Beatriz Colleen D, Bertone-Johnson Elizabeth R, Caceres Billy A, VanKim Nicole A
Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts Amherst.
Columbia School of Nursing, Columbia University.
Am J Orthopsychiatry. 2024 Oct 24. doi: 10.1037/ort0000806.
Poor psychological health has been consistently documented for sexually minoritized women. However, little is known about the association between poor psychological health and physical health. This study examined associations between psychological distress and cardiometabolic health, including cardiovascular disease risk conditions (hypertension, high cholesterol, and diabetes) and diagnoses (stroke, coronary heart disease, myocardial infarction, and angina), by sexual identity among women. Data are from the 2013-2018 National Health Interview Survey and included 102,279 women, who were straight ( = 97,909), lesbian/gay ( = 1,424), bisexual ( = 1,235), something else ( = 360), did not know ( = 712), and refused to disclose ( = 639). Multivariable multinomial logistic regression models were fit to estimate associations between psychological distress (measured with Kessler-6) and cardiometabolic health (self-reported diagnosis) and to examine sexual-identity differences in these associations. Covariates included sociodemographic characteristics. Overall, severe psychological distress was associated with significantly higher odds of having a cardiometabolic health condition ( = 2.66). These associations generally did not statistically significantly differ based on sexual identity. However, potential substantive differences in the magnitude of the association existed among lesbian/gay ( = 4.00) compared to straight women ( = 2.73). Moreover, women who identified as gay/lesbian, bisexual, "something else," or "I don't know" all reported significantly higher prevalence of severe psychological distress than straight women. Given the overall positive association between psychological distress and cardiometabolic health as well as the higher prevalence of severe psychological distress among sexual minority women, more work is needed to longitudinally examine the effects of psychological distress on health among sexually minoritized women. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
性少数群体女性的心理健康状况一直不佳，这已有充分记录。然而，心理健康不佳与身体健康之间的关联却鲜为人知。本研究按女性的性取向，考察了心理困扰与心脏代谢健康之间的关联，包括心血管疾病风险状况（高血压、高胆固醇和糖尿病）以及诊断结果（中风、冠心病、心肌梗死和心绞痛）。数据来自2013 - 2018年全国健康访谈调查，共纳入102,279名女性，其中异性恋者（n = 97,909）、女同性恋/男同性恋者（n = 1,424）、双性恋者（n = 1,235）、其他（n = 360）、不知道（n = 712）以及拒绝透露（n = 639）。采用多变量多项逻辑回归模型来估计心理困扰（用凯斯勒6项量表测量）与心脏代谢健康（自我报告的诊断结果）之间的关联，并检验这些关联中的性取向差异。协变量包括社会人口学特征。总体而言，严重心理困扰与患有心脏代谢健康问题的几率显著更高相关（比值比 = 2.66）。这些关联在性取向上一般没有统计学上的显著差异。然而，与异性恋女性（比值比 = 2.73）相比，女同性恋/男同性恋者（比值比 = 4.00）在关联强度上可能存在潜在的实质性差异。此外，自我认同为女同性恋/男同性恋、双性恋、“其他”或“我不知道”的女性报告的严重心理困扰患病率均显著高于异性恋女性。鉴于心理困扰与心脏代谢健康之间总体呈正相关，以及性少数群体女性中严重心理困扰的患病率较高，需要开展更多工作来纵向考察心理困扰对性少数群体女性健康的影响。（PsycInfo数据库记录（c）2024美国心理学会，保留所有权利）
