LGBT health最新文献

{"title":"Differences in Gynecological Health Care Utilization Between Heterosexual and Lesbian, Gay, and Bisexual Women Veterans.","authors":"Anna C Barbano, Jordan L Thomas, Alexandria N Miller, Tara E Galovski, Samantha N Stucchi, Yael I Nillni","doi":"10.1177/23258292261443323","DOIUrl":"https://doi.org/10.1177/23258292261443323","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined differences in rates of gynecological health care utilization among lesbian, gay, and bisexual (LGB) women veterans relative to heterosexual women veterans.</p><p><strong>Methods: </strong>Women veterans (<i>N</i> = 1729) recruited via the Veterans Affairs/Department of Defense Identity Repository (14.3% LGB<i>, n</i> = 248) answered questionnaires related to gynecological health care utilization between September 2018 and June 2019. Binary logistic regression was used to examine differences in Pap smear receipt and gynecological care visits, controlling for age, race/ethnicity, posttraumatic stress disorder symptoms, and sexual trauma exposure.</p><p><strong>Results: </strong>LGB women veterans were equally likely to receive Pap smears compared to heterosexual veterans (<i>p</i>s > 0.05). Gay or lesbian, but not bisexual, veterans were less likely to undergo routine gynecology visits relative to heterosexual women veterans (71% vs. 81%, <i>p</i> = 0.004).</p><p><strong>Conclusion: </strong>Given that annual gynecology visits are recommended for reproductive-aged women for preventive and interventional care, it is important to address factors that may contribute to underutilization among gay or lesbian women veterans.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"23258292261443323"},"PeriodicalIF":3.5,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health of Transgender and Gender-Diverse Persons in India: A Scoping Review of Literature Since Legal Recognition of Self-Affirmed Gender Identity, 2014-2024.","authors":"Jagruti Wandrekar, Ketki Ranade, Venkatesan Chakrapani, Pvm Lakshmi","doi":"10.1177/23258292261439922","DOIUrl":"https://doi.org/10.1177/23258292261439922","url":null,"abstract":"<p><strong>Purpose: </strong>India's 2014 Supreme Court ruling in National Legal Services Authority v. Union of India affirmed transgender and gender-diverse (TGD) persons as equal citizens with a right to self-identified gender. This scoping review (2014-2024) sought to map TGD mental health research in India, characterize study details and themes, and identify gaps to guide future research and interventions.</p><p><strong>Methods: </strong>Following Joanna Briggs Institute methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we conducted a systematic search of peer-reviewed literature (PubMed, PsycINFO, Web of Science, Google Scholar, specific journal search, hand search) and grey literature (Google Scholar, websites of LGBTQ organizations, and digital thesis repositories Shodh Ganga and Shodh Gangotri). All publications between April 2014 and December 2024 that focused on the mental health of the Indian transgender population were included.</p><p><strong>Results: </strong>From 246 initial sources, 124 were included in the review. The reviewed studies described prevalence rates of common mental disorders, transgender-specific psychosocial stressors, positive psychology variables, role of mental health professionals, mental health interventions and guidelines, forced gender \"correction\" practices, mental health impact of gender-affirming surgeries, links between sexual health and mental health, and experiences during the COVID-19 pandemic.</p><p><strong>Conclusions: </strong>This review demonstrates substantial mental health needs among TGD communities in India but a narrow, uneven evidence base. Several articles revealed researcher misconceptions indicating ethical and epistemic harm. Priority next steps are adequately powered, intersectional longitudinal studies and rigorously evaluated, community-partnered interventions (including family support and mental health professional training) to advance gender-affirming, evidence-based care.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"23258292261439922"},"PeriodicalIF":3.5,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Mental Health and Nicotine/Tobacco Use by Disaggregated Gender Identities Among U.S. Adolescents, 2020-2023.","authors":"Emily E Hackworth, Dèsirée Vidaña-Pérez, Riley O'Neal, Josephine T Hinds, Andrea R Titus, Minji Kim, Jennifer Fillo, David Hammond, James F Thrasher","doi":"10.1177/23258292261422233","DOIUrl":"10.1177/23258292261422233","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescents with internalizing mental health (IMH) symptoms are more likely to use nicotine/tobacco products; however, the association with gender identity remains unclear. We examined differences in the relationship between IMH symptoms and nicotine/tobacco use by gender identity.</p><p><strong>Methods: </strong>Data came from the U.S. arm of the International Tobacco Control Youth Tobacco and Vaping Survey, an online cross-sectional survey of adolescents aged 16-19, conducted from 2020 to 2023 (<i>n</i> = 28,959). Current nicotine/tobacco use was categorized as: (1) no use, (2) exclusive combustible product use, (3) exclusive noncombustible product use, and (4) use of both product types. Current depression and anxiety symptoms were aggregated into an IMH symptoms variable (yes/no). Gender identity was determined based on responses to questions regarding current gender identity and sex assigned at birth. Analyses examined differences in IMH symptoms and nicotine/tobacco use by gender identity and the potential moderating role of gender identity in the relation between IMH symptoms and nicotine/tobacco use.