International Centre for Reproductive Health, Department of Public Health and Primary Care, Ghent University, Belgium, C. Heymanslaan 10, 9000, Ghent, Belgium.
Department of Psychology, University of Potsdam, Potsdam, Germany.
BMC Public Health. 2022 Sep 23;22(1):1807. doi: 10.1186/s12889-022-14198-2.
Previous studies report vast mental health problems in sexual minority people. Representative national proportion estimates on self-identifying LGB+ persons are missing in Belgium. Lacking data collection regarding sexual orientation in either census or governmental survey data limits our understanding of the true population sizes of different sexual orientation groups and their respective health outcomes. This study assessed the proportion of LGB+ and heterosexual persons in Belgium, LGB+ persons' self-identification as sexual minority, mental health, and experienced minority stress.
A representative sample of 4632 individuals drawn from the Belgian National Register completed measures of sexual orientation, subjective minority status, and its importance for their identity as well as a range of mental-health measures.
LGB+ participants made up 10.02% of the total sample and 52.59% of LGB+ participants self-identified as sexual minority. Most sexual minority participants considered sexual minority characteristics important for their identity. LGB+ persons reported significantly worse mental health than heterosexual persons. Sexual minority participants did not report high levels of minority stress, but those who considered minority characteristics key for their identity reported higher levels of minority stress. LGB+ participants who did not identify as minority reported fewer persons they trust.
The proportion of persons who identified as LGB+ was twice as large as the proportion of persons who identified as a minority based on their sexual orientation. LGB+ persons show poorer mental health compared to heterosexual persons. This difference was unrelated to minority stress, sociodemographic differences, minority identification, or the importance attached to minority characteristics.
先前的研究报告表明,性少数群体人群存在广泛的心理健康问题。在比利时,缺乏代表性的全国性自我认同的 LGB+人群比例估计。无论是在人口普查还是政府调查数据中,都缺乏关于性取向的数据收集,这限制了我们对不同性取向群体的真实人口规模及其各自健康结果的理解。本研究评估了比利时的 LGB+和异性恋者的比例、LGB+人群的自我认同为性少数群体、心理健康以及经历的少数群体压力。
从比利时国家登记处抽取了 4632 名具有代表性的个体,完成了性取向、主观少数群体地位及其对身份认同重要性的测量,以及一系列心理健康测量。
LGB+参与者占总样本的 10.02%,而 52.59%的 LGB+参与者自我认同为性少数群体。大多数性少数群体参与者认为性少数群体特征对他们的身份认同很重要。LGB+人群的心理健康状况明显差于异性恋人群。性少数群体参与者没有报告高水平的少数群体压力,但那些认为少数群体特征对他们的身份认同很重要的人报告了更高水平的少数群体压力。不认同自己为少数群体的 LGB+参与者报告的可信任的人较少。
自我认同为 LGB+的人数比例是自我认同为少数群体的人数比例的两倍,这是基于他们的性取向。LGB+人群的心理健康状况比异性恋人群差。这种差异与少数群体压力、社会人口差异、少数群体认同或少数群体特征的重要性无关。