根据性取向和性别认同,自我报告的社会风险因素中的不平等
Kevin H Nguyen1, Timothy W Levengood1, Allegra R Gordon2
1Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, Massachusetts.
JAMA health forum
|September 27, 2024
概括
性别和性别少数群体成年人经历的社会风险因素 (SRFs) 比较高,如粮食不安全和压力. 通过政策和社区支持解决这些差异对于改善健康平等至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 社会学 社会学 社会学
背景情况:
- 性少数群体和性别少数群体的成年人面临的健康结果比异性恋和 cisgender 成年人更糟糕.
- 社会风险因素 (SRF) 与健康有关,但它们在性和性别少数群体中的流行程度未得到充分研究.
研究的目的:
- 根据他们的性取向和性别认同,调查成年人中各种社会风险因素 (SRF) 的流行情况.
主要方法:
- 一项横截面研究利用了美国22个州成年人的行为风险因素监测系统 (2022-2023) 的数据.
- 用多变量线性回归分析自我报告的性取向和性别认同与社会隔离,食物不足和压力等结果进行了分析.
主要成果:
- 性少数群体女性报告的SRF患病率 (58.1%) 比异性恋女性 (36.5%) 高,尤其是在社会隔离和压力下.
- 性少数民族男性的SRF患病率 (51.1%) 比异性恋男性 (34.0%) 高,特别是在生活不满和压力方面.
- 性别少数群体成年人的SRF患病率 (64.1%) 与 cisgender 成年人 (37.1%) 相比显著更高,社会孤立和压力明显增加.
结论:
- 性和性别少数群体成年人不成比例地受到多种社会风险因素的影响.
- 实施政策和社区系统以促进这些人群的社会经济平等,对于改善健康结果至关重要.
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