在一项基于人口的研究中,不良童年经历部分介导了性少数群体在抑郁,焦虑和自杀倾向方面的差异
Benjamin D Smart1, John E Pachankis2, Richard Bränström1
1Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Social science & medicine (1982)
|November 28, 2025
概括
性少数群体面临更高的不良童年经历 (ACE) 风险,这部分解释了他们抑郁,焦虑和自杀率的增加. 性别不符合性也导致了欺凌和虐待的差异.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 性少数群体的个人表现出更高的内部化精神病理和自杀倾向.
- 不利的童年经历 (ACE) 是这些差异的潜在贡献者.
研究的目的:
- 在ACE中调查性取向身份差异.
- 检查ACE是否调解了性少数群体在抑郁症,焦虑症和自杀倾向方面的差异.
- 探索性别不符合性在性少数群体中ACE差异中的作用.
主要方法:
- 来自瑞典的基于人口的全国代表性样本 (N=19,421,年龄≥16岁).
- 采用调查问卷数据对曝光和结果进行横截面分析.
- 统计调解和回归分析,以评估ACE和性别不合规性的作用.
主要成果:
- 所有性少数群体的子组都报告了与异性恋个体相比,经历≥1个ACE的几率更高.
- 性少数群体的小组显示,欺凌,家庭暴力,不良邻居经历和身体忽视的几率增加.
- 在性少数群体中,ACE统计介导了13-41%的抑郁症,焦虑症,自杀念头和自杀企图风险增加.
- 性别不合规部分解释了欺凌和情绪虐待的差异.
结论:
- 对ACE的不成比例暴露部分解释了性少数群体中精神健康问题的增加.
- 特别是双性恋女性面临更高的风险,ACEs显著导致她们的心理健康挑战.
- 调查结果强调需要针对性干预来解决ACE及其对性少数群体心理健康的影响.
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