</p><p><strong>Results: </strong>Risk for nicotine/tobacco use and IMH symptoms varied across gender identities. Transgender women reported the highest prevalence of any product use (29%) followed by transgender men (24%), cisgender men (22%), cisgender women (19%), and gender nonconforming (GNC) adolescents (14%). GNC adolescents reported the highest prevalence of IMH symptoms (85%), followed by transgender men (80%), cisgender women (67%), transgender women (65%), and cisgender men (45%). We found significant interactions between IMH symptoms and gender identity (<i>p</i> < 0.0001).</p><p><strong>Conclusion: </strong>This study revealed the importance of disaggregating GNC and transgender identities in research related to nicotine/tobacco use and mental health among adolescents.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"167-178"},"PeriodicalIF":3.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146258692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in Substance Use Disorder Severity Among Sexual Minority Adolescents and Emerging Adults: Results from the 2023 National Survey on Drug Use and Health.","authors":"Trey V Dellucci, Patrick Janulis, Zachary W Adams","doi":"10.1177/23258292261428157","DOIUrl":"10.1177/23258292261428157","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to describe disparities in the severity of substance use disorders (SUDs) between sexual minority (SM) and heterosexual youth.</p><p><strong>Methods: </strong>The current study analyzed data from the 2023 National Survey on Drug Use and Health to examine differences in SUDs between SM and heterosexual youth. Analyses were limited to participants aged 12-25 years (<i>n</i> = 23,333). Participants reported on their sexual identity and completed items on past-year substance use. SUDs were classified using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria. A separate multinomial regression model was conducted for each outcome (alcohol use disorder [AUD] severity, cannabis use disorder [CUD] severity, and drug use disorder severity), stratified by age and sex. Each model included sexual identity as the primary predictor.</p><p><strong>Results: </strong>Odds for meeting criteria for an SUD at any severity level were generally highest for bisexual youth compared with all other youth, with few exceptions. AUD severity varied slightly among adolescents, and CUD varied slightly among males.</p><p><strong>Conclusion: </strong>This study is the first to identify differences in DSM-5 SUD severity between SM and heterosexual youth. The findings underscore the importance of developing clinical interventions tailored to the distinct challenges faced by SM youth, especially bisexual youth, to help reduce disparities in substance use outcomes.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"179-187"},"PeriodicalIF":3.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147468895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Romantic Involvement and Anxiety, Depression, and Substance Use Among Sexual and Gender Minority Adolescents.","authors":"Benjamin E Eisenstadt, Ryan J Watson, Joanne Davila","doi":"10.1177/23258292261429111","DOIUrl":"10.1177/23258292261429111","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine associations between romantic involvement and depression symptoms, anxiety symptoms, substance use problems, and recent substance use, as well as assess the moderating roles of internalized stigma, parental acceptance, and demographic characteristics.</p><p><strong>Methods: </strong>Participants were drawn from the 2022 LGBTQ+ National Teen Survey, an online cross-sectional study of sexual and gender minority (SGM) adolescents; a total of 6248 participants were included in the present study. Multivariable linear and logistic regression models were performed to assess associations between romantic involvement and depression symptoms, anxiety symptoms, substance use problems, and recent alcohol, heavy alcohol, marijuana, and nicotine use, with additional models for each stigma-based or demographic moderator.</p><p><strong>Results: </strong>Romantic involvement was significantly associated with increased depression symptoms, anxiety symptoms, recent substance use, and substance use problems. Both lower internalized stigma and higher parental acceptance diminished the associations between romantic involvement and substance use problems, but not other outcomes. Age also moderated the effect of romantic involvement across recent substance use measures.</p><p><strong>Conclusion: </strong>Given consistent associations between romantic involvement and adverse mental and behavioral health observed in this study, clinicians and researchers should further explore protective influences for SGM adolescents in romantic relationships and promote individual and relationship interventions for romantically involved SGM adolescents.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"148-156"},"PeriodicalIF":3.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maintaining Testosterone Therapy Throughout Ovarian Stimulation for Trans Masculine Individuals: A Systematic Review.","authors":"Gabriela Leon, Dalia Karol, Brenna Leslie, Jennia Michaeli","doi":"10.1177/23258292261437289","DOIUrl":"10.1177/23258292261437289","url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review aimed to summarize evidence on continuous testosterone therapy during ovarian stimulation in trans masculine individuals.