{"title":"Measuring aspects of stigma cultures in healthcare settings.","authors":"Heather Stuart, Stephanie Knaak","doi":"10.1007/s00127-024-02780-5","DOIUrl":"https://doi.org/10.1007/s00127-024-02780-5","url":null,"abstract":"<p><strong>Purpose: </strong>Stigma cultures in healthcare settings are the organizational-level norms values, assumptions, physical façades, and practices that govern day to day activities and interactions. Aspects include poor quality of care, coercive care, a punitive and patronizing atmosphere, and disempowerment to make treatment decisions. To evaluate the effectiveness of interventions to reduce stigma cultures in healthcare settings, valid and reliable measures are needed. This paper describes the development and preliminary testing of a measure to assess mental illness related stigma in healthcare cultures from the perspectives of service users.</p><p><strong>Methods: </strong>Item generation was grounded in the lived experiences of people with a mental or substance use disorder (n = 20) reflecting their personal experiences with physical or mental healthcare encounters. Wherever possible, items were adapted from existing scales. Items were rated on a 4-point agreement scale with higher scores indicating higher stigma. Following the qualitative analysis, survey data (n = 2,476) were collected and exploratory and confirmatory factor analysis on split halves of the sample were conducted.</p><p><strong>Results: </strong>The analyses provided statistical support for a 23-item unidimensional scale that could be used in any healthcare setting to assess key aspects of stigma cultures such as poor quality of care or lack of person-centered care. Reliability was high (0.92) and aggregated scale scores (ranging from 0 to 92) were approximately normal.</p><p><strong>Conclusions: </strong>Though further testing is needed, the resulting Stigma Cultures in Healthcare scale is intended to be used across a range of physical and mental healthcare settings to assess the extent to which key aspects of care are experienced as stigmatizing by clients with mental or substance use disorders.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803017","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":"Exploring the association of social isolation and loneliness on the experience of COVID-19 infection and hospitalization in the Japanese population: the JACSIS study.","authors":"Hiroshi Murayama, Takumi Suda, Isuzu Nakamoto, Takahiro Tabuchi","doi":"10.1007/s00127-024-02793-0","DOIUrl":"https://doi.org/10.1007/s00127-024-02793-0","url":null,"abstract":"<p><strong>Purpose: </strong>Social isolation and loneliness have been long-standing public health concerns, and the coronavirus disease 2019 (COVID-19) pandemic has exacerbated these issues. Therefore, this study aimed to investigate the associations of social isolation and loneliness during the pandemic with experience of COVID-19 infection and hospitalization in the Japanese population.</p><p><strong>Methods: </strong>Data were sourced from the Japan COVID-19 and Society Internet Survey (JACSIS), a large-scale, web-based national survey of individuals aged 15-79. This study used JACSIS data from 2020 to 2022, representing the first and third years of the pandemic. Social isolation was measured by the frequency of direct and indirect contact with people other than co-residing family members. Loneliness was evaluated using the UCLA Loneliness Scale, while COVID-19 infection and hospitalization were self-reported.</p><p><strong>Results: </strong>A total of 13,612 individuals were included, of whom 1.5% had experienced hospital admission due to COVID-19, and 9.3% were infected but not hospitalized. Social isolation was inversely associated with COVID-19 infection risk (odds ratio = 0.77; 95% confidence interval: 0.66-0.90), while a higher level of loneliness was related to hospitalization (odds ratio = 2.21; 95% confidence interval: 1.59-3.09). Sex-stratified analyses revealed stronger associations in men than women.</p><p><strong>Conclusion: </strong>This study highlights the complex relationship between psychosocial factors and infectious disease outcomes, underscoring the need for comprehensive approaches to address the multifaceted challenges posed by global health crises.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792293","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}
Tiffany B Kindratt, Florence J Dallo, Kyrah K Brown
{"title":"Mental health and care seeking patterns of Middle Eastern and North African immigrant children in the United States.","authors":"Tiffany B Kindratt, Florence J Dallo, Kyrah K Brown","doi":"10.1007/s00127-024-02799-8","DOIUrl":"https://doi.org/10.1007/s00127-024-02799-8","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the prevalence of childhood mental and emotional health concerns and care seeking patterns among foreign-born MENA children compared to US- and foreign-born White children before and after adjusting for covariates.</p><p><strong>Methods: </strong>Data from the 2000-2018 National Health Interview Survey (NHIS) were analyzed. Poor toddler mental health in the past two months (2-3 years) and childhood emotional difficulties (4-17 years) in the past six months were measured. Parents also reported whether (yes/no) their child saw a doctor for behavioral or emotional concerns in the past 12 months.