Soriano-Moreno David R, Saldaña-Cabanillas David, Vasquez-Yeng Luigy, Valencia-Huamani Javier Antonio, Alave-Rosas Jorge Luis, Soriano Anderson N
Clinical and Epidemiological Research Unit, School of Medicine, Universidad Peruana Unión, Lima, Peru.
Asociación Civil Impacta Salud y Educación, Lima, Peru.
PLoS One. 2022 Jun 3;17(6):e0268755. doi: 10.1371/journal.pone.0268755. eCollection 2022.
This study sought to evaluate the association between discrimination and having mental health problems in the past 12 months in the sexual minority population in Peru.
We conducted a cross-sectional analysis of a secondary database corresponding to the first LGBTI survey in Peru in 2017. We included adults who self-identified their sexual orientation as gay, lesbian, bisexual, pansexual, or asexual/others. Both the exposure and dependent variables were self-reported by the participants. Multivariable Poisson regression was used to determine the association by calculating adjusted prevalence ratios (APR) with 95% confidence intervals (95% CI).
Out of 9760 respondents, more than two-thirds of the participants reported having been discriminated against or having experienced violence at some time in their lives (70.3%) and one-fourth reported having mental health problems (23.8%). In the multivariable regression model, the prevalence of mental health problems in the last 12 months was 72% higher for the group of individuals who experienced discrimination when compared with the group that did not experience discrimination (APR = 1.72, 95% CI 1.57-1.88). The association was stronger among who self-identified lesbians (APR = 2.08, 95% CI 1.65-2.64).
The prevalence of mental health problems and discrimination was high in this population. In addition, we found a statistically significant association between discrimination and the occurrence of mental health problems in the last 12 months.
本研究旨在评估秘鲁性少数群体在过去12个月内遭受歧视与出现心理健康问题之间的关联。
我们对与2017年秘鲁首次LGBTI调查对应的二级数据库进行了横断面分析。纳入了自我认定性取向为男同性恋、女同性恋、双性恋、泛性恋或无性恋/其他的成年人。暴露变量和因变量均由参与者自行报告。采用多变量泊松回归，通过计算调整患病率比（APR）及95%置信区间（95%CI）来确定关联。
在9760名受访者中，超过三分之二的参与者报告在生活中的某个时候曾遭受歧视或暴力（70.3%），四分之一的人报告有心理健康问题（23.8%）。在多变量回归模型中，与未遭受歧视的群体相比，遭受歧视的个体组在过去12个月内出现心理健康问题的患病率高72%（APR = 1.72，95%CI 1.57 - 1.88）。这种关联在自我认定为女同性恋的人群中更强（APR = 2.08，95%CI 1.65 - 2.64）。
该人群中心理健康问题和歧视的患病率较高。此外，我们发现歧视与过去12个月内心理健康问题的发生之间存在统计学上的显著关联。
