Department of Social Welfare, UCLA Luskin School of Public Affairs, University of California, Los Angeles, Los Angeles, California, USA.
Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA.
LGBT Health. 2021 Feb-Mar;8(2):152-161. doi: 10.1089/lgbt.2020.0031. Epub 2021 Feb 4.
The aim of this study was to examine health risk behaviors and mental health outcomes among sexual minority and transgender active duty military service members and their heterosexual and cisgender counterparts. Participants ( = 544) were recruited by using respondent-driven sampling between August 2017 and March 2018 and completed an online survey by using validated measures of cigarette smoking, alcohol use, anxiety, depression, post-traumatic stress disorder (PTSD), and suicidality. Bayesian random intercept multiple logistic regressions were used to understand differences between sexual minority participants and heterosexual participants as well as between transgender participants and both their cisgender sexual minority and cisgender heterosexual peers. Cisgender sexual minority women service members were more likely to meet criteria for problematic alcohol use (adjusted odds ratio [aOR] = 10.11) and cigarette smoking (aOR = 7.12) than cisgender heterosexual women. Cisgender sexual minority men had greater odds of suicidality (aOR = 4.73) than their cisgender heterosexual counterparts. Transgender service members had greater odds of anxiety, PTSD, depression, and suicidality than their cisgender peers. Military researchers and policymakers who seek to improve the overall health and well-being of sexual minority and transgender service members should consider programs and policies that are tailored to specific health outcomes and unique sexual minority and transgender subgroups.
本研究旨在调查性少数群体和跨性别现役军人的健康风险行为和心理健康状况，并将其与异性恋和顺性别同行进行比较。参与者（ = 544）通过使用回应者驱动抽样方法于 2017 年 8 月至 2018 年 3 月间招募，并使用经过验证的吸烟、饮酒、焦虑、抑郁、创伤后应激障碍（PTSD）和自杀意念的衡量标准完成在线调查。采用贝叶斯随机截距多项逻辑回归来理解性少数群体参与者与异性恋参与者之间的差异，以及跨性别参与者与其顺性别性少数群体和顺性别异性恋同行之间的差异。顺性别性少数群体女性军人比顺性别异性恋女性更有可能出现酒精使用问题（调整后的优势比[aOR] = 10.11）和吸烟（aOR = 7.12）。顺性别性少数群体男性比顺性别异性恋男性更有可能自杀（aOR = 4.73）。跨性别军人比顺性别同行更有可能出现焦虑、PTSD、抑郁和自杀意念。寻求改善性少数群体和跨性别军人整体健康和福祉的军事研究人员和政策制定者应考虑针对特定健康结果和独特的性少数群体和跨性别亚群体量身定制的方案和政策。
