Department of Family Science (Williams, Fish), Department of Epidemiology and Biostatistics (Turpin), and Department of Behavioral and Community Health (Boekeloo), University of Maryland, College Park; Geisel School of Medicine at Dartmouth, Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire (Akré).
Psychiatr Serv. 2022 Apr 1;73(4):456-459. doi: 10.1176/appi.ps.202100045. Epub 2021 Aug 19.
The authors sought to describe disparities in three outcomes: self-reported mental health, need for mental health care, and barriers to care at the intersection of sexual identity and sex.
Data from the 2015 Association of American Medical Colleges Consumer Survey of Health Care Access (N=5,932) were analyzed in regression analyses to estimate relationships among sex, sexual identity, and all three outcomes.
Compared with heterosexual men, bisexual women reported the poorest mental health (adjusted prevalence ratio [APR]=0.42, 95% confidence interval [CI]=0.35-0.51) and the greatest number of barriers to care (APR=2.29, 95% CI=1.77-2.97), whereas gay-lesbian women reported the most frequent need for care (APR=1.67, 95% CI=1.28-2.18).
The findings support existing knowledge on health inequities among sexual minority groups and situate these disparities in the context of unequal access to behavioral and mental health care. As such, addressing barriers to care is paramount in efforts to address sexual orientation-related disparities in behavioral and mental health.
作者旨在描述性身份和性交叉点上的心理健康、精神卫生保健需求和障碍这三个结果的差异。
对 2015 年美国医学院协会消费者医疗保健获取调查（N=5932）的数据进行回归分析，以估计性、性身份与所有三个结果之间的关系。
与异性恋男性相比，双性恋女性报告的心理健康状况最差（调整后的流行率比 [APR]=0.42，95%置信区间 [CI]=0.35-0.51），面临的护理障碍最多（APR=2.29，95%CI=1.77-2.97），而男同性恋-女同性恋女性报告最需要护理（APR=1.67，95%CI=1.28-2.18）。
这些发现支持了关于性少数群体健康不平等的现有知识，并将这些差异置于获得行为和心理健康护理不平等的背景下。因此，解决护理障碍是解决与性行为和心理健康相关的性取向差异的当务之急。
