者：
Flentje, Annesa;Livingston, Nicholas A.;Sorensen, James L.
目的：女同性恋，男同性恋和双性恋（LGB）的取向预测更大的物质使用，治疗利用，和较差的心理和身体健康，但LGB个人在物质滥用治疗的健康需求仍然在很大程度上未知。本研究的目的是确定LGB个体在物质滥用治疗中的心理和身体健康需求的差异。方法：使用来自旧金山弗朗西斯科县的物质滥用治疗入院数据，调查LGB个体在心理和身体健康问题以及服务利用方面的差异。（n = 1，441）和异性恋个体（n = 11，770）。LGB个体更有可能患有精神健康诊断（adjOR范围从1.86到4.00）和目前的心理健康处方药（adjOR从1.79到4.99）比异性恋同行。男同性恋和双性恋男性以及双性恋女性，而不是女同性恋女性，更有可能接受心理健康治疗。男同性恋者和双性恋女性比异性恋者更有可能报告身体健康问题。男同性恋者和双性恋者以及双性恋者更有可能接受医疗保健，而女同性恋者则没有。LGB个人和异性恋同行在急诊室就诊或医院过夜stays.Discussion的数量之间没有差异：本研究发现，LGB个人进入药物滥用治疗有更大的心理和身体健康的需求比异性恋同行。医疗保健整合，研究和实践的影响进行了讨论。(C)2015 Elsevier Inc. All rights reserved.
Objective: Lesbian, gay, and bisexual (LGB) orientation predicts greater substance use, treatment utilization, and poorer mental and physical health, but health needs of LGB individuals in substance abuse treatment remain largely unknown. The purpose of this study was to identify differences in mental and physical health needs of LGB individuals in substance abuse treatment.Methods: Substance abuse treatment admissions data from the County of San Francisco were used in this investigation of differences in mental and physical health problems and service utilization between LGB (n = 1,441) and heterosexual individuals (n = 11,770).Results: LGB individuals were more likely to have mental health diagnoses (adjORs ranging from 1.86 to 4.00) and current mental health prescription medications (adjORs from 1.79 to 4.99) than heterosexual counterparts. Gay and bisexual men and bisexual women but not lesbian women, were more likely to be receiving mental health treatment. Gay men and bisexual women were more likely than heterosexual counterparts to report physical health problems. Gay and bisexual men and bisexual women but not lesbian women were more likely to be receiving health care. There were no differences between LGB individuals and heterosexual counterparts in the number of emergency room visits or hospital overnight stays.Discussion: This study found that LGB individuals entering substance abuse treatment have greater mental and physical health needs than heterosexual counterparts. Implications for healthcare integration, research, and practice are discussed. (C) 2015 Elsevier Inc. All rights reserved.