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Anxiety and Depression Among Sexual Minority Women and Men in Sweden: Is the Risk Equally Spread Within the Sexual Minority Population?
J Sex Med. 2017 03; 14(3):396-403.JS

Abstract

INTRODUCTION

Sexual minority individuals have a higher risk of anxiety and depression compared with heterosexuals. However, whether the higher risk is spread equally across the sexual minority population is not clear.

AIM

To investigate the association between sexual orientation and self-reported current anxiety and a history of diagnosis of depression, paying particular attention to possible subgroup differences in risks within the sexual minority population, stratified by sex and to examine participants' history of medical care for anxiety disorders and depression.

METHODS

We conducted a population-based study of 874 lesbians and gays, 841 bisexuals, and 67,980 heterosexuals recruited in 2010 in Stockholm County. Data were obtained from self-administered surveys that were linked to nationwide registers.

MAIN OUTCOME MEASURES

By using logistic regression, we compared risks of current anxiety, histories of diagnosed depression, and register-based medical care for anxiety and/or depression in lesbian and gay, bisexual, and heterosexual individuals.

RESULTS

Bisexual women and gay men were more likely to report anxiety compared with their heterosexual peers. Bisexual individuals and gay men also were more likely to report a past diagnosis of depression. All sexual minority groups had an increased risk of having used medical care for anxiety and depression compared with heterosexuals, with bisexual women having the highest risk.

CONCLUSION

Bisexual women appear to be a particularly vulnerable sexual minority group. Advocating for non-discrimination and protections for lesbian, gay, and bisexual people is a logical extension of the effort to lower the prevalence of mental illness. Björkenstam C, Björkenstam E, Andersson G, et al. Anxiety and Depression Among Sexual Minority Women and Men in Sweden: Is the Risk Equally Spread Within the Sexual Minority Population? J Sex Med 2017;14:396-403.

Authors+Show Affiliations

Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, CA, USA; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department of Sociology, Stockholm University, Stockholm, Sweden. Electronic address: charlotte.bjorkenstam@ki.se.Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, CA, USA; Department of Public Health Science, Karolinska Institutet, Stockholm, Sweden.Department of Sociology, Stockholm University, Stockholm, Sweden.Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, CA, USA.Department of Public Health Science, Karolinska Institutet, Stockholm, Sweden; Center for Epidemiology and Community Medicine, Stockholm County Council, Stockholm, Sweden.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28202321

Citation

Björkenstam, Charlotte, et al. "Anxiety and Depression Among Sexual Minority Women and Men in Sweden: Is the Risk Equally Spread Within the Sexual Minority Population?" The Journal of Sexual Medicine, vol. 14, no. 3, 2017, pp. 396-403.
Björkenstam C, Björkenstam E, Andersson G, et al. Anxiety and Depression Among Sexual Minority Women and Men in Sweden: Is the Risk Equally Spread Within the Sexual Minority Population? J Sex Med. 2017;14(3):396-403.
Björkenstam, C., Björkenstam, E., Andersson, G., Cochran, S., & Kosidou, K. (2017). Anxiety and Depression Among Sexual Minority Women and Men in Sweden: Is the Risk Equally Spread Within the Sexual Minority Population? The Journal of Sexual Medicine, 14(3), 396-403. https://doi.org/10.1016/j.jsxm.2017.01.012
Björkenstam C, et al. Anxiety and Depression Among Sexual Minority Women and Men in Sweden: Is the Risk Equally Spread Within the Sexual Minority Population. J Sex Med. 2017;14(3):396-403. PubMed PMID: 28202321.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anxiety and Depression Among Sexual Minority Women and Men in Sweden: Is the Risk Equally Spread Within the Sexual Minority Population? AU - Björkenstam,Charlotte, AU - Björkenstam,Emma, AU - Andersson,Gunnar, AU - Cochran,Susan, AU - Kosidou,Kyriaki, Y1 - 2017/02/12/ PY - 2016/10/14/received PY - 2017/01/03/revised PY - 2017/01/06/accepted PY - 2017/2/17/pubmed PY - 2017/5/11/medline PY - 2017/2/17/entrez KW - Anxiety KW - Bisexual KW - Depression KW - Lesbian, Gay, and Bisexual SP - 396 EP - 403 JF - The journal of sexual medicine JO - J Sex Med VL - 14 IS - 3 N2 - INTRODUCTION: Sexual minority individuals have a higher risk of anxiety and depression compared with heterosexuals. However, whether the higher risk is spread equally across the sexual minority population is not clear. AIM: To investigate the association between sexual orientation and self-reported current anxiety and a history of diagnosis of depression, paying particular attention to possible subgroup differences in risks within the sexual minority population, stratified by sex and to examine participants' history of medical care for anxiety disorders and depression. METHODS: We conducted a population-based study of 874 lesbians and gays, 841 bisexuals, and 67,980 heterosexuals recruited in 2010 in Stockholm County. Data were obtained from self-administered surveys that were linked to nationwide registers. MAIN OUTCOME MEASURES: By using logistic regression, we compared risks of current anxiety, histories of diagnosed depression, and register-based medical care for anxiety and/or depression in lesbian and gay, bisexual, and heterosexual individuals. RESULTS: Bisexual women and gay men were more likely to report anxiety compared with their heterosexual peers. Bisexual individuals and gay men also were more likely to report a past diagnosis of depression. All sexual minority groups had an increased risk of having used medical care for anxiety and depression compared with heterosexuals, with bisexual women having the highest risk. CONCLUSION: Bisexual women appear to be a particularly vulnerable sexual minority group. Advocating for non-discrimination and protections for lesbian, gay, and bisexual people is a logical extension of the effort to lower the prevalence of mental illness. Björkenstam C, Björkenstam E, Andersson G, et al. Anxiety and Depression Among Sexual Minority Women and Men in Sweden: Is the Risk Equally Spread Within the Sexual Minority Population? J Sex Med 2017;14:396-403. SN - 1743-6109 UR - https://www.unboundmedicine.com/medline/citation/28202321/Anxiety_and_Depression_Among_Sexual_Minority_Women_and_Men_in_Sweden:_Is_the_Risk_Equally_Spread_Within_the_Sexual_Minority_Population L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-6095(17)30060-7 DB - PRIME DP - Unbound Medicine ER -