</p><p><strong>Methods: </strong>A search of Medline, EMBASE, Cochrane, PubMed, CINAHL, Web of Science, and ClinicalTrials.gov was conducted through October 2024 in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies reporting ovarian stimulation on continuous testosterone therapy were included. The Joanna Briggs Institute Checklist for Case Reports was used to assess risk of bias, and descriptive statistics and qualitative synthesis were conducted.</p><p><strong>Results: </strong>The review included six articles involving eight patients. Median age at oocyte cryopreservation was 27 years (range 20-34), and median age at initiation of testosterone was 24 (range 18-27). An antagonist protocol was used for seven patients. Letrozole was given to three patients during their cycle. Oocytes were cryopreserved for four patients, embryos were cryopreserved at the time of stimulation for two patients, and two patients created embryos from cryopreserved oocytes. The median number of oocytes retrieved from seven patients was 20 (range 13-56), and the median number of oocytes cryopreserved from six patients was 22.5 (range 9-30). To date, three embryo transfers (two frozen and one fresh) have been reported, all resulting in live births.</p><p><strong>Conclusion: </strong>Live births, oocyte and embryo cryopreservation, are possible across a range of stimulation protocols under testosterone exposure. As trans masculine patients report gender dysphoria with the fertility preservation process, these case reports present an opportunity for reconsideration of current practices and propose a paradigm shift in fertility care for transgender individuals.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"139-147"},"PeriodicalIF":3.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147593038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in Substance Use and Mental Health by Sexual Identity Among U.S. Adolescents and Young Adults.","authors":"Ty S Schepis, Brady T West, Jason A Ford, Philip T Veliz, Sean Esteban McCabe","doi":"10.1177/23258292261419535","DOIUrl":"10.1177/23258292261419535","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined associations between sexual identity and both substance use and mental health outcomes via nationally representative data from adolescents and young adults, using a six-response sexual identity assessment.</p><p><strong>Methods: </strong>Data were from 11,328 adolescents (12-17 years) and 13,131 young adults (18-25 years) completing the 2023 National Survey on Drug Use and Health. Sexual identity had six-response options: heterosexual, lesbian/gay, bisexual, using a different term, unsure/don't know, and do not understand the question. Substance use variables included alcohol, cannabis, nicotine, prescription drug misuse, polysubstance use, and substance use disorder (SUD). Mental health variables included major depressive episodes, suicidal ideation, and serious psychological distress (measured only among young adults). Multivariable logistic regression models were fitted to examine whether substance use and mental health differed by sexual identity. Analyses adjusted for sociodemographics, occurred separately by age group and sex, and heterosexual individuals were the reference category.</p><p><strong>Results: </strong>Youth identifying as lesbian, gay, bisexual, unsure/don't know, or using a different term had significantly higher rates of all mental health concerns than their heterosexual peers, with 80% of adjusted odds ratios above 3.0. Substance use-sexual identity links were less consistent, although lesbian and bisexual females were more likely than heterosexual females to have past-year SUD. Individuals not understanding the sexual identity question had lower rates than their heterosexual peers on 15 of 36 outcomes (41.7%).</p><p><strong>Conclusion: </strong>Screening and indicated prevention for mental health concerns and SUD are needed for sexual minority youth, along with the development of culturally sensitive interventions.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"157-166"},"PeriodicalIF":3.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Orientation and Gender Identity Change Efforts Before Age 18: Demographic Correlates and Associations with Mental Health Conditions.","authors":"Yinuo Xu, William J Hall, Juliana Wilson, Stephen T Russell","doi":"10.1177/23258292251413624","DOIUrl":"10.1177/23258292251413624","url":null,"abstract":"<p><strong>Purpose: </strong>We examined the associations of sexual orientation and gender identity change efforts (SOGICE), both experienced over the lifetime and before adulthood, with demographic characteristics and a wide range of mental health outcomes in a sample of lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) adults.</p><p><strong>Methods: </strong>The analytic sample was 3023 LGBTQ+ adults (<i>M</i>_age = 31.59) from a cross-sectional survey conducted in 2024 in North Carolina. Participants reported SOGICE experiences during their lifetime and before age 18, past-year mental health conditions (i.e., depression, bipolar disorder, post-traumatic stress disorder, anxiety disorder, gender dysphoria, eating disorder, nonsuicidal self-injury, suicidal thought, and suicide attempt), and past-2-week anxiety and depressive symptoms. Bivariate regression models and multivariate regression models were tested on the associations between SOGICE experiences and mental health conditions.</p><p><strong>Results: </strong>Reports of SOGICE experiences were higher among those assigned male at birth compared with those assigned female at birth, Black participants compared with White participants, and transgender and gender-diverse participants compared with cisgender participants. In multivariate models, lifetime SOGICE was associated with three out of nine mental health conditions. In multivariate models, experiencing SOGICE before age 18 was associated with higher odds of five out of nine mental health conditions.