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Is the association between sexual minority status and suicide-related behaviours modified by rurality? A discrete-time survival analysis using longitudinal health administrative data

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  • Nielsen, Andrew
  • Azra, Karanpreet Kaur
  • Kim, Chungah
  • Dusing, Gabriel John
  • Chum, Antony

Abstract

While self-reported data shows that lesbian, gay, and bisexual (LBG) individuals have a greater suicide-related behaviours (SRB) risk, little is known about how rurality may amplify SRB risk associated with sexual minority status. Sexual minority individuals in rural areas may experience unique stressors due to stigma and a lack of LGB-specific social and mental health services. Using a population-representative sample linked to clinical SRB outcomes, we examined whether rurality modifies the association between sexual minority status and SRB risk.

Suggested Citation

  • Nielsen, Andrew & Azra, Karanpreet Kaur & Kim, Chungah & Dusing, Gabriel John & Chum, Antony, 2023. "Is the association between sexual minority status and suicide-related behaviours modified by rurality? A discrete-time survival analysis using longitudinal health administrative data," Social Science & Medicine, Elsevier, vol. 325(C).
    • Handle: RePEc:eee:socmed:v:325:y:2023:i:c:s0277953623002538
    DOI: 10.1016/j.socscimed.2023.115896
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    References listed on IDEAS

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    1. Hottes, T.S. & Bogaert, L. & Rhodes, A.E. & Brennan, D.J. & Gesink, D., 2016. "Lifetime prevalence of suicide attempts among sexual minority adults by study sampling strategies: A systematic review and meta-analysis," American Journal of Public Health, American Public Health Association, vol. 106(5), pages 1-12.
    2. Cochran, S.D. & Mays, V.M., 2015. "Mortality risks among persons reporting same-sex sexual partners: Evidence from the 2008 general social survey-national death index data set," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 358-364.
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