A systematic review of the prevalence and associated factors of mental health conditions among lesbian, bisexual, and other sexual minority women in Southeast Asia.

Abstract

The present review explored the prevalence and factors of mental health conditions among lesbian, bisexual, and other sexual minority women (LBSW) in Southeast Asia. It found that the rates of significant depression and depressive symptoms range from 10% to 93.2%, with a median of 27.7%. This wide range can be due to a study conducted during the COVID-19 pandemic, which found elevated depression, stress, and anxiety rates. Studies also highlight high levels of sadness, hopelessness, sleep and eating problems, fatigue, and suicidal thoughts among LBSW. Suicide rates indicate that LBSW have higher odds of suicidal ideations and attempts than their heterosexual peers in the region. Additionally, bisexual and polysexual women report higher rates of depressive symptoms and suicidal behaviors than lesbian women, necessitating tailored mental health interventions. Substance use among LBSW is also notable, including smoking and heavy drinking, though some rates are below the global average. Factors influencing mental health include openness about sexuality, coping styles, and discrimination. Discrimination is linked to various mental health issues, supporting the minority stress model's applicability in the region. Aging-related factors also affect mental health among LBSW, with older age being possibly protective against depression. Overall, this review highlights the urgent need for more inclusive mental health research and interventions in the region. Recommendations include training healthcare providers, developing tailored mental health programs, adopting suicide prevention initiatives, enacting anti-discrimination laws, and addressing substance use. Future research should focus on underrepresented regions and older LBSW.