农村,保守背景下的LGBTQ+健康不平等:阿拉巴马州与其他南方州相比
Sarah MacCarthy, Austin H Johnson, J Mac DeLay1
1From the Department of Health Behavior, University of Alabama at Birmingham School of Public Health, Birmingham.
Southern medical journal
|November 1, 2024
概括
阿拉巴马州LGBTQ+居民的健康状况不佳,与其他南方州相似,农村人口较多导致不良影响. 这项研究强调了这一服务不足的人群中显著的心理和身体健康差异.
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:
- 阿拉巴马州的女同性恋,男同性恋,双性恋,跨性别者和酷尔 (LGBTQ +) 个人的全州健康统计数据缺乏.
- 现有的研究往往忽视了农村地区LGBTQ+人口面临的具体健康挑战.
研究的目的:
- 通过将阿拉巴马州LGBTQ+个体的健康和福祉与美国其他南部州的健康和福祉进行比较,解决数据差距.
- 为了确定在阿拉巴马州LGBTQ+社区内的特定健康问题和差异.
主要方法:
- 利用来自南方平等研究和政策中心的数据进行比较分析.
- 采用了奇平方和威尔科克森等级和值测试,用于未经调整的结果差异.
- 应用多变量逻辑和线性回归模型,以调整农村和种族/民族组成.
主要成果:
- 阿拉巴马州和其他南方州在LGBTQ+个人中表现出类似的,高率的虐待,骚扰以及不良的精神和身体健康.
- 阿拉巴马州的受访者报告了大量的自我伤害行为,自杀念头,焦虑障碍和抑郁症.
- 阿拉巴马州LGBTQ+个体中有很大比例经历或担心与其身份有关的虐待,这些发现在调整和未调整的分析中是一致的.
结论:
- 阿拉巴马州的LGBTQ+人口体验到显著的健康状况不佳.
- 与以前的研究环境相比,阿拉巴马州的农村人口增加与这些不利的健康指标有关.
- 调查结果强调,迫切需要针对阿拉巴马州和类似南部农村环境中的LGBTQ+个体制定有针对性的健康干预和政策.
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