Prevalence of Mental Health Disorders and Treatment Utilization among Urban Lesbian, Gay, Bisexual, and Transgender American Indians and Alaska Natives.

IF 1.9 4区心理学 Q3 PSYCHOLOGY, CLINICAL American Indian and Alaska Native Mental Health Research Pub Date : 2023-01-01 DOI:10.5820/aian.3001.2023.35

Ethel Nicdao, David Huh, Myra Parker, Bonnie M Duran, Jane M Simoni, Cam C Solomon, Karina L Walters

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Abstract

We examined prevalence of mental health treatment utilization among 447 lesbian, gay, bisexual, transgender, and Two-Spirit (LGBTT-S) American Indian/Alaska Native (AI/AN) adults and the association of mental health treatment utilization with socio-demographic factors, social support, and mental health diagnoses. We derived data from the HONOR Project, a multi-site cross-sectional survey of Native LGBTT-S adults from seven U.S. metropolitan cities. Rates of lifetime mental health treatment utilization were higher for women (87%), those who were college educated (84%), and homeowners (92%). Cisgender women and transgender AI/AN adults had a higher prevalence than cisgender men of major depression, generalized anxiety, and panic disorder. Rates of subthreshold and threshold posttraumatic stress disorder were significantly higher for transgender adults. Lower positive social support and higher emotional social support were associated with greater odds of mental health treatment utilization. Mental health diagnoses and lifetime mental health treatment utilization was positively associated.

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城市女同性恋、男同性恋、双性恋和跨性别美国印第安人和阿拉斯加原住民的精神健康障碍患病率和治疗利用

我们调查了447名女同性恋、男同性恋、双性恋、变性人和双性恋(LGBTT-S)美国印第安人/阿拉斯加原住民(AI/AN)成年人的心理健康治疗使用率，以及心理健康治疗使用率与社会人口统计学因素、社会支持和心理健康诊断的关系。我们的数据来自HONOR项目，这是一项对美国七个大都市的本土LGBTT-S成年人进行的多地点横断面调查。终身心理健康治疗使用率在女性(87%)、受过大学教育的人(84%)和有房者(92%)中较高。顺性女性和跨性别AI/AN成人在重度抑郁、广泛性焦虑和惊恐障碍方面的患病率高于顺性男性。跨性别成人的阈下和阈下创伤后应激障碍发生率显著较高。较低的积极社会支持和较高的情感社会支持与较高的心理健康治疗使用率相关。心理健康诊断与终生心理健康治疗利用呈正相关。

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来源期刊

American Indian and Alaska Native Mental Health Research PSYCHOLOGY, CLINICAL-

CiteScore

2.20

自引率

30.80%

发文量

期刊介绍： American Indian and Alaska Native Mental Health Research: The Journal of the National Center is a professionally refereed scientific journal. It contains empirical research, program evaluations, case studies, unpublished dissertations, and other articles in the behavioral, social, and health sciences which clearly relate to the mental health status of American Indians and Alaska Natives. All topical areas relating to this field are addressed, such as psychology, psychiatry, nursing, sociology, anthropology, social work, and specific areas of education, medicine, history, and law. Through a standardized format (American Psychological Association guidelines) new data regarding this special population is easier to retrieve, compare, and evaluate.