Fisher Christopher M, Irwin Jay A, Coleman Jason D
a College of Public Health , University of Nebraska Medical Center , Omaha , Nebraska , USA.
J Homosex. 2014;61(8):1062-90. doi: 10.1080/00918369.2014.872487.
Research into the health and wellbeing of rural lesbian, gay, bisexual, and transgender (LGBT) populations is limited. A community-based participatory research (CBPR) approach was used to develop an online survey for LGBT Nebraskans. The 770 participants replied to an array of questions on social determinants of health and basic health outcomes. Only significant differences in having health insurance were found between urban and rural participants. Social determinants of health were explored. Results of this study suggest that regional culture may be more salient to health for lesbian, gay, bisexual, and transgender persons living in the Midwest than rural or urban residence.
对农村女同性恋、男同性恋、双性恋和跨性别（LGBT）人群健康与福祉的研究有限。采用基于社区的参与性研究（CBPR）方法为内布拉斯加州的LGBT人群开发了一项在线调查。770名参与者回答了一系列关于健康的社会决定因素和基本健康结果的问题。仅发现城乡参与者在拥有医疗保险方面存在显著差异。对健康的社会决定因素进行了探究。本研究结果表明，对于生活在中西部的女同性恋、男同性恋、双性恋和跨性别者而言，区域文化可能比城乡居住环境对健康更为显著。
