Eliason Michele J, McElroy Jane A, Garbers Samantha, Radix Asa, Toms Barker Linda
Department of Health Education, HSS 110, San Francisco State University, 1600 Holloway, San Francisco, CA 94132, USA.
University of Missouri, Department of Family & Community Medicine, MA306, Medical Sciences Building, Columbia, MO 65212, USA.
Disabil Health J. 2017 Apr;10(2):271-278. doi: 10.1016/j.dhjo.2016.12.005. Epub 2016 Dec 19.
Lesbian/bisexual women with physical disabilities (LBPD) are an under-studied population.
This study compared LBPD to LB women without physical disabilities as defined by the Americans with Disabilities Act on socio-demographic variables, health characteristics, and quality of life, physical activity, weight, and nutrition outcomes following a health intervention.
Data came from the Healthy Weight in Lesbian and Bisexual Women Study (HWLB) where 376 LB women were recruited into five geographically dispersed interventions. Baseline data were examined to compare women with and without physical disabilities as defined by the ADA, and pre/post intervention data were analyzed for differences in treatment outcomes including quality of life, physical activity, nutrition, and body size.
Compared to women without disability, LBPD were more likely to be bisexual or another sexual identity than lesbian, single, report poor or fair health status, postmenopausal, and had a higher body mass index and waist circumference to height ratio. LBPD women were less likely to work and to drink heavily, and reported reduced physical and mental health quality of life. In spite of these differences, after the intervention, LBPD had similar outcomes to women without disabilities on most measures, and were more likely to show improvements in physical quality of life and consumption of fruits/vegetables.
Although different from women without disabilities on many socio-demographic and health variables at baseline, the study suggests that LBPD have similar outcomes to women without disabilities, or may even do better, in group health interventions.
身患残疾的女同性恋者/双性恋女性（LBPD）是一个研究不足的群体。
本研究将根据《美国残疾人法案》定义的身患残疾的女同性恋者/双性恋女性与无身体残疾的女同性恋者/双性恋女性在社会人口统计学变量、健康特征、生活质量、身体活动、体重及健康干预后的营养结果方面进行比较。
数据来自女同性恋者和双性恋女性健康体重研究（HWLB），该研究招募了376名女同性恋者/双性恋女性参与五个地理分布广泛的干预项目。对基线数据进行检查，以比较符合和不符合《美国残疾人法案》定义的身体残疾的女性，并分析干预前后的数据，以了解包括生活质量、身体活动、营养和身体尺寸在内的治疗结果差异。
与无残疾女性相比，身患残疾的女同性恋者/双性恋女性更有可能是双性恋或具有其他性取向而非女同性恋者，单身，报告健康状况较差或一般，处于绝经后状态，且体重指数和腰围身高比更高。身患残疾的女同性恋者/双性恋女性工作和大量饮酒的可能性较小，且报告身心健康生活质量较低。尽管存在这些差异，但在干预后，身患残疾的女同性恋者/双性恋女性在大多数指标上的结果与无残疾女性相似，且在身体生活质量和水果/蔬菜摄入量方面更有可能有所改善。
尽管在基线时，身患残疾的女同性恋者/双性恋女性在许多社会人口统计学和健康变量方面与无残疾女性不同，但该研究表明，在群体健康干预中，身患残疾的女同性恋者/双性恋女性的结果与无残疾女性相似，甚至可能更好。
