College of Nursing, Seoul National University, Seoul 03080, Korea.
Department of Healthcare Administration, Seoul National University Hospital, Seoul 03080, Korea.
Int J Environ Res Public Health. 2021 Feb 22;18(4):2115. doi: 10.3390/ijerph18042115.
Korean sexual minority women (SMW) often experience discrimination, but their health-related quality of life (HRQoL) remains to be investigated. Therefore, we aimed to assess the levels of mental and physical HRQoL of Korean SMW and their influencing factors using data from the Korean Sexual Minority Women's Health Study (2017) in a cross-sectional study, which included lesbian and bisexual females ( = 736; age ≥19 years). The HRQoL was measured using SF-36v2; moreover, separate multiple linear regression analyses were conducted to identify the factors influencing mental and physical HRQoL. The physical and mental HRQoL scores were average (52.38 ± 7.65) and low (38.33 ± 12.64), respectively. Significant factors influencing the physical HRQoL were bisexuality, minority stress, perceived social support, and physical activity. The same factors-apart from physical activity-were associated with mental HRQoL. Therefore, to improve the HRQoL of SMW, it is necessary to lower their minority stress and increase social support. Moreover, special attention is needed regarding bisexual women in Korea.
韩国性少数群体女性（SMW）经常遭受歧视，但她们的健康相关生活质量（HRQoL）仍有待研究。因此，我们旨在使用韩国性少数群体女性健康研究（2017 年）的数据，通过横断面研究评估韩国 SMW 的心理和生理 HRQoL 水平及其影响因素，其中包括女同性恋和双性恋女性（n=736；年龄≥19 岁）。使用 SF-36v2 测量 HRQoL；此外，还进行了单独的多重线性回归分析，以确定影响心理和生理 HRQoL 的因素。生理和心理 HRQoL 评分分别为平均（52.38±7.65）和低（38.33±12.64）。影响生理 HRQoL 的显著因素是双性恋、少数群体压力、感知社会支持和身体活动。除身体活动外，相同的因素与心理 HRQoL 相关。因此，为了提高 SMW 的 HRQoL，有必要降低他们的少数群体压力并增加社会支持。此外，还需要特别关注韩国的双性恋女性。
