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Health Differences Among Lesbian, Gay, and Transgender Veterans by Rural/Small Town and Suburban/Urban Setting.
LGBT Health. 2017 06; 4(3):194-201.LH

Abstract

PURPOSE

We explored the relationship between geographic location and health indicators for lesbian, gay, and transgender veterans.

METHODS

We solicited participation in an online survey through national and city LGBT organizations and personal contacts to examine differences in depression, anxiety, alcohol and tobacco use, and body mass index among lesbian, gay, and transgender veterans (n = 252) in suburban/urban and rural/small town locations. Bisexual participants were too few to include in the analyses.

RESULTS

As expected, rural/small town lesbian, gay, and transgender veterans spent more time traveling to their primary care provider. Travel time was also positively related to depressive and anxiety symptoms. However, only suburban/urban and rural/small town gay men differed in measures of depression and anxiety and tobacco use. That is, rural/small town gay men reported greater depressive and anxiety symptoms and greater tobacco use than their suburban/urban counterparts. Consistent with this finding, rural/small town gay men reported less community-related identity than suburban/urban men. Suburban/urban lesbian women showed a nonsignificant trend for community identity compared with rural/small town women.

CONCLUSION

Similar to civilian studies, suburban/urban and rural/small town lesbian, gay, and transgender veterans evidenced few health differences, with the exception of suburban/urban gay men. Although rural/small town gay male veterans evidenced more depression and anxiety and less community identity than suburban/urban men, social networks likely differ for lesbian, gay, and transgender subgroups. Lesbian, gay, and transgender veterans may also differ from their civilian counterparts in ways that we do not yet understand.

Authors+Show Affiliations

1 Lesbian, Gay, Bisexual, and Transgender Health Program, Office of Patient Care Services, Veterans Health Administration , Washington, District of Columbia. 2 VA South Central Mental Illness Research, Education and Clinical Center , Houston, Texas. 3 Houston VA Health Services Research and Development Center for Innovations in Quality , Effectiveness and Safety, Houston, Texas. 4 Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine , Houston, Texas.1 Lesbian, Gay, Bisexual, and Transgender Health Program, Office of Patient Care Services, Veterans Health Administration , Washington, District of Columbia. 2 VA South Central Mental Illness Research, Education and Clinical Center , Houston, Texas. 3 Houston VA Health Services Research and Development Center for Innovations in Quality , Effectiveness and Safety, Houston, Texas. 4 Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine , Houston, Texas.5 Mental Health Care Line, Michael E. DeBakey VA Medical Center , Houston, Texas. 6 VA Tennessee Valley Healthcare System , Murfreesboro, Tennessee.4 Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine , Houston, Texas. 5 Mental Health Care Line, Michael E. DeBakey VA Medical Center , Houston, Texas. 7 Scott Department of Urology, Baylor College of Medicine , Houston, Texas.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

28430020

Citation

Kauth, Michael R., et al. "Health Differences Among Lesbian, Gay, and Transgender Veterans By Rural/Small Town and Suburban/Urban Setting." LGBT Health, vol. 4, no. 3, 2017, pp. 194-201.
Kauth MR, Barrera TL, Denton FN, et al. Health Differences Among Lesbian, Gay, and Transgender Veterans by Rural/Small Town and Suburban/Urban Setting. LGBT Health. 2017;4(3):194-201.
Kauth, M. R., Barrera, T. L., Denton, F. N., & Latini, D. M. (2017). Health Differences Among Lesbian, Gay, and Transgender Veterans by Rural/Small Town and Suburban/Urban Setting. LGBT Health, 4(3), 194-201. https://doi.org/10.1089/lgbt.2016.0213
Kauth MR, et al. Health Differences Among Lesbian, Gay, and Transgender Veterans By Rural/Small Town and Suburban/Urban Setting. LGBT Health. 2017;4(3):194-201. PubMed PMID: 28430020.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health Differences Among Lesbian, Gay, and Transgender Veterans by Rural/Small Town and Suburban/Urban Setting. AU - Kauth,Michael R, AU - Barrera,Terri L, AU - Denton,F Nicholas, AU - Latini,David M, Y1 - 2017/04/21/ PY - 2017/4/22/pubmed PY - 2018/3/10/medline PY - 2017/4/22/entrez KW - anxiety KW - depression KW - gay KW - lesbian KW - rural KW - transgender KW - urban KW - veterans SP - 194 EP - 201 JF - LGBT health JO - LGBT Health VL - 4 IS - 3 N2 - PURPOSE: We explored the relationship between geographic location and health indicators for lesbian, gay, and transgender veterans. METHODS: We solicited participation in an online survey through national and city LGBT organizations and personal contacts to examine differences in depression, anxiety, alcohol and tobacco use, and body mass index among lesbian, gay, and transgender veterans (n = 252) in suburban/urban and rural/small town locations. Bisexual participants were too few to include in the analyses. RESULTS: As expected, rural/small town lesbian, gay, and transgender veterans spent more time traveling to their primary care provider. Travel time was also positively related to depressive and anxiety symptoms. However, only suburban/urban and rural/small town gay men differed in measures of depression and anxiety and tobacco use. That is, rural/small town gay men reported greater depressive and anxiety symptoms and greater tobacco use than their suburban/urban counterparts. Consistent with this finding, rural/small town gay men reported less community-related identity than suburban/urban men. Suburban/urban lesbian women showed a nonsignificant trend for community identity compared with rural/small town women. CONCLUSION: Similar to civilian studies, suburban/urban and rural/small town lesbian, gay, and transgender veterans evidenced few health differences, with the exception of suburban/urban gay men. Although rural/small town gay male veterans evidenced more depression and anxiety and less community identity than suburban/urban men, social networks likely differ for lesbian, gay, and transgender subgroups. Lesbian, gay, and transgender veterans may also differ from their civilian counterparts in ways that we do not yet understand. SN - 2325-8306 UR - https://www.unboundmedicine.com/medline/citation/28430020/Health_Differences_Among_Lesbian_Gay_and_Transgender_Veterans_by_Rural/Small_Town_and_Suburban/Urban_Setting_ L2 - https://www.liebertpub.com/doi/10.1089/lgbt.2016.0213?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -