Liu Yang, O'Grady Megan A
Department of Public Health Sciences, School of Medicine, University of Connecticut, Farmington, USA.
Discov Ment Health. 2023 Jun 29;3(1):13. doi: 10.1007/s44192-023-00039-0.
Health care coverage is an important factor in receipt of behavioral healthcare. This study uses data from the New York City Community Health Survey to examine how sexual minority status impacts the relationship between depression status and having health care coverage. Approximately 10% of the sample (n = 9571; 47% 45+ years old; 35% White Non-Hispanic; 7% sexual minority) reported probable depression and low health care coverage. Compared to heterosexual participants, a greater proportion of sexual minority participants had low health care coverage (17% vs. 9%) and probable depression (19% vs. 9%). Logistic regression examining the association between probable depression status and health care coverage showed that those with probable depression have odds of low health care coverage that are were 3.08 times those who did not have probable depression; this relationship was not modified by sexual orientation. Continued research to understand the interplay of health care coverage, mental health, and sexual orientation is needed.
医疗保健覆盖范围是接受行为健康护理的一个重要因素。本研究使用纽约市社区健康调查的数据，来考察性少数群体身份如何影响抑郁状况与拥有医疗保健覆盖范围之间的关系。大约10%的样本（n = 9571；47%为45岁及以上；35%为非西班牙裔白人；7%为性少数群体）报告有可能患抑郁症且医疗保健覆盖范围低。与异性恋参与者相比，性少数群体参与者中医疗保健覆盖范围低的比例更高（17%对9%），且患抑郁症的可能性也更高（19%对9%）。对可能患抑郁症状况与医疗保健覆盖范围之间关联的逻辑回归分析表明，可能患抑郁症的人医疗保健覆盖范围低的几率是未患抑郁症者的3.08倍；这种关系不受性取向的影响。需要继续开展研究以了解医疗保健覆盖范围、心理健康和性取向之间的相互作用。