</p><p><strong>Results: </strong>Parents of foreign-born MENA young children (ages 2-3 years) were less likely to report mental health concerns (44.8%) compared to US-born White counterparts (67.3%; p <.05). Parents of foreign-born MENA children were less likely to report emotional difficulties compared to US- and foreign-born White children (21.9% and 19.3%, respectively; p's < 0.05). Foreign-born MENA children with mental or emotional health concerns had lower odds of seeing a doctor in the last 12 months for emotional/behavioral problems (OR = 0.45; 95% CI = 0.24-0.86) or mental health concerns (OR = 0.47; 95% CI = 0.27-0.83) compared to their US-born White counterparts after adjusting for sociodemographic factors.</p><p><strong>Conclusion: </strong>Parents of foreign-born MENA children reported fewer mental and emotional health concerns compared to US-born Whites. Those with mental and emotional health concerns were less likely to seek mental health care compared to their US-born White counterparts. Further research is needed to confirm and expand on these findings once a unique racial/ethnic identifier for MENA children is made available for measuring national mental health statistics.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774167","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":"The mediating role of life course cognitive reserve-enhancing factors in the relationship between adverse childhood experiences and dementia among older adults: evidence from a prospective cohort study in the United States.","authors":"Guangwen Liu, Tianhao Bao, Changqing Gao, Chenlu Hong, Boyuan Guan, Yujie Huang, Xiaoying Zheng, Yanan Luo","doi":"10.1007/s00127-024-02800-4","DOIUrl":"https://doi.org/10.1007/s00127-024-02800-4","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the relationship between adverse childhood experiences (ACEs) and incident dementia, and examine the mediating effect of cognitive reserve-enhancing factors from life course perspective. Further, we verified the heterogeneities of associations of ACEs, enhancing factors, and dementia by dementia genetic risk.</p><p><strong>Methods: </strong>Data was from the US Health and Retirement Study, involving 51,327 observations (50+) with a 10-year follow-up. Dementia was determined by the modified Telephone Interview for Cognitive Status. Six ACEs were assessed from two dimensions namely financial adversity and childhood trauma. Cognitive reserve-enhancing factors were rated during three periods of life-course, namely early-life stage (educational attainment,), adulthood (household income) and late-life stage (weekly physical activity). Genetic risk was evaluated by polygenic risk score for Alzheimer's disease. Cox regression models were conducted to examine the association between ACEs and dementia risk where ACEs were deemed as a continuous variable. \"Mediation\" package in R was used to test the mediating effect. Subgroup analysis was conducted to verify the heterogeneity of dementia genetic risk.</p><p><strong>Results: </strong>Participants with one additional number of ACEs was associated with increased risk of dementia (HR = 1.08, 95% CI: 1.02, 1.16). The correlation of the number of ACEs and dementia was fully mediated by early-life stage enhancing factor and partially mediated by adulthood enhancing factor. The above mediating roles only exist among those with moderate and high dementia genetic risk.</p><p><strong>Conclusion: </strong>Exposure to a larger number of ACEs is significantly linked to dementia, and cognitive reserve-enhancing factors might mediate this association. Early interventions on the adverse life condition and emphasis on older adults with moderate and high genetic dementia risk were recommended.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774181","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":"The psychological impact of the rise in media reporting of sexual violence after COVID-19 pandemic on Pakistani women's mental health.","authors":"Pasha Ghazal, Shehzeen Akbar","doi":"10.1007/s00127-024-02690-6","DOIUrl":"10.1007/s00127-024-02690-6","url":null,"abstract":"<p><strong>Purpose: </strong>Pandemics usually have inequitable effects on the most vulnerable groups of society. Since the start of COVID-19, there has been a horrifying upsurge in cases of sexual and gender-based violence against women, globally. Consequently, frequent breaking news of sexual violence in media aggravated mental distress and worry among women. In this cross-sectional study, we investigated the impact of the rise in active circulation of news of sexual violence on the mental health of working women and students using the validated DASS-21 questionnaire.</p><p><strong>Methods: </strong>A total of 303 women with diverse socio-demographic backgrounds participated in the study. We performed a chi-square test to analyze the association of increase in media reporting with DASS-21total and sub-categories scores. Multivariate linear regression was performed on propensity score-matched subjects to identify psychosocial predictors of mental distress.</p><p><strong>Results: </strong>Increased self-reported worries in response to rise in media reports of sexual violence was found to be significant predictor of mental distress (p < 0.002). Moreover, highly significant correlation between the increase in media reports and scores of depression, anxiety, and stress was observed (p < 0.001).</p><p><strong>Conclusions: </strong>The rise in media reporting of sexual violence in the after math of COVID-19 was found to have a significant psychological impact on the mental health of Pakistani women. This is the first study of its kind on the subject and provides fundamental findings for shaping policy change on responsible media reporting of sexual violence.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2303-2311"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080379","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}
