School of Community Health, Department of Environmental and Occupational Health, University of Nevada, 4505 S. Maryland Parkway, Las Vegas, NV, 89154, USA.
School of Medicine, The University of Nevada, Las Vegas, NV, USA.
J Community Health. 2019 Aug;44(4):721-728. doi: 10.1007/s10900-019-00631-y.
There is a paucity of population-based research to identify health disparities experienced by sexual gender minority (SGM) women. The purpose of this study was to use a population-based data set to understand disparities in access to healthcare, preventive care, and health risk behaviors of lesbian and bisexual women compared to their straight counterparts and to each other. This was a cross-sectional study using the 2016 Behavioral Risk Factor Surveillance System data. SPSS with complex samples was used to calculate weighted descriptive statistics. Logistic regression was used to calculate odds and adjusted odds ratios. 9016 women were included in the analyses. Women who identified as lesbian were more likely to be from a minority group. Bisexual women were more likely to be in the younger age groups and were less likely to be college graduates or report a higher income. Lesbian and bisexual women were more likely to report depression, smoking, and heavy/binge drinking compared to straight women. They were also less likely to have received a pap test. Compare to lesbian women, bisexual women were more likely to report depression and poorer health. SGM women are at greater risk of depression and risky coping behaviors such as smoking and heavy/binge drinking. Within the SGM subgroup, bisexual women have a higher risk for depression and worse general health. Health promotion programs and interventions must be tailored to account for the unique stressors SGM women encounter and associated negative health outcomes.
目前，基于人群的研究很少能够确定性少数群体（SGM）女性所经历的健康差距。本研究的目的是使用基于人群的数据集，了解女同性恋和双性恋女性与异性恋女性相比，以及彼此之间在获得医疗保健、预防保健和健康风险行为方面的差异。这是一项使用 2016 年行为风险因素监测系统数据的横断面研究。使用具有复杂样本的 SPSS 计算加权描述性统计数据。使用逻辑回归计算优势比和调整后的优势比。在分析中纳入了 9016 名女性。自认为是女同性恋的女性更有可能来自少数民族群体。双性恋女性更可能属于年轻年龄组，不太可能是大学毕业生或报告较高收入。女同性恋和双性恋女性更有可能报告抑郁、吸烟和重度/狂饮，而与异性恋女性相比。她们也不太可能接受巴氏试验。与女同性恋者相比，双性恋女性更有可能报告抑郁和健康状况较差。SGM 女性面临更大的抑郁风险和危险的应对行为，如吸烟和重度/狂饮。在 SGM 亚组内，双性恋女性抑郁风险更高，一般健康状况更差。健康促进计划和干预措施必须针对 SGM 女性所面临的独特压力源和相关的不良健康后果进行调整。
