Inequities in depression within a population of sexual and gender minorities.
J Ment Health
; 29(5): 573-580, 2020 Oct.
Article
en En
| MEDLINE
| ID: mdl-30862208
ABSTRACT
Background:
Substantial evidence has demonstrated that sexual minorities (gay, lesbian, and bisexual people) and gender minorities (transgender and gender non-binary people) (SGM) experience poorer mental health than heterosexual and cisgender individuals. Meanwhile, less attention has been given to inequities within SGM populations.Aims:
This study investigated depression within a sample of Canadian SGM who took part in an online survey (n = 2778).Methods:
Multivariable regression was used to identify social characteristics associated with depression, as measured by the Patient Health Questionnaire (PHQ-9) (p < 0.05). The sample was then stratified by gender and sexual identity and the multivariable analysis was repeated for each stratum.Results:
PHQ-9 scores were associated with every social position investigated, with the largest coefficients observed for non-binary and transgender individuals and those with a lower level of educational attainment. In stratified analysis, statistically significant associations were observed for cisgender respondents identifying as bisexual, queer, or pansexual (relative to gay/lesbian) and for transgender women from ethnic minority groups or with lower income.Conclusions:
These results provide evidence of depression inequities within SGM along multiple social positions. Interventions to reduce depression should be prioritized for these sub-groups of SGM who experience the highest rates of depression.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Salud Mental
/
Depresión
/
Disparidades en el Estado de Salud
/
Minorías Sexuales y de Género
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
/
Patient_preference
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Ment Health
Asunto de la revista:
PSICOLOGIA
/
PSIQUIATRIA
Año:
2020
Tipo del documento:
Article
País de afiliación:
Canadá