Vendula Machů, Iris Arends, Josué Almansa, Karin Veldman, Ute Bültmann
{"title":"Young adults' work-family life courses and mental health trajectories from adolescence to young adulthood: a TRAILS study.","authors":"Vendula Machů, Iris Arends, Josué Almansa, Karin Veldman, Ute Bültmann","doi":"10.1007/s00127-024-02664-8","DOIUrl":"10.1007/s00127-024-02664-8","url":null,"abstract":"<p><strong>Purpose: </strong>Work-family life courses have been associated with mental health at various time points in life but little is known about how mental health develops during these work-family life courses. The aim of this study was to examine mental health trajectories from adolescence to young adulthood in women and men with different work-family life courses.</p><p><strong>Methods: </strong>Data from 992 young adults participating in the 18-year follow-up TRacking Adolescents' Individual Lives Survey (TRAILS) were used. Work-family life courses from ages 18 to 28 years were previously constructed using sequence analysis. For each work-family life course, trajectories of internalising and externalising problems from ages 11 to 29 years were estimated using a multi-group random intercept growth model. Differences in mental health trajectories were examined across work-family life courses.</p><p><strong>Results: </strong>For women, trajectories of internalising and externalising problems in young adulthood differed significantly between work-family life courses (p = 0.037 and p < 0.001, respectively). Women in the inactive work-family life course reported the highest scores of internalising and externalising problems during the entire young adulthood but the differences in mental health scores became most pronounced at age 29. Trajectories of internalising and externalising problems of men did not significantly differ between the work-family life courses.</p><p><strong>Conclusion: </strong>Mental health trajectories differed between women depending on their work-family life course. In men, differences between work-family life courses were less pronounced. Future studies should examine which work-family events and transitions captured in work-family life courses are associated with subsequent mental health problems during longer follow-up.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2227-2235"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11522154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fred Johansson, Klara Edlund, Jorunn Sundgot-Borgen, Christina Björklund, Pierre Côté, Clara Onell, Tobias Sundberg, Eva Skillgate
{"title":"Sexual harassment, sexual violence and subsequent depression and anxiety symptoms among Swedish university students: a cohort study.","authors":"Fred Johansson, Klara Edlund, Jorunn Sundgot-Borgen, Christina Björklund, Pierre Côté, Clara Onell, Tobias Sundberg, Eva Skillgate","doi":"10.1007/s00127-024-02688-0","DOIUrl":"10.1007/s00127-024-02688-0","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the gender-specific impact of recent exposure to different forms of sexual harassment and sexual violence (SHV) on depression and anxiety symptoms three, six, and nine months later.</p><p><strong>Methods: </strong>We recruited 2229 women and 1274 men studying at Swedish universities and followed them with web-surveys every three months over one year. We estimated mean differences (MDs) of depression and anxiety symptoms between exposed and unexposed at each follow-up, adjusting for prior SHV, prior depression and anxiety symptoms and potential confounders.</p><p><strong>Results: </strong>For women, sexual harassment (wide subjective definition) was associated with higher symptom levels of depression (MD 1.0 [95% CI: 0.3; 1.7]) and anxiety (MD 0.8 [95% CI: 0.3; 1.4]) three months later. Unwanted sexual attention was associated with higher symptom levels of anxiety three (MD 0.5 [95% CI: 0.1; 0.8]) and six months later (MD 0.4 [95% CI: 0.0; 0.7]). Exposure to sex against ones will was associated with higher depression symptoms three (MD 1.7 [95% CI: 0.1;3.4]), and six months later (MD 3.1 [95% CI: 1.0; 5.2]). Trends indicated that associations with subsequent mental health differed between forms of SHV among women, and that most associations were more pronounced in temporal proximity to the exposures. For men, we refrain from interpreting the results since they showed high variability and were not robust to sensitivity analyses using multiple imputation to account for missing outcome data.</p><p><strong>Conclusions: </strong>Among women, several forms of SHV were associated with higher subsequent depression and anxiety symptoms.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2313-2322"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11522111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muna Abed Alah, Sami Abdeen, Iheb Bougmiza, Nagah Selim
{"title":"From classrooms to controllers: how school closures shaped children's video gaming habits.","authors":"Muna Abed Alah, Sami Abdeen, Iheb Bougmiza, Nagah Selim","doi":"10.1007/s00127-024-02635-z","DOIUrl":"10.1007/s00127-024-02635-z","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess the impact of COVID-19-related school closures on screen time and video gaming habits among governmental school students in Qatar and explore the prevalence of Internet Gaming Disorder (IGD) within this context.</p><p><strong>Methods: </strong>A cross-sectional approach was employed, spanning two months from June to August 2022. A random sample of students aged 8-15 years was drawn from the national electronic health record system of Qatar. Telephone interviews with parents were conducted to collect data. The Parental Internet Gaming Disorder Scale (PIGDS) was used for IGD assessment.