Sargodha Medical College, Sargodha, Pakistan.
Rawal Institute of Health Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan.
Am J Mens Health. 2023 May-Jun;17(3):15579883231176646. doi: 10.1177/15579883231176646.
Mental health disparities in sexual minorities, particularly homosexual and bisexual men, are a significant public health concern. This study examines six key themes: general psychiatric issues, health services, minority stress, trauma and PTSD, substance and drug misuse, and suicidal ideation. The aim is to provide a comprehensive synthesis of the evidence, identify potential intervention and prevention strategies, and address knowledge gaps in understanding the unique experiences of homosexual and bisexual men. Reported as per the PRISMA Statement 2020 guidelines, PubMed, PsycINFO, Web of Science, and Scopus were searched until February 15, 2023, with no language restrictions. A combination of the following keywords and MeSH terms was used: homosexual, bisexual, gay, men who have sex with men, mental health, psychiatric disorders, health disparities, sexual minorities, anxiety, depression, minority, stress, trauma, substance, drug misuse, and/or suicidality. Out of 1,971 studies located through database searching, 28 were included in this study pooling a total of 199,082 participants from the United States, the United Kingdom, Australia, China, Canada, Germany, the Netherlands, Israel, Switzerland, and Russia. Thematic findings of all the studies were tabulated and thereby synthesized. Addressing mental health disparities in gay, bisexual men, and sexual minorities requires evidence-based, comprehensive approaches, culturally competent care, accessible services, targeted prevention strategies, community-based support, public awareness, routine screenings, and research collaboration. This inclusive, research-informed approach can effectively reduce mental health issues and enable optimal well-being in these populations.
性少数群体（尤其是男同性恋和双性恋者）的心理健康差异是一个重大的公共卫生问题。本研究探讨了六个关键主题：一般精神健康问题、卫生服务、少数群体压力、创伤和 PTSD、物质和药物滥用以及自杀意念。旨在全面综合证据，确定潜在的干预和预防策略，并解决理解男同性恋和双性恋者独特经历方面的知识差距。本研究按照 PRISMA 声明 2020 指南进行报告，对 PubMed、PsycINFO、Web of Science 和 Scopus 进行了检索，检索时间截至 2023 年 2 月 15 日，无语言限制。使用了以下关键词和 MeSH 术语的组合：同性恋、双性恋、男同性恋、男男性行为者、精神健康、精神障碍、健康差异、性少数群体、焦虑、抑郁、少数群体、压力、创伤、物质、药物滥用和/或自杀倾向。通过数据库检索共找到 1971 项研究，其中 28 项研究纳入本研究，共纳入来自美国、英国、澳大利亚、中国、加拿大、德国、荷兰、以色列、瑞士和俄罗斯的 199082 名参与者。对所有研究的主题发现进行制表和综合。解决男同性恋、双性恋者和性少数群体的心理健康差异需要基于证据的、全面的方法、文化能力强的护理、可及的服务、有针对性的预防策略、以社区为基础的支持、公众意识、常规筛查和研究合作。这种包容的、基于研究的方法可以有效地减少心理健康问题，使这些人群实现最佳健康。
