Integrated Substance Abuse Programs, University of California, Los Angeles, Los Angeles, CA 90025, USA.
Psychiatr Serv. 2011 Apr;62(4):404-10. doi: 10.1176/ps.62.4.pss6204_0404.
Research has shown that sexual minority groups have higher prevalence rates of psychiatric disorders (both mental and substance use disorders) and that they may seek treatment at higher rates than heterosexuals. However, relationships between treatment need and treatment use are not well understood. This study examined the relationship of sexual orientation and gender to perceived need for treatment and treatment use among individuals with and without mental or substance use disorders.
Data were obtained from a probability sample of California residents that oversampled for persons from sexual minority groups (unweighted N=2,079). Bivariate analyses compared perceived treatment need and treatment use among groups defined by sexual orientation, gender, and presence of a mood, anxiety, or substance use disorder. Logistic regression models that controlled for sociodemographic factors were used to predict no use of treatment among those who perceived a need for it (unmet need), testing the interactive effects of gender, disorder, and sexual orientation.
Women from sexual minority groups had about half the odds of unmet treatment need as heterosexual women, but no interaction was found for men between sexual minority status and unmet need. Among individuals without any of the disorders assessed, men and women from sexual minority groups had lower odds of unmet need for treatment than heterosexual men and women.
Sexual orientation and gender differentially influenced treatment utilization, particularly among those who did not have a diagnosed disorder but perceived a need for treatment. Diagnostic criteria appear to be less relevant to understanding treatment use in sexual minority populations.
研究表明，性少数群体（包括精神障碍和物质使用障碍）的患病率较高，他们寻求治疗的比例可能高于异性恋者。然而，治疗需求与治疗使用之间的关系尚不清楚。本研究考察了性取向和性别与有或没有精神或物质使用障碍的个体的治疗需求和治疗使用之间的关系。
数据来自加利福尼亚州居民的概率抽样，对性少数群体的人进行了超额抽样（未加权 N=2079）。通过双变量分析比较了不同性取向、性别和存在情绪、焦虑或物质使用障碍的群体的治疗需求和治疗使用情况。使用控制社会人口因素的逻辑回归模型预测那些认为有治疗需求（未满足的需求）但未使用治疗的人，检验性别、障碍和性取向的交互作用。
性少数群体的女性未满足治疗需求的可能性约为异性恋女性的一半，但未发现男性的性少数群体状态与未满足需求之间存在交互作用。在没有评估的任何疾病的个体中，性少数群体的男性和女性未满足治疗需求的可能性低于异性恋的男性和女性。
性取向和性别对治疗的使用有不同的影响，特别是在那些没有诊断出疾病但认为有治疗需求的人。诊断标准似乎与理解性少数群体的治疗使用不太相关。
