Increased risks for mental disorders among LGB individuals: cross-national evidence from the World Mental Health Surveys.
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| Title: | Increased risks for mental disorders among LGB individuals: cross-national evidence from the World Mental Health Surveys. |
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| Authors: | Gmelin, Jan-Ole H. (AUTHOR), De Vries, Ymkje Anna (AUTHOR), Baams, Laura (AUTHOR), Aguilar-Gaxiola, Sergio (AUTHOR), Alonso, Jordi (AUTHOR), Borges, Guilherme (AUTHOR), Bunting, Brendan (AUTHOR), Cardoso, Graca (AUTHOR), Florescu, Silvia (AUTHOR), Gureje, Oye (AUTHOR), Karam, Elie G. (AUTHOR), Kawakami, Norito (AUTHOR), Lee, Sing (AUTHOR), Mneimneh, Zeina (AUTHOR), Navarro-Mateu, Fernando (AUTHOR), Posada-Villa, José (AUTHOR), Rapsey, Charlene (AUTHOR), Slade, Tim (AUTHOR), Stagnaro, Juan Carlos (AUTHOR), Torres, Yolanda (AUTHOR) |
| Source: | Social Psychiatry & Psychiatric Epidemiology. Nov2022, Vol. 57 Issue 11, p2319-2332. 14p. |
| Abstract: | Purpose: Lesbian, gay, and bisexual (LGB) individuals, and LB women specifically, have an increased risk for psychiatric morbidity, theorized to result from stigma-based discrimination. To date, no study has investigated the mental health disparities between LGB and heterosexual AQ1individuals in a large cross-national population-based comparison. The current study addresses this gap by examining differences between LGB and heterosexual participants in 13 cross-national surveys, and by exploring whether these disparities were associated with country-level LGBT acceptance. Since lower social support has been suggested as a mediator of sexual orientation-based differences in psychiatric morbidity, our secondary aim was to examine whether mental health disparities were partially explained by general social support from family and friends. Methods: Twelve-month prevalence of DSM-IV anxiety, mood, eating, disruptive behavior, and substance disorders was assessed with the WHO Composite International Diagnostic Interview in a general population sample across 13 countries as part of the World Mental Health Surveys. Participants were 46,889 adults (19,887 males; 807 LGB-identified). Results: Male and female LGB participants were more likely to report any 12-month disorder (OR 2.2, p < 0.001 and OR 2.7, p < 0.001, respectively) and most individual disorders than heterosexual participants. We found no evidence for an association between country-level LGBT acceptance and rates of psychiatric morbidity between LGB and heterosexualAQ2 participants. However, among LB women, the increased risk for mental disorders was partially explained by lower general openness with family, although most of the increased risk remained unexplained. Conclusion: These results provide cross-national evidence for an association between sexual minority status and psychiatric morbidity, and highlight that for women, but not men, this association was partially mediated by perceived openness with family. Future research into individual-level and cross-national sexual minority stressors is needed. [ABSTRACT FROM AUTHOR] |
| Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 160075067 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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Nov2022, Vol. 57 Issue 11, p2319-2332. 14p. – Name: Abstract Label: Abstract Group: Ab Data: Purpose: Lesbian, gay, and bisexual (LGB) individuals, and LB women specifically, have an increased risk for psychiatric morbidity, theorized to result from stigma-based discrimination. To date, no study has investigated the mental health disparities between LGB and heterosexual AQ1individuals in a large cross-national population-based comparison. The current study addresses this gap by examining differences between LGB and heterosexual participants in 13 cross-national surveys, and by exploring whether these disparities were associated with country-level LGBT acceptance. Since lower social support has been suggested as a mediator of sexual orientation-based differences in psychiatric morbidity, our secondary aim was to examine whether mental health disparities were partially explained by general social support from family and friends. Methods: Twelve-month prevalence of DSM-IV anxiety, mood, eating, disruptive behavior, and substance disorders was assessed with the WHO Composite International Diagnostic Interview in a general population sample across 13 countries as part of the World Mental Health Surveys. Participants were 46,889 adults (19,887 males; 807 LGB-identified). Results: Male and female LGB participants were more likely to report any 12-month disorder (OR 2.2, p < 0.001 and OR 2.7, p < 0.001, respectively) and most individual disorders than heterosexual participants. We found no evidence for an association between country-level LGBT acceptance and rates of psychiatric morbidity between LGB and heterosexualAQ2 participants. However, among LB women, the increased risk for mental disorders was partially explained by lower general openness with family, although most of the increased risk remained unexplained. Conclusion: These results provide cross-national evidence for an association between sexual minority status and psychiatric morbidity, and highlight that for women, but not men, this association was partially mediated by perceived openness with family. Future research into individual-level and cross-national sexual minority stressors is needed. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00127-022-02320-z Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 14 StartPage: 2319 Titles: – TitleFull: Increased risks for mental disorders among LGB individuals: cross-national evidence from the World Mental Health Surveys. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Gmelin, Jan-Ole H. – PersonEntity: Name: NameFull: De Vries, Ymkje Anna – PersonEntity: Name: NameFull: Baams, Laura – PersonEntity: Name: NameFull: Aguilar-Gaxiola, Sergio – PersonEntity: Name: NameFull: Alonso, Jordi – PersonEntity: Name: NameFull: Borges, Guilherme – PersonEntity: Name: NameFull: Bunting, Brendan – PersonEntity: Name: NameFull: Cardoso, Graca – PersonEntity: Name: NameFull: Florescu, Silvia – PersonEntity: Name: NameFull: Gureje, Oye – PersonEntity: Name: NameFull: Karam, Elie G. – PersonEntity: Name: NameFull: Kawakami, Norito – PersonEntity: Name: NameFull: Lee, Sing – PersonEntity: Name: NameFull: Mneimneh, Zeina – PersonEntity: Name: NameFull: Navarro-Mateu, Fernando – PersonEntity: Name: NameFull: Posada-Villa, José – PersonEntity: Name: NameFull: Rapsey, Charlene – PersonEntity: Name: NameFull: Slade, Tim – PersonEntity: Name: NameFull: Stagnaro, Juan Carlos – PersonEntity: Name: NameFull: Torres, Yolanda IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: Nov2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 09337954 Numbering: – Type: volume Value: 57 – Type: issue Value: 11 Titles: – TitleFull: Social Psychiatry & Psychiatric Epidemiology Type: main |
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