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Are sociodemographic, lifestyle, and psychosocial characteristics associated with sexual orientation group differences in mental health disparities? Results from a national population-based study.
Soc Psychiatry Psychiatr Epidemiol. 2019 Jun; 54(6):755-770.SP

Abstract

PURPOSE

Sexual minority mental health disparities are well documented. However, distinct sexual minority subgroups are often collapsed into a single "lesbian, gay, or bisexual" (LGB) analytic group. While limited research has shown sexual minority subgroup differences in mental health, little is known about the factors underlying these differences. This study examines whether sociodemographic, lifestyle, and psychosocial characteristics are associated with sexual orientation subgroup differences in mental health.

METHODS

Using the National Epidemiologic Survey on Alcohol and Related Conditions, Wave III, differences in various mental health measures, and sociodemographic, lifestyle, and psychosocial characteristics were assessed across three sexual minority subgroups [lesbians/gay men, bisexuals, and heterosexuals reporting same-sex attractions or behaviors ("heterosexual-identified sexual minorities, HSM")] and heterosexuals reporting only opposite-sex attractions and behaviors ("heterosexuals"). Sequential linear regressions evaluated the degrees to which different factors attenuated mental health (SF-12) disparities between heterosexuals and sexual minority subgroups. Analyses were sex-stratified.

RESULTS

Several sociodemographic, lifestyle, and psychosocial characteristic differences existed between sexual orientation groups. Further, all sexual minority subgroups had lower SF-12 scores than heterosexuals, except lesbian women. Sociodemographic factors attenuated the disparity for bisexual men. Sociodemographic, lifestyle, plus psychosocial factors attenuated the disparity for HSM men. However, sociodemographic, lifestyle, and psychosocial factors partially, but did not fully, attenuate the disparity for gay men, bisexual women, or HSM women.

CONCLUSIONS

Different factors are associated with mental health disparities for sexual minority subgroups. To maximize health intervention efforts, additional research is needed to uncover the specific mechanisms contributing to health disparities across diverse sexual minority populations.

Authors+Show Affiliations

Department of Community Health Sciences, UCLA Fielding School of Public Health, 650 Charles E. Young Drive South, Los Angeles, CA, 90095, USA. eakrueger@ucla.edu.Department of Community Health Sciences, UCLA Fielding School of Public Health, 650 Charles E. Young Drive South, Los Angeles, CA, 90095, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30603805

Citation

Krueger, Evan A., and Dawn M. Upchurch. "Are Sociodemographic, Lifestyle, and Psychosocial Characteristics Associated With Sexual Orientation Group Differences in Mental Health Disparities? Results From a National Population-based Study." Social Psychiatry and Psychiatric Epidemiology, vol. 54, no. 6, 2019, pp. 755-770.
Krueger EA, Upchurch DM. Are sociodemographic, lifestyle, and psychosocial characteristics associated with sexual orientation group differences in mental health disparities? Results from a national population-based study. Soc Psychiatry Psychiatr Epidemiol. 2019;54(6):755-770.
Krueger, E. A., & Upchurch, D. M. (2019). Are sociodemographic, lifestyle, and psychosocial characteristics associated with sexual orientation group differences in mental health disparities? Results from a national population-based study. Social Psychiatry and Psychiatric Epidemiology, 54(6), 755-770. https://doi.org/10.1007/s00127-018-1649-0
Krueger EA, Upchurch DM. Are Sociodemographic, Lifestyle, and Psychosocial Characteristics Associated With Sexual Orientation Group Differences in Mental Health Disparities? Results From a National Population-based Study. Soc Psychiatry Psychiatr Epidemiol. 2019;54(6):755-770. PubMed PMID: 30603805.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Are sociodemographic, lifestyle, and psychosocial characteristics associated with sexual orientation group differences in mental health disparities? Results from a national population-based study. AU - Krueger,Evan A, AU - Upchurch,Dawn M, Y1 - 2019/01/02/ PY - 2018/07/20/received PY - 2018/12/12/accepted PY - 2019/1/4/pubmed PY - 2019/8/6/medline PY - 2019/1/4/entrez KW - Disparities KW - Mental health KW - Sexual orientation KW - Social epidemiology SP - 755 EP - 770 JF - Social psychiatry and psychiatric epidemiology JO - Soc Psychiatry Psychiatr Epidemiol VL - 54 IS - 6 N2 - PURPOSE: Sexual minority mental health disparities are well documented. However, distinct sexual minority subgroups are often collapsed into a single "lesbian, gay, or bisexual" (LGB) analytic group. While limited research has shown sexual minority subgroup differences in mental health, little is known about the factors underlying these differences. This study examines whether sociodemographic, lifestyle, and psychosocial characteristics are associated with sexual orientation subgroup differences in mental health. METHODS: Using the National Epidemiologic Survey on Alcohol and Related Conditions, Wave III, differences in various mental health measures, and sociodemographic, lifestyle, and psychosocial characteristics were assessed across three sexual minority subgroups [lesbians/gay men, bisexuals, and heterosexuals reporting same-sex attractions or behaviors ("heterosexual-identified sexual minorities, HSM")] and heterosexuals reporting only opposite-sex attractions and behaviors ("heterosexuals"). Sequential linear regressions evaluated the degrees to which different factors attenuated mental health (SF-12) disparities between heterosexuals and sexual minority subgroups. Analyses were sex-stratified. RESULTS: Several sociodemographic, lifestyle, and psychosocial characteristic differences existed between sexual orientation groups. Further, all sexual minority subgroups had lower SF-12 scores than heterosexuals, except lesbian women. Sociodemographic factors attenuated the disparity for bisexual men. Sociodemographic, lifestyle, plus psychosocial factors attenuated the disparity for HSM men. However, sociodemographic, lifestyle, and psychosocial factors partially, but did not fully, attenuate the disparity for gay men, bisexual women, or HSM women. CONCLUSIONS: Different factors are associated with mental health disparities for sexual minority subgroups. To maximize health intervention efforts, additional research is needed to uncover the specific mechanisms contributing to health disparities across diverse sexual minority populations. SN - 1433-9285 UR - https://www.unboundmedicine.com/medline/citation/30603805/Are_sociodemographic_lifestyle_and_psychosocial_characteristics_associated_with_sexual_orientation_group_differences_in_mental_health_disparities_Results_from_a_national_population_based_study_ L2 - https://dx.doi.org/10.1007/s00127-018-1649-0 DB - PRIME DP - Unbound Medicine ER -