1 Department of Psychology, Illinois Institute of Technology, Chicago, Illinois.
2 Department of Medicine, University of Illinois at Chicago, Chicago, Illinois.
LGBT Health. 2019 Jan;6(1):23-33. doi: 10.1089/lgbt.2018.0158.
The aim was to provide the first broad assessment of partnership-health associations across partnership statuses among lesbian and gay individuals.
Using population-level data from the 2016 U.S. Behavioral Risk Factor Surveillance System, specifically the 26 states/territories that assessed sexual orientation and gender identity, we ran analyses of covariance and logistic regressions to compare lesbian and gay individuals (N = 2963) of different partnership statuses in general health, physical health and health conditions, mental health, health behaviors, and health care access/utilization domains.
All omnibus and logistic regression models were significant (p < 0.001). Follow-up pairwise comparisons of mean differences across partnership groups revealed that in at least one variable in the general health, mental health, health behaviors, and health care access/utilization domains, married lesbian and gay individuals reported the best health, followed by partnered, single, and then divorced, separated, and widowed lesbian and gay individuals (p < 0.001). Exceptions included variables in the physical health and health conditions domain, the health behaviors of smoking and heavy drinking, and ever having an HIV test. When stratifying by sex, for both gay men and lesbian women being married or partnered related to the best health in at least one variable in each health domain, and in the majority of all outcome variables.
This article provides the first evidence for partnership-health associations among gay and lesbian individuals based on a large-scale, multidomain test of population-level data. Future research could examine temporal links between same-sex marriage legislation and health outcomes among sexual minority individuals.
旨在首次广泛评估同性恋个体在不同伴侣关系状态下的伙伴关系与健康关联。
利用 2016 年美国行为风险因素监测系统的人群水平数据，特别是评估性取向和性别认同的 26 个州/地区的数据，我们进行了协方差分析和逻辑回归分析，以比较不同伴侣关系状态的同性恋个体（N=2963）在总体健康、身体健康和健康状况、心理健康、健康行为以及医疗保健获取/利用领域的情况。
所有总体和逻辑回归模型均具有统计学意义（p<0.001）。对不同伴侣关系群体的平均差异进行的后续两两比较显示，在总体健康、心理健康、健康行为和医疗保健获取/利用领域的至少一个变量中，已婚同性恋个体报告的健康状况最佳，其次是伴侣关系、单身，然后是离婚、分居和丧偶的同性恋个体（p<0.001）。例外情况包括身体健康和健康状况领域的变量、吸烟和大量饮酒的健康行为，以及曾经进行过 HIV 检测。按性别分层时，对于男同性恋者和女同性恋者，已婚或伴侣关系至少与每个健康领域的一个变量以及大多数所有结果变量相关。
本文基于人群水平数据的大规模多领域测试，首次为同性恋个体的伴侣关系与健康关联提供了证据。未来的研究可以检验同性婚姻立法与性少数群体个体健康结果之间的时间关联。
