Population Research Center and Department of Sociology, University of Texas at Austin, Austin, TX 78712, USA.
Am J Public Health. 2013 May;103(5):881-8. doi: 10.2105/AJPH.2012.301040. Epub 2013 Mar 14.
I examined how sexual minority status, as indicated by sex of sexual partners, is associated with self-rated health and how socioeconomic status suppresses and age and sex moderate this association.
I used multinomial logistic regression to analyze aggregated data from the 1991 to 2010 General Social Survey, a population-based data set (n = 13,480).
Respondents with only different-sex partners or with any same-sex partners reported similar levels of health. With socioeconomic status added to the model, respondents with any same-sex partners reported worse health than those with only different-sex partners, but only if sexual intercourse with same-sex partners occurred in the previous 5 years. Age and sex moderated this relationship: having any same-sex partners was associated with worse health for women but not men and among younger adults only.
The relationship between sexual minority status and self-rated health varies across sociodemographic groups. Future research should use population-level data to examine other health outcomes and continue to explore how the intersection of sexual minority status and other sociodemographic indicators shapes health.
本研究旨在探讨性伴侣的性别所指示的性少数群体身份与自评健康之间的关系，并分析社会经济地位对此关系的抑制作用以及年龄和性别对此关系的调节作用。
本研究使用多项逻辑回归分析了 1991 年至 2010 年基于人群的一般社会调查（n=13480）的汇总数据。
仅与异性伴侣发生性关系或与任何同性伴侣发生性关系的受访者报告的健康水平相似。在模型中加入社会经济地位后，如果在过去 5 年内与同性伴侣发生过性行为，与任何同性伴侣发生性关系的受访者报告的健康状况比仅与异性伴侣发生性关系的受访者更差。年龄和性别对此关系具有调节作用：与任何同性伴侣发生性关系与女性的健康状况较差相关，但与男性无关，且仅在年轻成年人中相关。
性少数群体身份与自评健康之间的关系因社会人口统计学群体而异。未来的研究应使用人群水平数据来检验其他健康结果，并继续探索性少数群体身份与其他社会人口统计学指标的交叉如何影响健康。
