结构性耻辱和LGBTQ+健康:对定量研究的叙述性审查
Mark L Hatzenbuehler1, Micah R Lattanner2, Sarah McKetta3
1Department of Psychology, Harvard University, Cambridge, MA, USA.
The Lancet. Public health
|February 2, 2024
概括
社会层面的结构性耻辱,包括政策和规范,始终增加了女同性恋,男同性恋,双性恋,跨性别者和酷尔 (LGBTQ +) 个人的健康风险. 需要进一步的研究来理解和解决这些差异.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 健康差距 研究 研究 研究 研究
背景情况:
- 在性取向和性别认同群体中,健康差异仍然存在.
- 结构性耻辱 (社会条件,规范,政策) 是LGBTQ+健康负担的潜在驱动因素.
研究的目的:
- 审查检查结构性耻辱和LGBTQ+健康结果之间的联系的定量研究.
- 识别现有文献中的方法论优点和差距.
主要方法:
- 98项定量研究的综合文献综述.
- 对研究的分析,将结构性耻辱的客观措施与心理,行为和身体健康结果联系起来.
主要成果:
- 一致的证据表明,结构性耻辱会增加LGBTQ+个体的健康风险.
- 方法论的优势包括各种措施 (法律,政策),设计 (准实验) 和样本 (基于概率).
- 差距包括不够的共变量,非LGBTQ+比较组和有限的调解测试.
结论:
- 结构性耻辱是LGBTQ+健康差距的一个重要决定因素.
- 未来的研究应该解决发现的差距,包括正式的调解测试.
- 调查结果为公共卫生干预提供了信息,以减少LGBTQ+健康不平等.
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