Associations between health care access and posttraumatic stress disorder symptoms among rural and urban lesbian, gay, bisexual, transgender, and queer adults
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View abstract on PubMed
Summary
This summary is machine-generated.Access to healthcare and disclosing LGBTQ+ identity can reduce PTSD symptoms in LGBTQ+ adults. Bisexual cisgender women face higher PTSD risks, highlighting the need for targeted support.
Area Of Science
- Psychiatry and Mental Health
- Sociology
- Public Health
Background
- Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals report higher rates of trauma and posttraumatic stress disorder (PTSD).
- Limited research explores geographic location's impact on LGBTQ+ PTSD, especially concerning healthcare access and identity disclosure.
Purpose Of The Study
- To investigate associations between individual and structural factors (geographic location, healthcare access, identity disclosure, discrimination) and PTSD symptoms in LGBTQ+ adults.
- To examine how intersecting demographics, particularly bisexual cisgender women, influence PTSD outcomes.
Main Methods
- Cross-sectional, secondary data analysis of 131 LGBTQ+ adults from urban and rural U.S. regions.
- Statistical analyses examined associations between demographic characteristics, location, healthcare access, identity disclosure, discrimination, and PTSD symptom severity/diagnosis.
Main Results
- General healthcare access and LGBTQ+ identity disclosure to providers were significantly associated with lower PTSD symptom severity.
- Higher healthcare access correlated with 50% lower odds of probable PTSD.
- Bisexual cisgender women showed 4 times higher odds of probable PTSD compared to other LGBTQ+ participants.
Conclusions
- Improving healthcare access and supporting LGBTQ+ identity disclosure may mitigate PTSD risk in this population.
- Targeted interventions are needed for bisexual cisgender women and rurally located LGBTQ+ individuals to reduce PTSD disparities.
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