Department of Primary Care and Public Health, Brighton and Sussex Medical School, University of Sussex.
Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University.
J Sex Res. 2024 Nov-Dec;61(9):1342-1350. doi: 10.1080/00224499.2023.2220680. Epub 2023 Jul 24.
Persistent inequalities in relation to health outcomes continue to exist among patients identifying as lesbian, gay, and bisexual (LGB), and very little is known about outcomes specific to bisexual populations. This study's aim was to compare the health of individuals identifying as LGB with heterosexual counterparts within primary care in England. Cross-sectional survey data from the year 10 (2015/2016) English General Practice Patient Survey (GPPS) dataset, which consisted of 836,312 responses (38.9% response rate), including 23,834 people who identified as gay, lesbian, bisexual or "other" was analyzed. Health outcomes were assessed through self-reported quality of life, physical and mental health, and confidence in managing own health. Multifactorial logistic regression (adjusting for age, ethnic group, working status, and socioeconomic status) were conducted. Long-term physical and mental health problems were more than twice as likely to be reported for people within LGB groups compared to the heterosexual group for both genders, except bisexual women where the odds were more than four times greater (OR = 4.275, 95% CI, 3.896, 4.691; < .001). Bisexual women were half as likely to report the absence of a long-term health problem (OR = 0.452, 95% CI 0.419, 0.488; < .001). LGB groups across both genders, reported a higher proportion of individuals that did not feel confident in managing their health and experienced significantly worse quality of life compared to heterosexuals. LGB patients consistently report poorer health outcomes than heterosexual patients. Bisexual people of both genders consistently experienced worse physical and mental health outcomes compared with the other recorded sexual orientations.
在健康结果方面，与同性恋、双性恋和异性恋（LGB）患者相关的持续不平等仍然存在，而对于双性恋人群的特定结果知之甚少。本研究旨在比较英国初级保健中自我认同为 LGB 的个体与异性恋者的健康状况。横断面调查数据来自于 2015/2016 年英格兰全科医生患者调查（GPPS）数据集的第 10 年（2015/2016 年），共包括 836312 份回复（38.9%的回复率），其中包括 23834 名自我认同为同性恋、女同性恋、双性恋或“其他”的人。健康结果通过自我报告的生活质量、身心健康以及对管理自身健康的信心来评估。进行了多因素逻辑回归（调整年龄、族裔、工作状态和社会经济地位）。与异性恋群体相比，LGB 群体的男女两性都更有可能报告长期身体和心理健康问题，除了双性恋女性，其可能性是四倍多（OR=4.275，95%CI，3.896，4.691；<0.001）。双性恋女性报告没有长期健康问题的可能性是异性恋女性的一半（OR=0.452，95%CI 0.419，0.488；<0.001）。两性 LGB 群体报告有更高比例的人对管理自己的健康没有信心，并且生活质量明显较差，与异性恋者相比。LGB 患者的健康结果始终比异性恋患者差。两性双性恋者的身心健康结果始终比其他记录的性取向差。