</p><p><strong>Conclusion: </strong>Our study demonstrates that SOGICE experiences, particularly before adulthood, were associated with multiple severe mental health conditions. These findings reinforce calls from professional organizations to end SOGICE due to its threat to LGBTQ+ well-being and to support legislative efforts to ban such practices.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"85-92"},"PeriodicalIF":3.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Depression Among Taiwanese Sexual Minority Men: A Latent Profile Analysis of Minority Stress and Social Safety.","authors":"Daniel Mayo, Poyao Huang","doi":"10.1177/23258292251408066","DOIUrl":"10.1177/23258292251408066","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored how minority stress and social safety jointly shape mental health among Taiwanese sexual minority men (SMM) through the identification of psychosocial profiles and their associations with depression.</p><p><strong>Methods: </strong>Between April and May 2023, 415 Taiwanese SMM completed an online cross-sectional survey. Latent profile analysis (LPA) identified groups based on minority stress (sexuality-related discrimination, acceptance concerns, internalized homonegativity) and social safety (identity affirmation, family support, community connectedness) indicators. Multinomial logistic regression examined sociodemographic correlates of profile membership, and linear and binary logistic regressions assessed associations with depressive symptom severity (DSS) and major depressive disorder (MDD).</p><p><strong>Results: </strong>LPA identified three distinct profiles: \"Moderate Minority Stress-Low Social Safety\" (MMS-LSS; <i>n</i> = 201, 48.4%); \"Low Minority Stress-High Social Safety\" (LMS-HSS; <i>n</i> = 182, 43.9%); and \"High Minority Stress-Moderate Social Safety\" (HMS-MSS; <i>n</i> = 32, 7.7%). Individuals identifying as heterosexual men who have sex with men, pansexual, asexual, queer, or questioning had greater odds of belonging to the MMS-LSS (odds ratio [OR] = 5.00, 95% confidence interval [CI] = 1.42-17.63) and HMS-MSS (OR = 10.35, 95% CI = 2.32-46.13) profiles, relative to the LMS-HSS profile. Compared with individuals in the LMS-HSS profile, residence in the Central, Eastern, or Outer Island regions was associated with higher odds of HMS-MSS profile membership (OR = 3.58, 95% CI = 1.46-8.83). After adjusting for covariates, membership in the MMS-LSS (β = 0.16, 95% CI = 0.06-0.25; adjusted OR [aOR] = 1.87, 95% CI = 1.06-3.35) and HMS-MSS (β = 0.11, 95% CI = 0.01-0.20; aOR = 2.98, 95% CI = 1.13-7.69) profiles, relative to the LMS-HSS profile, was associated with greater DSS and higher odds of MDD.</p><p><strong>Conclusion: </strong>These findings revealed diverse experiences of minority stress and social safety among Taiwanese SMM and their implications for depression, supporting culturally responsive interventions.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"123-132"},"PeriodicalIF":3.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145863070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental and Physical Health Conditions Among Sexually Diverse and Gender-Diverse Autistic Adults.","authors":"Laura Graham Holmes, Yinge Qian, Jennifer L Ames, Reid Caplan, Cori Fraser, Dena Gassner, Morénike Giwa Onaiwu, Morrigan Hunter, Anna I R van der Miesen, Lindsey Nebeker, Ryan Taylor, Lisa A Croen","doi":"10.1177/23258292251414440","DOIUrl":"10.1177/23258292251414440","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to investigate mental and physical health diagnoses for sexually diverse and/or gender-diverse (SGD) autistic adults.</p><p><strong>Methods: </strong>We conducted a cross-sectional study using electronic health record (EHR) data from Kaiser Permanente Northern California. Participants were individuals with an autism diagnosis enrolled in the health plan between 2015 and 2019. SGD individuals were identified via sexual orientation and gender identity data or a stepwise methodology involving computerized searches of the EHR. Diagnostic codes for mental and physical health conditions were examined during the study period.</p><p><strong>Results: </strong>Of 4159 autistic participants, <i>n</i> = 122 were identified as sexually diverse and <i>n</i> = 90 as gender diverse. Using multivariable logistic regression models adjusted for age, race/ethnicity, and gender identity, we found that both the sexually diverse and gender diverse groups had greater odds of mental health diagnoses compared with individuals not identified as SGD. Sexually diverse adults had greater odds of alcohol or drug dependence, and gender-diverse adults had greater odds of other psychoses compared with individuals not identified as SGD. Both sexually diverse and gender diverse groups had greater odds of some physical health diagnoses, including pain not elsewhere classified, migraines, and gastrointestinal disorders, compared with individuals not identified as SGD.</p><p><strong>Conclusion: </strong>SGD autistic adults had greater odds of diagnosis of some mental and physical health conditions than autistic adults not identified as SGD, warranting further research on structural and interpersonal factors that affect their well-being and how best to support them.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"101-113"},"PeriodicalIF":3.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}