</p><p><strong>Results: </strong>Of 428 parents, 257 (60%) confirmed their child's engagement in video gaming during school closures. Participants averaged 11 years in age with 92 (35.8%) females and 165 (64.2%) males. Nationality included 62.6% expatriates and 37.4% Qatari locals. Average weekly screen time increased significantly from 19.7 ± 10.1 h to 31.9 ± 12.6 h during closure (p < 0.001). Video gaming time rose from 8.6 ± 8.6 h to 13.0 ± 12.4 h per week (p < 0.001). The prevalence of IGD was 8.6% (95% CI 5.4-12.7). Male students, expatriates, and those reporting increased video gaming time were more likely to develop IGD than their female and local counterparts.</p><p><strong>Conclusion: </strong>The observed associations between video gaming increase and IGD highlight the need for focused interventions to address potential risks and promote healthier digital habits among this population.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2259-2269"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11522056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Developmental trajectories of conduct problems and time-varying peer problems: the Bergen child study.","authors":"Lisa-Christine Girard, Tormod Bøe, Sondre Aasen Nilsen, Kristin Gärtner Askeland, Mari Hysing","doi":"10.1007/s00127-024-02644-y","DOIUrl":"10.1007/s00127-024-02644-y","url":null,"abstract":"<p><strong>Background: </strong>While it is increasingly acknowledged that conduct problems and peer problems often co-occur in development, less is known about the ways in which peer problems may alter the developmental course of conduct problems for distinct subgroups.</p><p><strong>Methods: </strong>Using data from a large population-based study in Norway (the Bergen Child Study/youth@hordaland; 47.4% males), we estimated group-based trajectories of conduct problems and the presence of time-varying peer problems on the developmental progression of conduct problems between seven and 19 years of age. Risk factors for group membership were also examined.</p><p><strong>Results: </strong>A 3-group model of conduct problems best fit the data (non-engagers, low-engagers, moderate-stable). The presence of peer problems increased the estimated level of conduct problems for both the low-engagers and moderate-stable groups across adolescence. No differences in conduct problems were observed when peer problems were present in childhood or preadolescence for these two groups, nor for the non-engagers group at any point. Being male, having lower perceived economic wellbeing, and lower levels of parental education predicted group membership for the moderate-stable group, whilst lower paternal education predicted membership for the low-engagers group.</p><p><strong>Conclusions: </strong>Support for developmental 'turning points' was found, suggesting that adolescence is a particularly salient time for those with conduct problems. In particular, the presence of peer problems can increase observed conduct problems at this stage in development.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2237-2246"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11522142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140013558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marcelo A Crockett, Vania Martínez-Nahuel, Scarlett Mac-Ginty, Daniel Núñez, Álvaro I Langer, Jorge Gaete
{"title":"Differences in mental health problems in LGBT+ first year college students in Chile during the pandemic.","authors":"Marcelo A Crockett, Vania Martínez-Nahuel, Scarlett Mac-Ginty, Daniel Núñez, Álvaro I Langer, Jorge Gaete","doi":"10.1007/s00127-024-02683-5","DOIUrl":"10.1007/s00127-024-02683-5","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the differences in mental health problems by sexual orientation and gender identity in first-year university students in Chile during the pandemic.</p><p><strong>Methods: </strong>7,213 first-year students aged 18 years and older from five universities participated as part of the World Mental Health - International College Student initiative in Chile. Students completed an online self-report survey between 2020 and 2021 that included measures of lifetime and 12-month major depressive episode, generalized anxiety disorder, panic disorder, bipolar disorder, drug abuse/dependence, alcohol dependence, non-suicidal self-injuries, and suicidal risk. Prevalence of mental health problems were estimated and the differences by sexual orientation and gender identity were examined using logistic and multinomial logistic regression models.</p><p><strong>Results: </strong>Between 84.1% and 98% of lesbian, gay, bisexual, trans, and other sexual and gender minority (LGBT+) students screened positive for at least one lifetime mental health problem and between 67.6% and 90.6% for two or more problems. For most outcomes, non-heterosexual (Odds Ratio [OR] between 1.25 and 7.00) and trans and gender nonconforming students (OR between 1.72 and 5.81) had significantly higher odds of positive screening for lifetime mental health problems than heterosexual and cisgender students, respectively. Similar results were observed for 12-month mental health problems.</p><p><strong>Conclusion: </strong>The results show differences in the prevalence of mental health problems in LGBT+ university students in Chile, which are consistent with those found in other countries. These results may be useful for planning interventions to improve the mental health of LGBT+ students.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2339-2349"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11522124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}