カナダ,米国,日本における性的およびジェンダーマイノリティの不良な子供の経験と精神的健康
Miharu Nakanishi1, Gemma Knowles2, Syudo Yamasaki3
1Department of Psychiatric Nursing, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi 980-8575 Japan; Mental Health Promotion Unit, Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, Tokyo 156-8506 Japan.
Psychiatry research
|August 29, 2025
まとめ
性的およびジェンダーのマイノリティは,カナダ,米国,日本全土で不良の子供時代体験 (ACE) と精神的健康の低下の割合が高くなります. これらの格差は国によって関係なく存在し,さらなる調査を必要とする世界的な問題を浮き彫りにしています.
科学分野:
- 社会心理学
- 公衆衛生
- メンタルヘルスの研究
背景:
- 性的およびジェンダーのマイノリティ (SGM) は,不良な子供の経験 (ACE) と精神的健康上の課題の不釣り合いの高いリスクに直面しています.
- 社会的受け入れレベルと精神的健康に関するSGM経験に関する国境を越えた研究は限られている.
- 多様な社会文化的な文脈におけるこれらの格差を調査することは,世界的な健康格差を理解するために不可欠です.
研究 の 目的:
- カナダ,アメリカ,日本におけるSGM状態がACEと精神的健康に与える影響を比較する.
- 社会的受け入れのレベルがこれらの格差にどのように影響するか検討する.
- 対象となる介入と政策開発の証拠を提供すること.
主な方法:
- 2022年に調査された50,628人の成人を対象とした横断的な研究.
- SGMの個人はレズビアン,ゲイ,バイセクシャル,トランスジェンダー,非バイナリなアイデンティティを含む.
- メンタルヘルスとACE (性的暴行,身体的虐待,家庭内暴力の目撃者) が評価され,社会的な受け入れはグローバル受け入れ指数から推測されました.
主要な成果:
- SGMの個人は,ACEを調整した後に,性的暴行 (OR=1.68) と精神的健康の不良 (OR=1.77) の頻度が高いと報告した.
- 米国におけるSGMの個人は,日本と比較して性的暴行のリスクが高かった (OR=1.71).
- カナダのSGM患者は,日本と比較して,精神的な健康状態が悪いリスクが高い (OR=1.85).
結論:
- SGMの個人は,国の状況に関係なく,一貫してACEと精神的健康の悪化のリスクに直面しています.
- これらの発見は,これらの増加したリスクを誘発する特定のメカニズムのさらなる調査の必要性を強調しています.
- 介入は,SGMの精神的健康に影響を与える独特の脆弱性や社会的要因に対処する必要があります.
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