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Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the national comorbidity survey

Author

Listed:
  • Gilman, S.E.
  • Cochran, S.D.
  • Mays, V.M.
  • Hughes, M.
  • Ostrow, D.
  • Kessler, R.C.

Abstract

Objectives. This study examined the risk of psychiatric disorders among individuals with same-sex sexual partners. Methods. Data are from the National Comorbidity Survey, a nationally representative household survey. Respondents were asked the number of women and men with whom they had sexual intercourse in the past 5 years. Psychiatric disorders according to Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition (DSM-III-R) criteria were assessed with a modified version of the Composite International Diagnostic Interview. Results. A total of 2.1% of men and 1.5% of women reported 1 or more same-sex sexual partners in the past 5 years. These respondents had higher 12-month prevalences of anxiety, mood, and substance use disorders and of suicidal thoughts and plans than did respondents with opposite-sex partners only. Decomposition showed that the elevated same-sex 12-month prevalences were largely due to higher lifetime prevalences. Ages at onset and persistence of disorders did not differ between the same-sex and opposite-sex subsamples. Conclusions. Homosexual orientation, defined as having same-sex sexual partners, is associated with a general elevation of risk for anxiety, mood, and substance use disorders and for suicidal thoughts and plans. Further research is needed to replicate and explore the causal mechanisms underlying this association.

Suggested Citation

  • Gilman, S.E. & Cochran, S.D. & Mays, V.M. & Hughes, M. & Ostrow, D. & Kessler, R.C., 2001. "Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the national comorbidity survey," American Journal of Public Health, American Public Health Association, vol. 91(6), pages 933-939.
  • Handle: RePEc:aph:ajpbhl:2001:91:6:933-939_2
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    Cited by:

    1. Kimberly A Koester & Shane P Collins & Shannon M Fuller & Gabriel R Galindo & Steven Gibson & Wayne T Steward, 2013. "Sexual Healthcare Preferences among Gay and Bisexual Men: A Qualitative Study in San Francisco, California," PLOS ONE, Public Library of Science, vol. 8(8), pages 1-11, August.
    2. Lina Aldén & Lena Edlund & Mats Hammarstedt & Michael Mueller-Smith, 2015. "Effect of Registered Partnership on Labor Earnings and Fertility for Same-Sex Couples: Evidence From Swedish Register Data," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1243-1268, August.
    3. Ortiz-Hernández, Luis & Gómez Tello, Blanca Lilia & Valdés, Jesús, 2009. "The association of sexual orientation with self-rated health, and cigarette and alcohol use in Mexican adolescents and youths," Social Science & Medicine, Elsevier, vol. 69(1), pages 85-93, July.
    4. Jiaxiu Liu & Xiaoni Zhong & Zhuo Lu & Bin Peng & Yan Zhang & Hao Liang & Jianghong Dai & Juying Zhang & Ailong Huang, 2020. "Anxiety and Depression Associated with Anal Sexual Practices among HIV-Negative Men Who Have Sex with Men in Western China," IJERPH, MDPI, vol. 17(2), pages 1-17, January.
    5. Davis, Tamara S. & Saltzburg, Susan & Locke, Chris R., 2009. "Supporting the emotional and psychological well being of sexual minority youth: Youth ideas for action," Children and Youth Services Review, Elsevier, vol. 31(9), pages 1030-1041, September.
    6. Ami Sebastian Maroky & Aswin Ratheesh & Biju Viswanath & Suresh Bada Math & Channapatna R Chandrashekar & Shekhar P Seshadri, 2015. "‘Ego-dystonicity’ in homosexuality: An Indian perspective," International Journal of Social Psychiatry, , vol. 61(4), pages 311-318, June.
    7. Shauna Stahlman & Ashley Grosso & Sosthenes Ketende & Vincent Pitche & Seni Kouanda & Nuha Ceesay & Henri G Ouedraogo & Odette Ky-Zerbo & Marcel Lougue & Daouda Diouf & Simplice Anato & Jules Tchalla , 2016. "Suicidal ideation among MSM in three West African countries: Associations with stigma and social capital," International Journal of Social Psychiatry, , vol. 62(6), pages 522-531, September.
    8. Hughes, Tonda & Szalacha, Laura A. & McNair, Ruth, 2010. "Substance abuse and mental health disparities: Comparisons across sexual identity groups in a national sample of young Australian women," Social Science & Medicine, Elsevier, vol. 71(4), pages 824-831, August.
    9. Lhomond, Brigitte & Saurel-Cubizolles, Marie-Josèphe, 2006. "Violence against women and suicide risk: The neglected impact of same-sex sexual behaviour," Social Science & Medicine, Elsevier, vol. 62(8), pages 2002-2013, April.
    10. Collins, Timothy W. & Grineski, Sara E. & Morales, Danielle X., 2017. "Environmental injustice and sexual minority health disparities: A national study of inequitable health risks from air pollution among same-sex partners," Social Science & Medicine, Elsevier, vol. 191(C), pages 38-47.
    11. Hatzenbuehler, Mark L. & Bellatorre, Anna & Lee, Yeonjin & Finch, Brian K. & Muennig, Peter & Fiscella, Kevin, 2014. "Structural stigma and all-cause mortality in sexual minority populations," Social Science & Medicine, Elsevier, vol. 103(C), pages 33-41.
    12. Richard S. Henry & Paul B. Perrin & Erin R. Smith, 2022. "Religiosity, Religious Fundamentalism, Heterosexism, and Support for Lesbian and Gay Civil Rights: A Moderated Mediation Approach," Social Sciences, MDPI, vol. 11(4), pages 1-17, April.

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