Department of Sociology, University of Utah, USA.
Department of Psychiatry, Columbia University, USA.
Soc Sci Med. 2021 Mar;272:113731. doi: 10.1016/j.socscimed.2021.113731. Epub 2021 Jan 30.
Almost no research has examined factors that contribute to mortality risk among sexual minority women (SMW). This study capitalizes on a 21-year community-based longitudinal study of SMW to examine the association between sexual identity disclosure and mortality risk. Forty-nine SMW who were recruited in 2000-01 or 2010-12 (6.3% of the sample), were confirmed dead by 2019. The mean age at death was 56.5 years. We used Cox proportional hazard models to show that SMW who had disclosed their sexual identity to 100% of their immediate family members had a 70% reduction in the risk of mortality compared to SMW who disclosed to less than 33% of their immediate family, after adjusting for several sociodemographic and health variables. Our results suggest that facilitating acceptance of SMW and their ability to disclose their identity may be an important way to improve health and life expectancy among SMW.
几乎没有研究探讨过导致性少数女性（SMW）死亡风险的因素。本研究利用一项对 SMW 进行的为期 21 年的基于社区的纵向研究，检验了性身份披露与死亡风险之间的关联。在 2000-01 年或 2010-12 年招募的 49 名 SMW（占样本的 6.3%），到 2019 年已确认死亡。死亡时的平均年龄为 56.5 岁。我们使用 Cox 比例风险模型表明，与向直系家庭成员中不到 33%的人披露身份的 SMW 相比，向直系家庭成员中 100%的人披露身份的 SMW 的死亡风险降低了 70%，调整了几个社会人口统计学和健康变量后。我们的研究结果表明，促进对 SMW 的接受和他们披露身份的能力可能是提高 SMW 健康和预期寿命的重要途径。
