性取向与全因死亡率：瑞典南部一项基于人群的前瞻性队列研究。
Sexual orientation and all-cause mortality: A population-based prospective cohort study in southern Sweden.
作者信息
Lindström Martin, Rosvall Maria
机构信息
Social Medicine and Health Policy, Department of Clinical Sciences, Malmö University Hospital, Lund University, S-205 02, Malmö, Sweden.
Department of Community Medicine and Public Health, Sahlgrenska Academy, Institute of Medicine, University of Gothenburg, Sweden.
出版信息
Public Health Pract (Oxf). 2020 Jul 12;1:100032. doi: 10.1016/j.puhip.2020.100032. eCollection 2020 Nov.
Abstract
OBJECTIVES
To investigate associations between sexual orientation and all-cause mortality.
STUDY DESIGN
Prospective cohort study.
METHODS
The 2008 public health survey in Scania was conducted with a postal questionnaire later linked to 9.3-year prospective death register data, including 25,071 respondents, aged 18-80. Analyses were conducted with sex-stratified survival analyses.
RESULTS
In the models including age, birth country and socioeconomic status, bisexual men had a hazard rate ratio (HRR) 1.91 (1.10-3.30) compared to heterosexual men, and bisexual women had a HRR 3.18 (1.64-6.18). No significant differences were observed for homosexuals. Other women had a HRR 2.32 (1.47-3.67).
CONCLUSIONS
Bisexuals men and women had higher mortality than heterosexuals.
摘要
目的
研究性取向与全因死亡率之间的关联。
研究设计
前瞻性队列研究。
方法
对斯科讷省2008年公共卫生调查采用邮寄问卷方式进行，随后将其与9.3年的前瞻性死亡登记数据相链接，其中包括25071名年龄在18至80岁之间的受访者。采用按性别分层的生存分析进行分析。
结果
在纳入年龄、出生国家和社会经济地位的模型中，与异性恋男性相比，双性恋男性的风险率比（HRR）为1.91（1.10 - 3.30），双性恋女性的HRR为3.18（1.64 - 6.18）。同性恋者未观察到显著差异。其他女性的HRR为2.32（1.47 - 3.67）。
结论
双性恋男性和女性的死亡率高于异性恋者。
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