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Health Disparities, Inpatient Stays, and Emergency Room Visits Among Lesbian, Gay, and Bisexual People: Evidence From a Mental Health System.
Psychiatr Serv. 2020 02 01; 71(2):128-135.PS

Abstract

OBJECTIVE

This study examined differences in health outcomes and acute service use between lesbian, gay, and bisexual (LGB) individuals and a matched heterosexual control group.

METHODS

Individuals ages 18 to 85 whose electronic health records indicated a sexual orientation as LGB and who were included in the 2015 New York State Office of Mental Health Patient Characteristics Survey (N=5,775) were matched with heterosexuals (N=5,775) by sex assigned at birth, age, race, Hispanic ethnicity, and county of residence and compared on health status indicators, conditions and behaviors, and acute service use. Generalized estimating equation models were used to estimate the odds and rates of acute service use.

RESULTS

LGB individuals appeared to have more chronic general medical conditions and physical disabilities and tended to use fewer acute services compared with heterosexuals. Gay men and lesbians were significantly less likely than heterosexuals to have used a mental health-related inpatient service (adjusted odds ratio [AOR]=0.69, 95% confidence interval [CI]=0.57-0.85; and AOR=0.73, 95% CI=0.59-0.89 [respectively]) or emergency room (ER) service in the past 12 months (AOR=0.63, 95% CI=0.53-0.76; and AOR=0.79, 95% CI=0.66-0.94 [respectively]). Bisexual men and women were more likely than heterosexuals to have shorter substance use-related inpatient stays (rate ratio [RR]=0.65, 95% CI=0.47-0.90; and RR=0.66, 95% CI=0.51-0.86 [respectively]) and to have fewer substance use-related ER visits (RR=0.69, 95% CI=0.48-0.99; and RR=0.55, 95% CI=0.43-0.69 [respectively]).

CONCLUSIONS

The health care system needs strategies in LGB-centered care, research, medical education, health policy, and evidence-based practices to engage sexual minority groups in mental health and general medical care.

Authors+Show Affiliations

New York State Office of Mental Health, Albany (Frimpong, Rowan, Li, Solano, Chaudhry, Radigan); New York State Department of Health, Albany (Williams).New York State Office of Mental Health, Albany (Frimpong, Rowan, Li, Solano, Chaudhry, Radigan); New York State Department of Health, Albany (Williams).New York State Office of Mental Health, Albany (Frimpong, Rowan, Li, Solano, Chaudhry, Radigan); New York State Department of Health, Albany (Williams).New York State Office of Mental Health, Albany (Frimpong, Rowan, Li, Solano, Chaudhry, Radigan); New York State Department of Health, Albany (Williams).New York State Office of Mental Health, Albany (Frimpong, Rowan, Li, Solano, Chaudhry, Radigan); New York State Department of Health, Albany (Williams).New York State Office of Mental Health, Albany (Frimpong, Rowan, Li, Solano, Chaudhry, Radigan); New York State Department of Health, Albany (Williams).New York State Office of Mental Health, Albany (Frimpong, Rowan, Li, Solano, Chaudhry, Radigan); New York State Department of Health, Albany (Williams).

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31590623

Citation

Frimpong, Eric Y., et al. "Health Disparities, Inpatient Stays, and Emergency Room Visits Among Lesbian, Gay, and Bisexual People: Evidence From a Mental Health System." Psychiatric Services (Washington, D.C.), vol. 71, no. 2, 2020, pp. 128-135.
Frimpong EY, Rowan GA, Williams D, et al. Health Disparities, Inpatient Stays, and Emergency Room Visits Among Lesbian, Gay, and Bisexual People: Evidence From a Mental Health System. Psychiatr Serv. 2020;71(2):128-135.
Frimpong, E. Y., Rowan, G. A., Williams, D., Li, M., Solano, L., Chaudhry, S., & Radigan, M. (2020). Health Disparities, Inpatient Stays, and Emergency Room Visits Among Lesbian, Gay, and Bisexual People: Evidence From a Mental Health System. Psychiatric Services (Washington, D.C.), 71(2), 128-135. https://doi.org/10.1176/appi.ps.201900188
Frimpong EY, et al. Health Disparities, Inpatient Stays, and Emergency Room Visits Among Lesbian, Gay, and Bisexual People: Evidence From a Mental Health System. Psychiatr Serv. 2020 02 1;71(2):128-135. PubMed PMID: 31590623.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health Disparities, Inpatient Stays, and Emergency Room Visits Among Lesbian, Gay, and Bisexual People: Evidence From a Mental Health System. AU - Frimpong,Eric Y, AU - Rowan,Grace A, AU - Williams,David, AU - Li,Mengxuan, AU - Solano,Louis, AU - Chaudhry,Sahil, AU - Radigan,Marleen, Y1 - 2019/10/08/ PY - 2019/10/9/pubmed PY - 2020/12/31/medline PY - 2019/10/9/entrez KW - Health disparities KW - Homosexuality KW - LGB health care KW - Social issues SP - 128 EP - 135 JF - Psychiatric services (Washington, D.C.) JO - Psychiatr Serv VL - 71 IS - 2 N2 - OBJECTIVE: This study examined differences in health outcomes and acute service use between lesbian, gay, and bisexual (LGB) individuals and a matched heterosexual control group. METHODS: Individuals ages 18 to 85 whose electronic health records indicated a sexual orientation as LGB and who were included in the 2015 New York State Office of Mental Health Patient Characteristics Survey (N=5,775) were matched with heterosexuals (N=5,775) by sex assigned at birth, age, race, Hispanic ethnicity, and county of residence and compared on health status indicators, conditions and behaviors, and acute service use. Generalized estimating equation models were used to estimate the odds and rates of acute service use. RESULTS: LGB individuals appeared to have more chronic general medical conditions and physical disabilities and tended to use fewer acute services compared with heterosexuals. Gay men and lesbians were significantly less likely than heterosexuals to have used a mental health-related inpatient service (adjusted odds ratio [AOR]=0.69, 95% confidence interval [CI]=0.57-0.85; and AOR=0.73, 95% CI=0.59-0.89 [respectively]) or emergency room (ER) service in the past 12 months (AOR=0.63, 95% CI=0.53-0.76; and AOR=0.79, 95% CI=0.66-0.94 [respectively]). Bisexual men and women were more likely than heterosexuals to have shorter substance use-related inpatient stays (rate ratio [RR]=0.65, 95% CI=0.47-0.90; and RR=0.66, 95% CI=0.51-0.86 [respectively]) and to have fewer substance use-related ER visits (RR=0.69, 95% CI=0.48-0.99; and RR=0.55, 95% CI=0.43-0.69 [respectively]). CONCLUSIONS: The health care system needs strategies in LGB-centered care, research, medical education, health policy, and evidence-based practices to engage sexual minority groups in mental health and general medical care. SN - 1557-9700 UR - https://www.unboundmedicine.com/medline/citation/31590623/Health_Disparities_Inpatient_Stays_and_Emergency_Room_Visits_Among_Lesbian_Gay_and_Bisexual_People:_Evidence_From_a_Mental_Health_System_ L2 - https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201900188?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -