Minority stress factors as mediators of sexual orientation disparities in mental health treatment: a longitudinal population-based study. Bränström, R. J. Epidemiol. Community Health, 71(5):446--452, May, 2017. 00000
Minority stress factors as mediators of sexual orientation disparities in mental health treatment: a longitudinal population-based study [link]Paper  doi  abstract   bibtex   
BACKGROUND: Substantial mental health disparities between lesbian, gay and bisexual (LGB) individuals compared with heterosexuals have been identified. The aim was to examine potential sexual orientation-based disparities in mental health treatment in a prospectively analysed population-based sample in Sweden and to explore potential moderators and mediators. METHOD: 30 730 individuals from the Stockholm Public Health Cohort were followed up with questionnaires and registry-based health record data on psychiatric healthcare visits and prescription drug use between 1 January 2011 and 31 December 2011. RESULTS: In adjusted analyses, gay and lesbian individuals were more likely to receive treatment for anxiety disorders (adjusted ORs (AOR)=3.80; 95% CI 2.54 to 5.69) and to use antidepressant medication (AOR=2.13; 95% CI 1.62 to 2.79); and bisexuals were more likely to receive treatment for mood disorders (AOR=1.58; 95% CI 1.00 to 2.48), anxiety disorders (AOR=3.23; 95% CI 2.22 to 4.72) and substance use disorders (AOR=1.91; 95% CI 1.12 to 3.25), and to use antidepressant medication (AOR=1.91; 95% CI 1.12 to 3.25) when compared with heterosexuals. The largest mental health treatment disparities based on sexual orientation were found among bisexual women, gay men and younger lesbian women. More frequent experiences of victimisation/threat of violence and lack of social support could partially explain these disparities. CONCLUSIONS: This study shows a substantially elevated risk of poor mental health among LGB individuals as compared with heterosexuals. Findings support several factors outlined in the minority stress theory in explaining the mechanisms behind these disparities.
@article{branstrom_minority_2017,
	title = {Minority stress factors as mediators of sexual orientation disparities in mental health treatment: a longitudinal population-based study},
	volume = {71},
	issn = {0141-7681},
	url = {http://dx.doi.org/10.1136/jech-2016-207943},
	doi = {10.1136/jech-2016-207943},
	abstract = {BACKGROUND: Substantial mental health disparities between lesbian, gay and
bisexual (LGB) individuals compared with heterosexuals have been
identified. The aim was to examine potential sexual orientation-based
disparities in mental health treatment in a prospectively analysed
population-based sample in Sweden and to explore potential moderators and
mediators. METHOD: 30 730 individuals from the Stockholm Public Health
Cohort were followed up with questionnaires and registry-based health
record data on psychiatric healthcare visits and prescription drug use
between 1 January 2011 and 31 December 2011. RESULTS: In adjusted
analyses, gay and lesbian individuals were more likely to receive
treatment for anxiety disorders (adjusted ORs (AOR)=3.80; 95\% CI 2.54 to
5.69) and to use antidepressant medication (AOR=2.13; 95\% CI 1.62 to
2.79); and bisexuals were more likely to receive treatment for mood
disorders (AOR=1.58; 95\% CI 1.00 to 2.48), anxiety disorders (AOR=3.23;
95\% CI 2.22 to 4.72) and substance use disorders (AOR=1.91; 95\% CI 1.12 to
3.25), and to use antidepressant medication (AOR=1.91; 95\% CI 1.12 to
3.25) when compared with heterosexuals. The largest mental health
treatment disparities based on sexual orientation were found among
bisexual women, gay men and younger lesbian women. More frequent
experiences of victimisation/threat of violence and lack of social support
could partially explain these disparities. CONCLUSIONS: This study shows a
substantially elevated risk of poor mental health among LGB individuals as
compared with heterosexuals. Findings support several factors outlined in
the minority stress theory in explaining the mechanisms behind these
disparities.},
	number = {5},
	journal = {J. Epidemiol. Community Health},
	author = {Bränström, Richard},
	month = may,
	year = {2017},
	note = {00000},
	keywords = {Sep 20 import, duplicate},
	pages = {446--452}
}

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