Health Outcomes, Discrimination, and Stigma Among Sexual and Gender Minority People With Inflammatory Bowel Disease.

IF 4.3 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Kira L Newman, Patricia A Wren, Millie D Long, Peter D R Higgins
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引用次数: 0

Abstract

Background: Sexual and gender minority (SGM) individuals often experience more discrimination and worse health than non-SGM people. Less is known about SGM individuals with inflammatory bowel disease (IBD). We studied IBD outcomes, discrimination, illness-related stigma, and SGM status in a cross-sectional survey.

Methods: In total, 1586 IBD Partners e-cohort participants self-reported sexual orientation, gender identity, and prior IBD treatment. They completed the Short Crohn's Disease Activity Index or Simple Clinical Colitis Activity Index, the Everyday Discrimination Scale, and the Paradox of Self Stigma (PASS-24) scale. We performed regression analyses controlling for age, race, disease duration, and IBD type.

Results: SGM people were 7.8% (n = 124) of the cohort. SGM participants were younger than non-SGM participants (median age 40 vs. 54 years, P < .001). Among SGM individuals, 67% (n = 74) were in remission based on disease activity scores. Among non-SGM individuals, 74% (n = 936) were in remission (P = .097). Similar proportions of SGM and non-SGM persons reported prior IBD-related hospitalization (40% vs. 37%, P = .426; adjusted odds ratio [aOR] 0.95, 95% confidence interval [CI], 0.62-1.45) and IBD-related surgery (52% vs. 54%, P = .707, aOR 1.25, 95% CI, 0.81-1.94). SGM respondents reported more discrimination (71% vs. 47%, P < .001), and 43% of SGM individuals reported healthcare-related discrimination versus 21% of non-SGM individuals (P < .001). SGM persons also endorsed more internalized stigma (median PASS-24 scores 53 vs. 47, P = .026).

Conclusions: SGM individuals with IBD are more likely to experience discrimination, including in healthcare, and illness-related stigma. These may significantly impact the quality of life and should be considered in the care of SGM people with IBD.

炎症性肠病患者的健康结局、歧视和污名
背景:性和性别少数群体(SGM)往往比非SGM人群遭受更多歧视,健康状况更差。对于患有炎症性肠病(IBD)的SGM个体知之甚少。我们在一项横断面调查中研究了IBD结局、歧视、疾病相关的耻辱感和SGM状态。方法:共有1586名IBD伙伴e队列参与者自我报告了性取向、性别认同和既往IBD治疗。他们完成了短克罗恩病活动指数或简单临床结肠炎活动指数、日常歧视量表和自我耻辱悖论(PASS-24)量表。我们进行了回归分析,控制了年龄、种族、病程和IBD类型。结果:SGM患者占队列的7.8% (n = 124)。SGM参与者比非SGM参与者年轻(中位年龄40岁vs. 54岁,P)。结论:SGM IBD患者更容易遭受歧视,包括在医疗保健和疾病相关的耻辱方面。这些可能会显著影响生活质量,在治疗伴有IBD的SGM患者时应予以考虑。
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来源期刊
Inflammatory Bowel Diseases
Inflammatory Bowel Diseases 医学-胃肠肝病学
CiteScore
9.70
自引率
6.10%
发文量
462
审稿时长
1 months
期刊介绍: Inflammatory Bowel Diseases® supports the mission of the Crohn''s & Colitis Foundation by bringing the most impactful and cutting edge clinical topics and research findings related to inflammatory bowel diseases to clinicians and researchers working in IBD and related fields. The Journal is committed to publishing on innovative topics that influence the future of clinical care, treatment, and research.
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