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Mental and Physical Health among Homeless Sexual and Gender Minorities in a Major Urban US City.
J Urban Health 2016; 93(6):997-1009JU

Abstract

Sexual and gender minorities have been shown to have greater rates of mental health, substance use disorders, and specific types of health problems compared to heterosexuals. Among the homeless population in several US urban areas, sexual and gender minorities are overrepresented but few studies have examined the mental and physical health status of homeless sexual and gender minorities, with studies on homeless gender minorities being particularly hard to find. Using survey data obtained from the city and county of San Francisco (2015 Homeless Survey), this study examined differences in causes of homelessness, physical and mental health problems, and domestic violence among homeless sexual and gender minorities and their heterosexual and cisgender (i.e., non-transgender) counterparts, respectively. Lesbians and bisexual women, and gay and bisexual men did not differ from their cisgender heterosexual counterparts. Cisgender men who identified as queer or "other" in response to sexual orientation questions had higher rates of psychiatric problems and posttraumatic stress disorder, while cisgender women who identified as queer or "other" had higher rates of psychiatric problems and drug and alcohol use. Transgender men who were homeless were found to be particularly at risk for physical health problems, mental health problems, and domestic violence or abuse. Transgender women were more likely to report posttraumatic stress disorder. This study suggests that transgender men and cisgender sexual minority men and women who identify as queer or "other" are groups among the homeless that may benefit from increased outreach and services.

Authors+Show Affiliations

Department of Community Health Systems, University of California, San Francisco, School of Nursing, San Francisco, CA, USA. Annesa.Flentje@ucsf.edu.San Mateo County Psychiatry Residency Training Program, San Mateo, CA, USA.Department of Community Health Systems, University of California, San Francisco, School of Nursing, San Francisco, CA, USA.University of San Francisco, San Francisco, CA, USA.Department of Psychiatry, University of California, San Francisco, School of Medicine, San Francisco, CA, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27699581

Citation

Flentje, Annesa, et al. "Mental and Physical Health Among Homeless Sexual and Gender Minorities in a Major Urban US City." Journal of Urban Health : Bulletin of the New York Academy of Medicine, vol. 93, no. 6, 2016, pp. 997-1009.
Flentje A, Leon A, Carrico A, et al. Mental and Physical Health among Homeless Sexual and Gender Minorities in a Major Urban US City. J Urban Health. 2016;93(6):997-1009.
Flentje, A., Leon, A., Carrico, A., Zheng, D., & Dilley, J. (2016). Mental and Physical Health among Homeless Sexual and Gender Minorities in a Major Urban US City. Journal of Urban Health : Bulletin of the New York Academy of Medicine, 93(6), pp. 997-1009.
Flentje A, et al. Mental and Physical Health Among Homeless Sexual and Gender Minorities in a Major Urban US City. J Urban Health. 2016;93(6):997-1009. PubMed PMID: 27699581.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mental and Physical Health among Homeless Sexual and Gender Minorities in a Major Urban US City. AU - Flentje,Annesa, AU - Leon,Armando, AU - Carrico,Adam, AU - Zheng,Debbie, AU - Dilley,James, PY - 2016/10/5/pubmed PY - 2018/3/29/medline PY - 2016/10/5/entrez KW - Gender minority KW - Homelessness KW - Mental health KW - Physical health KW - Sexual minority KW - Substance use SP - 997 EP - 1009 JF - Journal of urban health : bulletin of the New York Academy of Medicine JO - J Urban Health VL - 93 IS - 6 N2 - Sexual and gender minorities have been shown to have greater rates of mental health, substance use disorders, and specific types of health problems compared to heterosexuals. Among the homeless population in several US urban areas, sexual and gender minorities are overrepresented but few studies have examined the mental and physical health status of homeless sexual and gender minorities, with studies on homeless gender minorities being particularly hard to find. Using survey data obtained from the city and county of San Francisco (2015 Homeless Survey), this study examined differences in causes of homelessness, physical and mental health problems, and domestic violence among homeless sexual and gender minorities and their heterosexual and cisgender (i.e., non-transgender) counterparts, respectively. Lesbians and bisexual women, and gay and bisexual men did not differ from their cisgender heterosexual counterparts. Cisgender men who identified as queer or "other" in response to sexual orientation questions had higher rates of psychiatric problems and posttraumatic stress disorder, while cisgender women who identified as queer or "other" had higher rates of psychiatric problems and drug and alcohol use. Transgender men who were homeless were found to be particularly at risk for physical health problems, mental health problems, and domestic violence or abuse. Transgender women were more likely to report posttraumatic stress disorder. This study suggests that transgender men and cisgender sexual minority men and women who identify as queer or "other" are groups among the homeless that may benefit from increased outreach and services. SN - 1468-2869 UR - https://www.unboundmedicine.com/medline/citation/27699581/Mental_and_Physical_Health_among_Homeless_Sexual_and_Gender_Minorities_in_a_Major_Urban_US_City_ L2 - https://dx.doi.org/10.1007/s11524-016-0084-3 DB - PRIME DP - Unbound Medicine ER -