性少数女性的不良童年经历和心理健康结果:一项基于人群的研究

IF 3.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Fenfen Ge, Arna Hauksdóttir, Huan Song, Donghao Lu, Gunnar Tómasson, Harpa Rúnarsdóttir, Marín Dögg Bjarnadóttir, Jóhanna Jakobsdóttir, Fang Fang, Thor Aspelund, Unnur Anna Valdimarsdóttir, Edda Bjork Thordardottir
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引用次数: 0

摘要

目的:探讨性少数女性的性取向与多种童年不良经历(ace)之间的关系,以及不良经历在何种程度上介导性取向与抑郁、焦虑症状之间的关系。方法:这是一项横断面分析,嵌套在全国代表性的冰岛压力和基因分析队列中。数据收集于2018年3月至2019年6月。参与者包括11,007名年龄在18-69岁之间的女性,提供了性取向和ace的数据。获得了13种不同ace患者的自我报告数据,以及当前的抑郁和焦虑症状。结果:总体而言,724人(6.6%)被确定为性少数群体。异性恋女性的平均年龄为34.0岁(标准差[SD] 14.0),异性恋女性的平均年龄为44.7岁(SD 14.0)。与异性恋女性相比,男同性恋女性更有可能报告6次或更多的ace(分别为21.7%和11.3%),调整后的优势比(aOR)为2.26(95%可信区间[CI] 1.76-2.91)。与异性恋女性相比,SMW更有可能报告四种类型的ace:特别是欺凌、情感虐待、性虐待和家庭中的精神疾病(aOR范围从1.36到1.71)。SMW报告的当前抑郁症状(aOR = 2.10, 95% CI 1.77-2.49)和焦虑症状(aOR = 1.69, 95% CI 1.41-2.02)的几率更高。ace介导的总数32.6%的性取向与抑郁症之间的联系,和43.2%的性取向和焦虑之间的关系。结论:这些研究结果表明,不良经历是造成SMW心理健康差异的主要因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adverse Childhood Experiences and Mental Health Outcomes Among Sexual Minority Women: A Population-Based Study.

Purpose: We aimed to investigate the association between sexual orientation and multiple types of adverse childhood experiences (ACEs) and to what extent ACEs mediate the association between sexual orientation and symptoms of depression and anxiety among sexual minority women (SMW). Methods: This was a cross-sectional analysis nested within the nationally representative Icelandic Stress-And-Gene-Analysis cohort. Data were collected from March 2018 to June 2019. Participants included 11,007 women, aged 18-69, with data on sexual orientation and ACEs. Self-reported data were obtained on 13 different ACEs, and current symptoms of depression and anxiety. Results: Overall, 724 (6.6%) identified as sexual minority. The mean age of SMW was 34.0 years (standard deviation [SD] 14.0) and 44.7 years (SD 14.0) for heterosexual women. SMW were more likely to report six or more ACEs than heterosexual women (21.7% vs. 11.3%, respectively), yielding an adjusted odds ratio (aOR) of 2.26 (95% confidence interval [CI] 1.76-2.91). SMW were more likely than heterosexual women to report four types of ACEs: specifically bullying, emotional abuse, sexual abuse, and mental illness in the household (aOR ranging from 1.36 to 1.71). SMW reported higher odds of current symptoms of depression (aOR = 2.10, 95% CI 1.77-2.49) and anxiety (aOR = 1.69, 95% CI 1.41-2.02). The total number of ACEs mediated 32.6% of the association between sexual orientation and depression, and 43.2% of the association between sexual orientation and anxiety. Conclusion: These findings suggest that ACEs are a major contributor to the mental health disparities observed among SMW.

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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
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