瑞典性少数群体中的女性和男性的焦虑与抑郁：性少数群体内部的风险分布是否均等？
Anxiety and Depression Among Sexual Minority Women and Men in Sweden: Is the Risk Equally Spread Within the Sexual Minority Population?
作者信息
Björkenstam Charlotte, Björkenstam Emma, Andersson Gunnar, Cochran Susan, Kosidou Kyriaki
机构信息
Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, CA, USA; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department of Sociology, Stockholm University, Stockholm, Sweden.
Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, CA, USA; Department of Public Health Science, Karolinska Institutet, Stockholm, Sweden.
出版信息
J Sex Med. 2017 Mar;14(3):396-403. doi: 10.1016/j.jsxm.2017.01.012. Epub 2017 Feb 12.
INTRODUCTION
Sexual minority individuals have a higher risk of anxiety and depression compared with heterosexuals. However, whether the higher risk is spread equally across the sexual minority population is not clear.
AIM
To investigate the association between sexual orientation and self-reported current anxiety and a history of diagnosis of depression, paying particular attention to possible subgroup differences in risks within the sexual minority population, stratified by sex and to examine participants' history of medical care for anxiety disorders and depression.
METHODS
We conducted a population-based study of 874 lesbians and gays, 841 bisexuals, and 67,980 heterosexuals recruited in 2010 in Stockholm County. Data were obtained from self-administered surveys that were linked to nationwide registers.
MAIN OUTCOME MEASURES
By using logistic regression, we compared risks of current anxiety, histories of diagnosed depression, and register-based medical care for anxiety and/or depression in lesbian and gay, bisexual, and heterosexual individuals.
RESULTS
Bisexual women and gay men were more likely to report anxiety compared with their heterosexual peers. Bisexual individuals and gay men also were more likely to report a past diagnosis of depression. All sexual minority groups had an increased risk of having used medical care for anxiety and depression compared with heterosexuals, with bisexual women having the highest risk.
CONCLUSION
Bisexual women appear to be a particularly vulnerable sexual minority group. Advocating for non-discrimination and protections for lesbian, gay, and bisexual people is a logical extension of the effort to lower the prevalence of mental illness. Björkenstam C, Björkenstam E, Andersson G, et al. Anxiety and Depression Among Sexual Minority Women and Men in Sweden: Is the Risk Equally Spread Within the Sexual Minority Population? J Sex Med 2017;14:396-403.
引言
与异性恋者相比，性少数群体个体患焦虑症和抑郁症的风险更高。然而，这种较高的风险在性少数群体中是否均匀分布尚不清楚。
目的
调查性取向与自我报告的当前焦虑症以及抑郁症诊断史之间的关联，特别关注按性别分层的性少数群体内部风险的可能亚组差异，并检查参与者焦虑症和抑郁症的医疗护理史。
方法
我们对2010年在斯德哥尔摩县招募的874名女同性恋者和男同性恋者、841名双性恋者以及67980名异性恋者进行了一项基于人群的研究。数据来自与全国登记册相关联的自我管理调查。
主要观察指标
通过逻辑回归，我们比较了女同性恋者和男同性恋者、双性恋者以及异性恋者当前焦虑症的风险、抑郁症诊断史以及基于登记册的焦虑症和/或抑郁症医疗护理情况。
结果
与异性恋同龄人相比，双性恋女性和男同性恋者更有可能报告焦虑症。双性恋者和男同性恋者也更有可能报告过去被诊断为抑郁症。与异性恋者相比，所有性少数群体使用焦虑症和抑郁症医疗护理的风险都有所增加，其中双性恋女性的风险最高。
结论
双性恋女性似乎是一个特别脆弱的性少数群体。倡导对女同性恋者、男同性恋者和双性恋者不歧视和给予保护，是降低精神疾病患病率努力的合理延伸。比约克恩斯塔姆C、比约克恩斯塔姆E、安德森G等。瑞典性少数群体男女的焦虑症和抑郁症：性少数群体内部风险是否均匀分布？《性医学杂志》2017年；14：396 - 403。
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