{"_id":"p3XywKkcyy8eKiiTe","bibbaseid":"brnstrm-minoritystressfactorsasmediatorsofsexualorientationdisparitiesinmentalhealthtreatmentalongitudinalpopulationbasedstudy-2017","downloads":0,"creationDate":"2018-04-27T04:04:43.892Z","title":"Minority stress factors as mediators of sexual orientation disparities in mental health treatment: a longitudinal population-based study","author_short":["Bränström, R."],"year":2017,"bibtype":"article","biburl":"https://bibbase.org/zotero/davidlloyd33","bibdata":{"bibtype":"article","type":"article","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":[{"propositions":[],"lastnames":["Bränström"],"firstnames":["Richard"],"suffixes":[]}],"month":"May","year":"2017","note":"00000","keywords":"Sep 20 import, duplicate","pages":"446--452","bibtex":"@article{branstrom_minority_2017,\n\ttitle = {Minority stress factors as mediators of sexual orientation disparities in mental health treatment: a longitudinal population-based study},\n\tvolume = {71},\n\tissn = {0141-7681},\n\turl = {http://dx.doi.org/10.1136/jech-2016-207943},\n\tdoi = {10.1136/jech-2016-207943},\n\tabstract = {BACKGROUND: Substantial mental health disparities between lesbian, gay and\nbisexual (LGB) individuals compared with heterosexuals have been\nidentified. The aim was to examine potential sexual orientation-based\ndisparities in mental health treatment in a prospectively analysed\npopulation-based sample in Sweden and to explore potential moderators and\nmediators. METHOD: 30 730 individuals from the Stockholm Public Health\nCohort were followed up with questionnaires and registry-based health\nrecord data on psychiatric healthcare visits and prescription drug use\nbetween 1 January 2011 and 31 December 2011. RESULTS: In adjusted\nanalyses, gay and lesbian individuals were more likely to receive\ntreatment for anxiety disorders (adjusted ORs (AOR)=3.80; 95\\% CI 2.54 to\n5.69) and to use antidepressant medication (AOR=2.13; 95\\% CI 1.62 to\n2.79); and bisexuals were more likely to receive treatment for mood\ndisorders (AOR=1.58; 95\\% CI 1.00 to 2.48), anxiety disorders (AOR=3.23;\n95\\% CI 2.22 to 4.72) and substance use disorders (AOR=1.91; 95\\% CI 1.12 to\n3.25), and to use antidepressant medication (AOR=1.91; 95\\% CI 1.12 to\n3.25) when compared with heterosexuals. The largest mental health\ntreatment disparities based on sexual orientation were found among\nbisexual women, gay men and younger lesbian women. More frequent\nexperiences of victimisation/threat of violence and lack of social support\ncould partially explain these disparities. CONCLUSIONS: This study shows a\nsubstantially elevated risk of poor mental health among LGB individuals as\ncompared with heterosexuals. Findings support several factors outlined in\nthe minority stress theory in explaining the mechanisms behind these\ndisparities.},\n\tnumber = {5},\n\tjournal = {J. Epidemiol. Community Health},\n\tauthor = {Bränström, Richard},\n\tmonth = may,\n\tyear = {2017},\n\tnote = {00000},\n\tkeywords = {Sep 20 import, duplicate},\n\tpages = {446--452}\n}\n\n","author_short":["Bränström, R."],"key":"branstrom_minority_2017","id":"branstrom_minority_2017","bibbaseid":"brnstrm-minoritystressfactorsasmediatorsofsexualorientationdisparitiesinmentalhealthtreatmentalongitudinalpopulationbasedstudy-2017","role":"author","urls":{"Paper":"http://dx.doi.org/10.1136/jech-2016-207943"},"keyword":["Sep 20 import","duplicate"],"downloads":0},"search_terms":["minority","stress","factors","mediators","sexual","orientation","disparities","mental","health","treatment","longitudinal","population","based","study","bränström"],"keywords":["sep 20 import","duplicate"],"authorIDs":[],"dataSources":["pWG6kkFjeQheTxKbs"]}