The Intersections Between Sexual Orientation, Latine Ethnicity, Social Determinants of Health, and Lifetime Suicide Attempts in a Sample Being Assessed for Entry to Co-Occurring Mental Health and Substance Use Disorder Treatment.

IF 3 Q1 PRIMARY HEALTH CARE Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI:10.1177/21501319241240425
Akeem Modeste-James, Therese Fitzgerald, Emily Stewart, Diliana De Jesus, Melisa Canuto, Micaurys Guzman, Jessica Mateo, Melinda D'lppolito, Lena Lundgren
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Abstract

Purpose: Few studies have examined the relationship between the intersections of lesbian, gay, and bisexual (LGB) sexual orientation, Latine ethnicity, and lifetime suicide attempts in Latine individuals with substance use disorder. This study examines this intersection and controls for social determinants of health, mental health disorder symptoms, and substance use disorder symptoms in a sample of Latine adults entering treatment for co-occurring disorders.

Method: Bivariate statistics and multivariate logistic regression were used to analyze assessment data (n = 360) from a bilingual/bicultural integrated behavioral health system serving Latine communities in Massachusetts to examine the relationship between sexual orientation, Latine ethnicity, and history of lifetime suicide attempts. We controlled for social determinants of health, mental health disorders, and substance use disorder (SUD) factors significantly associated with lifetime suicide attempts at the bivariate level.

Results: Over 27% of the sample and 35% of Puerto Ricans (PR) reported lifetime suicide attempts. The logistic regression identified that PR clients were 78% more likely to have attempted suicide in a lifetime compared to non-PR clients. Clients identifying as LGB were 3.2 times more likely to report having attempted suicide in their lifetime compared to heterosexual clients. Unemployed clients were 2.4 times more likely to report having attempted suicide in their lifetime compared to employed clients.

Conclusion: Findings identify high rates of lifetime suicide attempts among LGBs and PRs entering SUD treatment. Targeted outreach and treatment efforts designed to address intersectionality for this underserved population are needed.

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性取向、拉丁族裔、健康的社会决定因素与终生自杀未遂之间的交叉关系,在接受精神健康和药物使用紊乱并发症治疗评估的样本中。
研究目的很少有研究对拉美裔药物使用障碍患者的女同性恋、男同性恋和双性恋(LGB)性取向、拉美裔种族和终生自杀企图之间的交叉关系进行研究。本研究对这一交叉点进行了研究,并对因并发症而接受治疗的拉丁裔成年人样本中的健康社会决定因素、精神健康障碍症状和药物使用障碍症状进行了控制:我们使用双变量统计和多变量逻辑回归分析了来自马萨诸塞州一个为拉丁裔社区提供服务的双语/双文化综合行为健康系统的评估数据(n = 360),以研究性取向、拉丁裔种族和终生自杀未遂史之间的关系。我们在双变量水平上控制了与终生自杀未遂显著相关的健康社会决定因素、心理健康障碍和药物使用障碍(SUD)因素:超过 27% 的样本和 35% 的波多黎各人(PR)报告了终生自杀未遂。逻辑回归结果表明,与非波多黎各人相比,波多黎各人在一生中自杀未遂的可能性要高出 78%。与异性恋客户相比,被认定为女同性恋、男同性恋、双性恋和变性者的客户在其一生中自杀未遂的可能性要高出 3.2 倍。与在职客户相比,失业客户在其一生中自杀未遂的可能性是在职客户的 2.4 倍:研究结果表明,在接受 SUD 治疗的男女同性恋、双性恋和变性人中,终生企图自杀的比例很高。有必要开展有针对性的外联和治疗工作,以解决这一服务不足人群的交叉性问题。
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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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