Assistance Publique des Hôpitaux de Marseille (AP-HM), Aix-Marseille University, Marseille, France.
Assistance Publique des Hôpitaux de Marseille (AP-HM), Aix-Marseille University, Marseille, France.
J Affect Disord. 2020 Sep 1;274:964-968. doi: 10.1016/j.jad.2020.05.155. Epub 2020 May 30.
The professional risk factors for depression and anxiety are underexplored in young physicians. While there has been increasing research on the mental health and well-being of lesbian, gay and bisexual patients, few studies have examined the mental health and well-being of lesbian, gay and bisexual young physicians.
The objective of the present study was to determine the prevalence of Sexual Orientation-Based Discrimination (SOBD) in French young physicians and if SOBD was associated with increased anxiety and depression in this population.
This national study is a cross-sectional observational epidemiological national study. The participants were recruited between April 1 2019 and June 31 2019. One question with binary answer was asked on SOBD. Mental health was assessed by Hamilton Anxiety & Depression scales.
On the 2003 participants, 148 (7%) reported SOBD exposure, 647 (32%) current anxiety disorders and 174 (9%) a current major depressive disorder according to their HAD score. SOBD was almost twice more frequently reported in participants with anxiety disorder and major depression (respectively 10%,vs 6% and 12% vs. 7%, p<0.05). In the first model of multivariate analyses, current anxiety disorder was significantly associated with being woman (adjusted odds ratio aOR=1.688, 95%CI 1.350-2.110, p<0.001) and SOBD (aOR=1.729, 95%CI 1.226-2.440, p=0.002). In the second model of multivariate analyses, current major depression was significantly associated with only SOBD (aOR=1.748, 95%CI 1.057-2.888, p=0.029).
SOBD has been associated with increased rates of anxiety disorder and major depression in young physicians and should be targeted in mental health prevention programs.
在年轻医生中，职业性抑郁和焦虑的危险因素尚未得到充分探讨。虽然越来越多的研究关注同性恋、双性恋和跨性别患者的心理健康和幸福感，但很少有研究调查同性恋、双性恋和跨性别年轻医生的心理健康和幸福感。
本研究旨在确定法国年轻医生中基于性取向的歧视（SOBD）的流行程度，以及 SOBD 是否与该人群中焦虑和抑郁的增加有关。
这是一项全国性的横断面观察性流行病学研究。参与者于 2019 年 4 月 1 日至 6 月 31 日期间招募。一个问题采用二项式答案，询问 SOBD 情况。采用汉密尔顿焦虑和抑郁量表评估心理健康状况。
在 2003 名参与者中，根据 HAD 评分，148 人（7%）报告了 SOBD 暴露，647 人（32%）患有当前焦虑障碍，174 人（9%）患有当前重度抑郁症。在有焦虑障碍和重度抑郁症的参与者中，SOBD 的报告频率几乎高出一倍（分别为 10%、6%和 12%、7%，p<0.05）。在多变量分析的第一个模型中，当前的焦虑障碍与女性（调整后的优势比 aOR=1.688，95%CI 1.350-2.110，p<0.001）和 SOBD（aOR=1.729，95%CI 1.226-2.440，p=0.002）显著相关。在多变量分析的第二个模型中，当前的重度抑郁症仅与 SOBD 显著相关（aOR=1.748，95%CI 1.057-2.888，p=0.029）。
SOBD 与年轻医生中焦虑障碍和重度抑郁症的发生率增加有关，应在心理健康预防计划中加以解决。
