Department of Clinical Sciences, Malmö University Hospital, Lund University, Malmö, Sweden.
Scand J Public Health. 2013 Jul;41(5):508-15. doi: 10.1177/1403494813476159. Epub 2013 Feb 11.
To study the association between sexual orientation and self-rated health, including trust, offence, threat of violence, and violence. DESIGN/SETTING/PARTICIPANTS/MEASUREMENT: The 2008 Public Health Survey in Skåne is a cross-sectional postal questionnaire study. A total of 28,198 persons aged 18-80 years responded (55%). Logistic regressions analysed the association between sexual orientation and self-rated health.
27.4% of all men and 30.0% of all women rated their health as poor. Poor self-rated health was significantly more prevalent in higher age, among immigrants, people with lower education, low social support, low trust, experience of being offended, experience of threat of violence and violence, and bisexual and other orientation. Homosexual and bisexual men and women had higher age-adjusted odds ratios of having felt offended compared to heterosexual respondents. The odds ratios of low trust, threat of violence (men), and experience of violence (women) were significant for respondents with bisexual orientation but not for respondents with homosexual orientation. In the age-adjusted model, no significant association was observed between homosexual orientation and poor self-rated health among women. All other associations between sexual orientation and health were significant in the age-adjusted model but non-significant in the multiple models.
Associations between sexual orientation and health disappear after multiple adjustments including trust and experience of offence, threat of violence, and violence. The study suggests that the group with bisexual orientation seems to be more exposed to low social capital (trust), threat of violence, and violence than the group with homosexual orientation.
研究性取向与自评健康之间的关联，包括信任、冒犯、暴力威胁和暴力行为。
设计/设置/参与者/测量：2008 年斯科讷公共卫生调查是一项横断面邮寄问卷研究。共有 28198 名 18-80 岁的人做出了回应（55%）。逻辑回归分析了性取向与自评健康之间的关系。
所有男性中有 27.4%，所有女性中有 30.0%自评健康状况较差。自评健康状况较差在较高年龄、移民、教育程度较低、社会支持较低、信任度较低、被冒犯、受到暴力威胁和经历暴力行为以及双性恋和其他性取向的人群中更为普遍。与异性恋受访者相比，同性恋和双性恋男性和女性感到被冒犯的年龄调整比值更高。双性恋者的低信任度、暴力威胁（男性）和经历暴力（女性）比值显著，但同性恋者则不然。在年龄调整模型中，同性恋取向与女性自评健康不良之间没有显著关联。性取向与健康之间的所有其他关联在年龄调整模型中是显著的，但在多模型中是非显著的。
在包括信任和冒犯经历、暴力威胁和暴力行为在内的多重调整后，性取向与健康之间的关联消失了。研究表明，双性恋群体似乎比同性恋群体更容易受到低社会资本（信任）、暴力威胁和暴力行为的影响。
