Cochran S D, Mays V M
Department of Epidemiology, School of Public Health, University of California, Los Angeles 90095-1772, USA.
Am J Epidemiol. 2000 Mar 1;151(5):516-23. doi: 10.1093/oxfordjournals.aje.a010238.
Most surveys of the prevalence of psychiatric disorders among lesbians and gay men find no increased risk in comparison with heterosexuals. However, the majority of this work has relied on convenience samples drawn from the visible lesbian and gay community. The authors examined differences in 1-year prevalence of six psychiatric syndromes among sexually active individuals in the 1996 National Household Survey of Drug Abuse who reported either exclusive heterosexuality (n = 9,714) or having any same-gender sex partners (n = 194) in the prior year. Although nearly three quarters of homosexually active individuals did not meet criteria for any of the six syndromes assessed, in multivariate logistic regression analyses, homosexually active men were more likely than other men to evidence major depression and panic attack syndromes. In contrast, homosexually active women were more likely than other women to be classified with alcohol or drug dependency syndromes. Both men and women reporting any same-gender sex partners were more likely than others to have used mental health services in the year prior to interview. These findings suggest a small increased risk among homosexually active populations in 1-year psychiatric morbidity and use of mental health care services.
大多数针对女同性恋者和男同性恋者精神疾病患病率的调查发现,与异性恋者相比,他们患病风险并未增加。然而,这项工作大多依赖于从可见的女同性恋和男同性恋群体中抽取的便利样本。作者在1996年全国药物滥用家庭调查中,对性活跃个体进行研究,比较了在前一年报告为排他性异性恋(n = 9714)或有任何同性性伴侣(n = 194)的个体中,六种精神综合征的1年患病率差异。尽管近四分之三有同性性行为的个体不符合所评估的六种综合征中的任何一种标准,但在多因素逻辑回归分析中,有同性性行为的男性比其他男性更有可能出现重度抑郁和惊恐发作综合征。相比之下,有同性性行为的女性比其他女性更有可能被归类为患有酒精或药物依赖综合征。报告有任何同性性伴侣的男性和女性在接受访谈前一年使用心理健康服务的可能性都比其他人更高。这些发现表明,有同性性行为的人群在1年精神疾病发病率和使用心理健康护理服务方面的风险略有增加。