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首页> 外文期刊>American journal of orthopsychiatry >Religious Freedom Restoration Acts and Sexual Minority Population Health in the United States
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Religious Freedom Restoration Acts and Sexual Minority Population Health in the United States

机译:宗教自由恢复行为和性少数民族人口健康在美国

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摘要

Religious freedom restoration acts (RFRAs) in the United States potentially facilitate discrimination against lesbian, gay, and bisexual individuals (i.e., sexual minorities). In the current investigation, we explored whether a population health metric among sexual minority adults changed over time based on the presence, absence, or introduction of a state RFRA. Data are from 21 of the United States that gathered sexual orientation data from population-based samples of noninstitutionalized adults in the 2015 Behavioral Risk Factor Surveillance System (CDC, 2015, 2016). The analytic sample included 4,911 sexual minority individuals. Time was measured in 4 3-month quarters (i.e., Q1, Q2, Q3, Q4). For each state, the prevalence of sexual minority adults reporting >= 14 unhealthy days/30 days was calculated. Only Indiana (the only state in the sample that passed an RFRA in 2015) exhibited significant increasing proportions over time of sexual minority adults reporting >= 14 unhealthy days (Q1 = 24.5%, Q2 = 34.8%, Q3 = 41.2%, Q4 = 59.5%; beta = 0.50, SE = 0.23, p = .037). Post hoc analyses revealed that unhealthy days did not increase for heterosexual adults in Indiana. Indiana's RFRA could have contributed to the increasing prevalence of unhealthy days among sexual minority adults in that state during 2015. Public health surveillance tools are needed to expedite analyses of the impact of laws on minority population health.
机译:美国的宗教自由恢复法案(RFRA)可能促进对女同性恋,同性恋和双性恋者(即性少数群体)的歧视。在目前的调查中,我们探讨了性少数民族成年人中的人口健康指标是否随着时间的推移而改变了国家RFRA的存在,缺席或引入。数据来自21个美国,从2015年行为风险因素监测系统(CDC,2016,2016)中,来自基于人口的非合理成人的人口的性别数据。分析样品包括4,911个性少数民族个体。在4个月的4个月(即Q1,Q2,Q3,Q4)中测量时间。对于每个州,性少数民族成年人报告的患病率> = 14不健康的日/ 30天。只有印第安纳州(2015年通过RFRA的样本中唯一的状态)在性少数群体成年人报告中表现出显着的增加比例> = 14不健康的日子(Q1 = 24.5%,Q2 = 34.8%,Q3 = 41.2%,Q4 = 59.5%;β= 0.50,SE = 0.23,P = .037)。后HOC分析显示,印第安纳州的异性恋成人没有增加不健康的日子。印第安纳州的RFRA可能导致2015年该州的性少数民族成年人中不健康日益普及。需要公共卫生监测工具来加快分析法律对少数民族人口健康的影响。

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