Adler School of Professional Psychology, Chicago, IL, USA.
Am J Public Health. 2010 Mar;100(3):468-75. doi: 10.2105/AJPH.2008.152942. Epub 2009 Aug 20.
We used data from a nationally representative sample to examine the associations among 3 dimensions of sexual orientation (identity, attraction, and behavior), lifetime and past-year mood and anxiety disorders, and sex.
We analyzed data from wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions.
Mental health outcomes differed by sex, dimension of sexual orientation, and sexual minority group. Whereas a lesbian, gay, or bisexual identity was associated with higher odds of any mood or anxiety disorder for both men and women, women reporting only same-sex sexual partners in their lifetime had the lowest rates of most disorders. Higher odds of any lifetime mood or anxiety disorder were more consistent and pronounced among sexual minority men than among sexual minority women. Finally, bisexual behavior conferred the highest odds of any mood or anxiety disorder for both males and females.
Findings point to mental health disparities among some, but not all, sexual minority groups and emphasize the importance of including multiple measures of sexual orientation in population-based health studies.
我们利用来自全国代表性样本的数据，研究了性取向的 3 个维度（认同、吸引和行为）、终生和过去一年的情绪和焦虑障碍以及性经历之间的关联。
我们分析了国家酒精和相关条件流行病学调查第 2 波的数据。
心理健康结果因性别、性取向维度和性少数群体而异。对于男性和女性来说，同性恋、双性恋或双性恋认同与任何情绪或焦虑障碍的几率较高，而在其一生中只报告同性性伴侣的女性则具有最低的大多数障碍发生率。在性少数男性中，任何终生情绪或焦虑障碍的几率更高且更为显著，而在性少数女性中则不然。最后，双性行为对男性和女性的任何情绪或焦虑障碍都具有最高的几率。
这些发现指出了一些但不是所有性少数群体之间的心理健康差异，并强调了在基于人群的健康研究中纳入多种性取向衡量标准的重要性。
