Health Inequities among Lesbian, Gay, and Bisexual Adults in North Carolina, 2011-2014. Barnhill, M. M, Lee, J. G L, & Rafferty, A. P Int. J. Environ. Res. Public Health, July, 2017. 00000
Paper doi abstract bibtex Inequalities in health have been identified for lesbian, gay, and bisexual (LGB) populations nationally. Policies in the U.S. South offer fewer protections for LGB people than in other regions, yet, limited data exist for this region. North Carolina (NC) BRFSS data from 2011 to 2014 were combined (LGB n = 604; heterosexual n = 33,170) and analyzed using SAS survey procedures to estimate health characteristics by sexual orientation within gender. Many examined indicators were not different by sexual orientation, however, other results were significant and consistent with findings from state population surveys in other regions of the country. Both genders showed inequities in mental health, having over twice the odds of five or more poor mental health days in the past month and of having ever been diagnosed with a depressive disorder. Sexual minority women had higher odds compared with heterosexual women for ever having smoked cigarettes, current smoking, exposure to secondhand smoke both in the workplace and at home, and both alcohol risk factors, binge and heavy drinking. Being part of the LGB population in NC is associated with worse health. The implementation of anti-LGB policies in the NC warrants ongoing monitoring of LGB health inequities in NC and in other southeastern states for potential effects on the health and well-being of sexual minorities.
@article{barnhill_health_2017,
title = {Health {Inequities} among {Lesbian}, {Gay}, and {Bisexual} {Adults} in {North} {Carolina}, 2011-2014},
volume = {14},
issn = {1661-7827},
url = {http://dx.doi.org/10.3390/ijerph14080835},
doi = {10.3390/ijerph14080835},
abstract = {Inequalities in health have been identified for lesbian, gay, and bisexual
(LGB) populations nationally. Policies in the U.S. South offer fewer
protections for LGB people than in other regions, yet, limited data exist
for this region. North Carolina (NC) BRFSS data from 2011 to 2014 were
combined (LGB n = 604; heterosexual n = 33,170) and analyzed using SAS
survey procedures to estimate health characteristics by sexual orientation
within gender. Many examined indicators were not different by sexual
orientation, however, other results were significant and consistent with
findings from state population surveys in other regions of the country.
Both genders showed inequities in mental health, having over twice the
odds of five or more poor mental health days in the past month and of
having ever been diagnosed with a depressive disorder. Sexual minority
women had higher odds compared with heterosexual women for ever having
smoked cigarettes, current smoking, exposure to secondhand smoke both in
the workplace and at home, and both alcohol risk factors, binge and heavy
drinking. Being part of the LGB population in NC is associated with worse
health. The implementation of anti-LGB policies in the NC warrants ongoing
monitoring of LGB health inequities in NC and in other southeastern states
for potential effects on the health and well-being of sexual minorities.},
number = {8},
journal = {Int. J. Environ. Res. Public Health},
author = {Barnhill, Melissa M and Lee, Joseph G L and Rafferty, Ann P},
month = jul,
year = {2017},
note = {00000},
keywords = {Behavioral Risk Factor Surveillance System, North Carolina, Sep 20 import, duplicate, health status disparities, homosexuality, public health surveillance, sexual minority}
}
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Policies in the U.S. South offer fewer\nprotections for LGB people than in other regions, yet, limited data exist\nfor this region. North Carolina (NC) BRFSS data from 2011 to 2014 were\ncombined (LGB n = 604; heterosexual n = 33,170) and analyzed using SAS\nsurvey procedures to estimate health characteristics by sexual orientation\nwithin gender. Many examined indicators were not different by sexual\norientation, however, other results were significant and consistent with\nfindings from state population surveys in other regions of the country.\nBoth genders showed inequities in mental health, having over twice the\nodds of five or more poor mental health days in the past month and of\nhaving ever been diagnosed with a depressive disorder. Sexual minority\nwomen had higher odds compared with heterosexual women for ever having\nsmoked cigarettes, current smoking, exposure to secondhand smoke both in\nthe workplace and at home, and both alcohol risk factors, binge and heavy\ndrinking. 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