School of Social Work, University of Washington, Seattle, WA, USA.
Am J Public Health. 2012 Jan;102(1):e16-21. doi: 10.2105/AJPH.2011.300379. Epub 2011 Nov 28.
We used population-based data to comprehensively examine disability among lesbian, gay, and bisexual adults.
We estimated prevalence of disability and its covariates and compared by sexual orientation by utilizing data from the Washington State Behavioral Risk Factor Surveillance System (n = 82,531) collected in 2003, 2005, 2007, and 2009. We used multivariate logistic regression to examine the relationship between disability and sexual orientation, after we controlled for covariates of disability.
Findings indicated that the prevalence of disability is higher among lesbian, gay, and bisexual adults compared with their heterosexual counterparts; lesbian, gay, and bisexual adults with disabilities are significantly younger than heterosexual adults with disabilities. Higher disability prevalence among lesbians and among bisexual women and men remained significant after we controlled for covariates of disability.
Higher rates of disability among lesbian, gay, and bisexual adults are of major concern. Efforts are needed to prevent, delay, and reduce disabilities as well as to improve the quality of life for lesbian, gay, and bisexual adults with disabilities. Future prevention and intervention efforts need to address the unique concerns of these groups.
我们利用基于人群的数据，全面研究了同性恋、双性恋成人的残疾情况。
我们利用 2003 年、2005 年、2007 年和 2009 年华盛顿州行为风险因素监测系统的数据（n=82531），对残疾的流行率及其协变量进行了估计，并按性取向进行了比较。我们使用多变量逻辑回归来检查残疾与性取向之间的关系，同时控制了残疾的协变量。
研究结果表明，与异性恋成年人相比，同性恋、双性恋成年人的残疾患病率更高；与残疾的异性恋成年人相比，残疾的同性恋、双性恋成年人明显更年轻。在控制了残疾的协变量后，同性恋者以及双性恋女性和男性的残疾患病率仍然较高。
同性恋、双性恋成年人的残疾率较高，令人严重关切。需要努力预防、延缓和减少残疾，改善残疾的同性恋、双性恋成年人的生活质量。未来的预防和干预工作需要解决这些群体的独特问题。
