LGBTQ集団による緊急および外来精神保健サービスの利用
Kristen Frank-Dixon1, Mandy L Maneval2, Hendrik Marais1
1Family Medicine, Geisinger Health System, Lewistown, USA.
Cureus
|August 29, 2025
まとめ
LGBTQ+の個人は,より高いうつ病率と,精神衛生上の危機に対して緊急治療室 (ED) の使用が増加しています. 野外診療は,特に農村部では,この人口のニーズを完全に満たさないかもしれません.
科学分野:
- 医療サービス研究
- メンタルヘルスサービス
- 健康に関する公平性
背景:
- 高度なうつ病,自殺傾向,そして疎外がLGBTQ+集団で続いている.
- 価値に基づいたケアモデルは 欠陥のあるグループを含む全人口の健康管理を必要とします
- 人口の健康管理を改善するために,LGBTQ+の医療の相互作用を理解することは極めて重要です.
研究 の 目的:
- 農村/半農村環境におけるLGBTQ+個人のメンタルヘルスケアのための緊急診療所 (ED) と外来診療所の利用を調査する.
- LGBTQ+と対照群の医療へのアクセスと利用パターンを比較する.
- LGBTQ+コミュニティのメンタルヘルスサービスの提供における格差を特定する.
主な方法:
- 5年間の電子医療記録 (EHR) のデータを用いた人口を対象とした遡及的研究.
- 人口統計学的な性的指向とジェンダーアイデンティティ (SOGI) データとICD-10コードを使用してLGBTQ+個人を特定しました.
- 年齢と保険を合わせた対照群 (n=21,448) と対照群 (n=10,727) を比較した.
主要な成果:
- トランスジェンダーとジェンダー多様性 (TGD) とレズビアン,ゲイ,バイセクシャル (LGB) グループでは,対照群と比較して,著しく高いうつ病率が観察されました.
- LGBTQ+の個人は 診察室と緊急治療室の両方を 高い割合で利用しました
- この傾向は,成人とマイナーカテゴリーで一貫していました.
結論:
- 外来診療の利用が増加したにもかかわらず,LGBTQ+人口は精神衛生上の危機に際してより高いED利用率を示しています.
- 現在の診療室での治療は,LGBTQ+個人のメンタルヘルスのニーズに対応するには不十分かもしれません.
- 診察室でのLGBTQ+に関するケアへのアクセスが限られていることは,これらの格差に寄与する可能性があります.
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