Program Design and Evaluation Services, Multnomah County Health Department, Portland, OR, USA.
Am J Public Health. 2010 Mar;100(3):460-7. doi: 10.2105/AJPH.2007.130336. Epub 2009 Aug 20.
We identified health disparities for a statewide population of lesbian, gay, and bisexual (LGB) men and women compared with their heterosexual counterparts.
We used data from the 2003-2006 Washington State Behavioral Risk Factor Surveillance System to examine associations between sexual orientation and chronic health conditions, health risk behaviors, access to care, and preventive services.
Lesbian and bisexual women were more likely than were heterosexual women to have poor physical and mental health, asthma, and diabetes (bisexuals only), to be overweight, to smoke, and to drink excess alcohol. They were also less likely to have access to care and to use preventive services. Gay and bisexual men were more likely than were heterosexual men to have poor mental health, poor health-limited activities, and to smoke. Bisexuals of both genders had the greatest number and magnitude of disparities compared with heterosexuals.
Important health disparities exist for LGB adults. Sexual orientation can be effectively included as a standard demographic variable in public health surveillance systems to provide data that support planning interventions and progress toward improving LGB health.
我们比较了全州范围内男女同性恋、双性恋（LGB）与异性恋者的健康差异。
我们使用了 2003-2006 年华盛顿州行为危险因素监测系统的数据，研究了性取向与慢性健康状况、健康风险行为、获得医疗服务的机会和预防服务之间的关系。
女同性恋和双性恋女性比异性恋女性更有可能出现身体和心理健康状况不佳、哮喘和糖尿病（仅限双性恋者）、超重、吸烟和饮酒过量。她们获得医疗服务和使用预防服务的机会也较少。男同性恋和双性恋男性比异性恋男性更有可能出现心理健康状况不佳、健康受限活动和吸烟的情况。两性双性恋者与异性恋者相比，存在的差异数量最多，程度最大。
LGB 成年人存在重要的健康差异。性取向可以作为公共卫生监测系统中的一个标准人口统计学变量，提供数据，支持规划干预措施和改善 LGB 健康状况的进展。
