Tags

Type your tag names separated by a space and hit enter

Sexual orientation differences in functional limitations, disability, and mental health services use: Results from the 2013-2014 National Health Interview Survey.
J Consult Clin Psychol. 2017 Dec; 85(12):1111-1121.JC

Abstract

OBJECTIVES

The authors investigated sexual orientation differences in risk for mental health morbidity, functional limitations/disability, and mental health services use among adults interviewed in the nationally representative 2013-2014 National Health Interview Survey.

METHOD

Respondents were 68,816 adults (67,152 heterosexual and 1,664 lesbian, gay, and bisexual [LGB] individuals), age 18 and older. Fully structured interviews assessed sexual orientation identity, health status, and services use. Using sex-stratified analyses while adjusting for demographic confounding, the authors compared LGB and heterosexual individuals for evidence of mental health-related impairments and use of mental health services.

RESULTS

LGB adults, as compared to heterosexual adults, demonstrated higher prevalence of mental health morbidity and functional limitations. However, this varied by gender with LGB women evidencing elevated risk for both mental health and substance abuse (MHSA) and non-MHSA limitations. Among men, sexual orientation differences clustered among MHSA-related limitations. Overall, LGB adults were more likely than heterosexual adults to use services, with the source of functional limitations moderating these effects among men.

CONCLUSION

MHSA-related morbidity is a significant concern among LGB individuals and is associated with higher levels of functional limitations/disability. The findings highlight that LGB persons use MHSA-related treatment at higher rates than heterosexuals do, and, among men, are more likely to do so absent MHSA or non-MHSA-related functional limitations. This presents a unique set of concerns within the integrated care setting, including the need to deliver culturally competent care sensitive to the context of probable sex differences among LGB individuals. (PsycINFO Database Record

Authors+Show Affiliations

Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles.Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles.Department of Psychology, Fielding School of Public Health, University of California, Los Angeles.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28857577

Citation

Cochran, Susan D., et al. "Sexual Orientation Differences in Functional Limitations, Disability, and Mental Health Services Use: Results From the 2013-2014 National Health Interview Survey." Journal of Consulting and Clinical Psychology, vol. 85, no. 12, 2017, pp. 1111-1121.
Cochran SD, Björkenstam C, Mays VM. Sexual orientation differences in functional limitations, disability, and mental health services use: Results from the 2013-2014 National Health Interview Survey. J Consult Clin Psychol. 2017;85(12):1111-1121.
Cochran, S. D., Björkenstam, C., & Mays, V. M. (2017). Sexual orientation differences in functional limitations, disability, and mental health services use: Results from the 2013-2014 National Health Interview Survey. Journal of Consulting and Clinical Psychology, 85(12), 1111-1121. https://doi.org/10.1037/ccp0000243
Cochran SD, Björkenstam C, Mays VM. Sexual Orientation Differences in Functional Limitations, Disability, and Mental Health Services Use: Results From the 2013-2014 National Health Interview Survey. J Consult Clin Psychol. 2017;85(12):1111-1121. PubMed PMID: 28857577.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual orientation differences in functional limitations, disability, and mental health services use: Results from the 2013-2014 National Health Interview Survey. AU - Cochran,Susan D, AU - Björkenstam,Charlotte, AU - Mays,Vickie M, Y1 - 2017/08/31/ PY - 2017/9/1/pubmed PY - 2018/6/19/medline PY - 2017/9/1/entrez SP - 1111 EP - 1121 JF - Journal of consulting and clinical psychology JO - J Consult Clin Psychol VL - 85 IS - 12 N2 - OBJECTIVES: The authors investigated sexual orientation differences in risk for mental health morbidity, functional limitations/disability, and mental health services use among adults interviewed in the nationally representative 2013-2014 National Health Interview Survey. METHOD: Respondents were 68,816 adults (67,152 heterosexual and 1,664 lesbian, gay, and bisexual [LGB] individuals), age 18 and older. Fully structured interviews assessed sexual orientation identity, health status, and services use. Using sex-stratified analyses while adjusting for demographic confounding, the authors compared LGB and heterosexual individuals for evidence of mental health-related impairments and use of mental health services. RESULTS: LGB adults, as compared to heterosexual adults, demonstrated higher prevalence of mental health morbidity and functional limitations. However, this varied by gender with LGB women evidencing elevated risk for both mental health and substance abuse (MHSA) and non-MHSA limitations. Among men, sexual orientation differences clustered among MHSA-related limitations. Overall, LGB adults were more likely than heterosexual adults to use services, with the source of functional limitations moderating these effects among men. CONCLUSION: MHSA-related morbidity is a significant concern among LGB individuals and is associated with higher levels of functional limitations/disability. The findings highlight that LGB persons use MHSA-related treatment at higher rates than heterosexuals do, and, among men, are more likely to do so absent MHSA or non-MHSA-related functional limitations. This presents a unique set of concerns within the integrated care setting, including the need to deliver culturally competent care sensitive to the context of probable sex differences among LGB individuals. (PsycINFO Database Record SN - 1939-2117 UR - https://www.unboundmedicine.com/medline/citation/28857577/Sexual_orientation_differences_in_functional_limitations_disability_and_mental_health_services_use:_Results_from_the_2013_2014_National_Health_Interview_Survey_ L2 - http://content.apa.org/journals/ccp/85/12/1111 DB - PRIME DP - Unbound Medicine ER -