Department of General Practice, University of Melbourne, Victoria, Australia.
Womens Health Issues. 2011 Jan-Feb;21(1):40-7. doi: 10.1016/j.whi.2010.08.002.
we sought to compare physical and mental health status, health service use, and satisfaction among young Australian women of varying sexual identity; and to explore associations of all of these variables with satisfaction with their general practitioner (GP).
data are from the youngest cohort of women in the Australian Longitudinal Study on Women's Health surveyed in 2003. The sample included women aged 25 to 30 who identified as exclusively heterosexual (n = 8,083; 91.3%), mainly heterosexual (n = 568; 6.4%), bisexual (n = 100; 1.1%), or lesbian (n = 99; 1.1%). Univariate analyses compared self-reported mental health, physical health, access to GP services, and satisfaction across the four sexual identity groups. Linear regression, controlling for education, income, and residence, was used to identify factors associated with GP satisfaction.
sexual minority women (lesbian, bisexual, and mainly heterosexual) were significantly more likely than were heterosexual women to report poorer mental health and to have more frequently used health services; depression was strongly associated with mental health services use. Bisexual and mainly heterosexual women were most likely to report poorer general health, abnormal Pap tests, sexually transmissible infections, urinary tract infections, hepatitis B or C virus infection, and asthma. Lesbians were most likely to have never had a Pap test or be underscreened. All sexual minority women had lower continuity of GP care and lower satisfaction with that care than heterosexual women.
underlying social determinants of physical and mental health disparities experienced by sexual minority women require exploration, including the possible effects of discrimination and marginalization on higher levels of risk taking. Lower continuity of care and lower satisfaction with GP services also need further investigation.
我们旨在比较不同性身份认同的年轻澳大利亚女性的身心健康状况、卫生服务利用情况和满意度，并探讨所有这些变量与对全科医生（GP）满意度的关联。
数据来自澳大利亚女性健康纵向研究中 2003 年调查的最年轻女性队列。样本包括年龄在 25 至 30 岁之间、自我认同为异性恋（n=8083；91.3%）、主要异性恋（n=568；6.4%）、双性恋（n=100；1.1%）或女同性恋（n=99；1.1%）的女性。单变量分析比较了四个性身份群体的自我报告心理健康、身体健康、获得 GP 服务和满意度。线性回归，控制教育、收入和居住地，用于确定与 GP 满意度相关的因素。
性少数女性（女同性恋、双性恋和主要异性恋）报告心理健康状况较差和更频繁使用卫生服务的可能性明显高于异性恋女性；抑郁与心理健康服务的使用密切相关。双性恋和主要异性恋女性最有可能报告总体健康状况较差、巴氏涂片异常、性传播感染、尿路感染、乙型或丙型肝炎病毒感染和哮喘。女同性恋者最不可能进行巴氏涂片检查或检查不足。所有性少数女性的 GP 护理连续性和对该护理的满意度都低于异性恋女性。
性少数女性经历的身心健康差异的潜在社会决定因素需要进一步探讨，包括歧视和边缘化对更高风险行为的可能影响。护理连续性较低和对 GP 服务的满意度较低也需要进一步调查。
