Understanding associations between sexual identity change and the mental health of lesbian, gay, and bisexual adults in the United Kingdom through longitudinal survey

IF 5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Veena Muraleetharan , Catherine L. Saunders
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引用次数: 0

Abstract

While the existence of poorer mental health among lesbian, gay and bisexual (LGB) populations is well-established, most research does not acknowledge sexual identity shifts when quantifying disparities. This study begins to fill this gap by examining associations between sexual identity change from 2011 to 2023 and current psychological wellbeing and mental health diagnoses self-reported between 2021 and 2023 in the United Kingdom.
We utilized a nationally-representative sample of 25,141 respondents aged 16 and older who completed Understanding Society, a longitudinal household survey, in the 2021–2023 wave and responded to the sexual identity question in at least one wave. Using weighted linear and logistic regression, we examined associations between changes in reporting of sexual identity between heterosexual, LGB, and other identities and psychological distress and mental health diagnoses in Wave 13.
Sexual identity change was associated (p < .05) with psychological distress and odds of reporting any mental health condition, depression, panic attacks, and anxiety, but not post-traumatic stress disorder. Changes towards LGB identities and consistently identifying as bisexual were significant predictors of poorer mental health across outcomes (increased distress range across groups:1.61–2.58, Adjusted Odds Ratio(AOR) range across items/groups:1.91–4.27). Those who changed from LGB to straight also had higher distress (1.65(95 % CI:0.40–2.91)) and odds of reporting any mental health diagnosis (AOR:1.99(1.34–2.96)) and depression (AOR:2.25(1.48–3.42)) than consistently-heterosexual respondents. Currently LGB-identifying groups, excluding those consistently reporting “other”, also had higher odds of reporting any mental health condition (AOR range:1.90–3.71) and depression (AOR range:2.15–3.76). These insights can improve services to reduce mental health disparities among LGB populations.
通过纵向调查了解英国女同性恋、男同性恋和双性恋成年人的性身份改变与心理健康之间的关系
虽然女同性恋、男同性恋和双性恋(LGB)人群的心理健康状况较差是公认的,但大多数研究在量化差异时并未承认性别认同的转变。这项研究通过研究2011年至2023年英国人的性别认同变化与2021年至2023年英国人自我报告的当前心理健康和心理健康诊断之间的关系,开始填补这一空白。我们使用了具有全国代表性的样本,包括25141名年龄在16岁及以上的受访者,他们在2021-2023年浪潮中完成了“理解社会”(Understanding Society)这一纵向家庭调查,并在至少一次浪潮中回答了性别认同问题。使用加权线性和逻辑回归,我们检查了第13波中异性恋、LGB和其他身份之间的性身份报告变化与心理困扰和心理健康诊断之间的关系。与性别认同改变有关(p <;0.05)有心理困扰和报告任何精神健康状况、抑郁、恐慌发作和焦虑的几率,但没有创伤后应激障碍。LGB身份的改变和双性恋身份的持续认同是心理健康状况较差的显著预测因素(各组间的痛苦范围增加:1.61-2.58,各组间的调整优势比(AOR)范围:1.91-4.27)。那些从LGB变为直男的人也比一直是异性恋的受访者有更高的痛苦(1.65(95% CI: 0.40-2.91))和报告任何精神健康诊断的几率(AOR:1.99(1.34-2.96))和抑郁(AOR:2.25(1.48-3.42))。目前,除那些一直报告“其他”的人外,lgb -识别群体报告任何精神健康状况(AOR范围:1.90-3.71)和抑郁症(AOR范围:2.15-3.76)的几率也更高。这些见解可以改善服务,以减少LGB人群之间的心理健康差距。
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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