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Mental health of the non-heterosexual population of England

机译:英国非异性恋人群的心理健康

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Background There has been little research into the prevalence of mental health problems in lesbian, gay and bisexual (LGB) people in the UK with most work conducted in the USA. Aims To relate the prevalence of mental disorder, self-harm and suicide attempts to sexual orientation in. England, and to test whether psychiatric problems were associated with discrimination on grounds of sexuality. Method The Adult Psychiatric Morbidity Survey 2007 (n = 7403) was representative of the population living in private UK households. Standardised questions provided demographic information. Neurotic symptoms, common mental disorders, probable psychosis, suicidality, alcohol and drug dependence and service utilisation were assessed. In addition, detailed information was obtained about aspects of sexual identity and perceived discrimination on these grounds. Results Self-reported identification as non-heterosexual (determined by both orientation and sexual partnership, separately) was associated with unhappiness, neurotic disorders overall, depressive episodes, generalised anxiety disorder, obsessive-compulsive disorder, phobic disorder, probable psychosis, suicidal thoughts and acts, self-harm and alcohol and drug dependence. Mental health-related general practitioner consultations and community care service use over the previous year were also elevated. In the non-heterosexual group, discrimination on the grounds of sexual orientation predicted certain neurotic disorder outcomes, even after adjustment for potentially confounding demographic variables. Conclusions This study corroborates international findings that people of non-heterosexual orientation report elevated levels of mental health problems and service usage, and it lends further support to the suggestion that perceived discrimination may act as a social stressor in the genesis of mental health problems in this population.
机译:背景技术很少有研究工作涉及美国女同性恋,男同性恋和双性恋(LGB)人群中心理健康问题的流行。目的将精神障碍,自我伤害和自杀企图的发生与英格兰的性取向相关联,并检验精神病是否与基于性别的歧视有关。方法2007年成人精神病学发病率调查(n = 7403)代表了居住在英国私人家庭中的人口。标准化问题提供了人口统计信息。评估了神经系统症状,常见精神障碍,可能的精神病,自杀,酒精和药物依赖性以及服务利用情况。此外,还获得了有关性认同和基于这些理由的歧视方面的详细信息。结果自我报告为非异性恋(分别由取向和性伴侣决定)与不快乐,整体神经性疾病,抑郁发作,广泛性焦虑症,强迫症,恐惧症,可能的精神病,自杀念头和行为,自我伤害以及酒精和毒品依赖。与精神健康相关的全科医生咨询和上一年社区护理服务的使用也有所增加。在非异性恋人群中,基于性取向的歧视预示了某些神经疾病的发生,即使在调整了可能混淆的人口统计学变量之后。结论这项研究证实了国际发现,即非异性恋取向的人报告了精神健康问题和服务使用水平的升高,并且进一步支持了这样的建议,即认为歧视可能是造成精神健康问题的社会压力源。人口。

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