School of Social Work, University of Washington, Seattle, WA, USA.
Am J Public Health. 2012 Jan;102(1):e9-15. doi: 10.2105/AJPH.2011.300378. Epub 2011 Nov 28.
We investigated whether elevated risks of health disparities exist in Hispanic lesbians and bisexual women aged 18 years and older compared with non-Hispanic White lesbians and bisexual women and Hispanic heterosexual women.
We analyzed population-based data from the Washington State Behavioral Risk Factor Surveillance System (2003-2009) using adjusted logistic regressions.
Hispanic lesbians and bisexual women, compared with Hispanic heterosexual women, were at elevated risk for disparities in smoking, asthma, and disability. Hispanic bisexual women also showed higher odds of arthritis, acute drinking, poor general health, and frequent mental distress compared with Hispanic heterosexual women. In addition, Hispanic bisexual women were more likely to report frequent mental distress than were non-Hispanic White bisexual women. Hispanic lesbians were more likely to report asthma than were non-Hispanic White lesbians.
The elevated risk of health disparities in Hispanic lesbians and bisexual women are primarily associated with sexual orientation. Yet, the elevated prevalence of mental distress for Hispanic bisexual women and asthma for Hispanic lesbians appears to result from the cumulative risk of doubly disadvantaged statuses. Efforts are needed to address unique health concerns of diverse lesbians and bisexual women.
我们旨在调查与非西班牙裔白种女同性恋者和双性恋者及西班牙裔异性恋女性相比，18 岁及以上的西班牙裔女同性恋者和双性恋者是否存在健康差异风险增加的情况。
我们使用调整后的逻辑回归分析法，对华盛顿州行为风险因素监测系统（2003-2009 年）的基于人群的数据进行了分析。
与西班牙裔异性恋女性相比，西班牙裔女同性恋者和双性恋者吸烟、哮喘和残疾的风险更高。与西班牙裔异性恋女性相比，西班牙裔双性恋女性还具有更高的关节炎、急性饮酒、一般健康状况较差和经常出现精神困扰的几率。此外，西班牙裔双性恋女性比非西班牙裔白种双性恋女性更有可能报告经常出现精神困扰。西班牙裔女同性恋者比非西班牙裔白种女同性恋者更有可能报告哮喘。
西班牙裔女同性恋者和双性恋者健康差异风险的增加主要与性取向有关。然而，西班牙裔双性恋女性心理健康困扰的高发率和西班牙裔女同性恋者哮喘的高发率似乎源于双重劣势地位的累积风险。需要努力解决不同女同性恋者和双性恋者的独特健康问题。
