Health Disparities Among Sexual and Gender Minorities With Adverse Childhood Experiences: Insights From the 2021 Behavioral Risk Factor Surveillance System Data

被引:4
作者
Solberg, Marvin A. [1 ,4 ]
Blair, Lisa M. [1 ]
Schlegel, Emma C. [2 ]
Kurzer, Julie A. M. J. [3 ]
机构
[1] Wayne State Univ, Coll Nursing, Detroit, MI USA
[2] Michigan State Univ, Coll Nursing, E Lansing, MI USA
[3] Wayne State Univ, Coll Nursing, Detroit, MI USA
[4] 5557 Cass Ave,Cohn 358, Detroit, MI 48202 USA
关键词
MENTAL-HEALTH; GAY;
D O I
10.2105/AJPH.2023.307420
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. To identify the prevalence of adverse childhood experiences (ACEs) among sexual or gender minorities (SGMs) and examine the impact of ACEs on their health.Methods. We analyzed 2021 Behavioral Risk Factor Surveillance System (BRFSS) data. Respondents from Arkansas, Iowa, Mississippi, Nevada, and Wisconsin completed modules on 10 individual ACEs, sexual orientation and gender identity, and health.Results. Among the 38483 eligible respondents, 2329 (6.1%) identified as an SGM. SGMs reported higher ACE prevalence than did their non-SGM counterparts. ACEs partially attenuated relationships between SGMs and a higher risk for depression, cardiovascular disease, chronic kidney disease, electronic nicotine delivery system use, and cannabis use.Conclusions. Evaluating and better understanding the ACE and health outcome relationship among SGMs should be prioritized. Targeted interventions are needed to mitigate the impact of ACE-associated sequelae in this population. (Am J Public Health. 2023;113(12):1343-1351. https://doi.org/10.2105/ AJPH.2023.307420)
引用
收藏
页码:1343 / 1351
页数:9
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