Department of Human Development and Family Sciences, Population Research Center, University of Texas at Austin, Austin, Texas, USA.
Department of Human Sciences, The Ohio State University, Columbus, Ohio, USA.
LGBT Health. 2022 Nov;9(8):564-570. doi: 10.1089/lgbt.2020.0505. Epub 2022 Jul 19.
This study examined the health profile of a national probability sample of three cohorts of sexual minority people, and the ways that indicators of health vary among sexual minority people across age cohorts and other defining sociodemographic characteristics, including sexual identity, gender identity, and race/ethnicity. The Study, the first national probability sample of three age cohorts of sexual minority people ( = 1507) in the United States collected in 2016-2017, was used to examine general health profiles across several broad domains: alcohol and drug abuse; general health, physical health, and health disability; mental health and psychological distress; and positive well-being, including general happiness, social well-being, and life satisfaction. There were no cohort differences in substance abuse or positive well-being. The younger cohort was physically healthier, but had worse psychological health than both the middle and older cohorts. Cohort differences in physical health were consistent with patterns of aging, whereas for mental health, there were distinct cohort differences among sexual minority people. Given that compromised mental health in the early life course creates trajectories of vulnerability, these results point to the need for mental health prevention and intervention for younger cohorts of sexual minority people.
本研究考察了一个全国概率抽样的三个性少数群体队列的健康状况，以及健康指标在性少数群体中随年龄队列和其他定义性社会人口特征（包括性身份、性别认同和种族/族裔）的变化方式。该研究是美国首次对三个年龄队列的性少数群体（ = 1507）进行的全国概率抽样，于 2016-2017 年收集，用于检查几个广泛领域的一般健康状况：酒精和药物滥用；一般健康、身体健康和健康残疾；心理健康和心理困扰；以及积极的幸福感，包括总体幸福感、社会幸福感和生活满意度。在物质滥用或积极幸福感方面，各队列之间没有差异。年轻队列的身体更健康，但心理健康状况比中年和老年队列都差。身体健康方面的队列差异与衰老模式一致，而在心理健康方面，性少数群体之间存在明显的队列差异。鉴于早期生活轨迹中心理健康受损会导致脆弱性，这些结果表明需要为性少数群体的年轻队列提供心理健康预防和干预。
