Increased risks for mental disorders among LGB individuals: cross-national evidence from the World Mental Health Surveys

WHO World Mental Health Survey collaborators

Research output: Contribution to journalArticlepeer-review

Abstract

Lesbian, gay, and bisexual (LGB) individuals, and LB women specifically, have an increased risk for psychiatric morbidity, theorized to result from stigma-based discrimination. To date, no study has investigated the mental health disparities between LGB and heterosexual AQ1individuals in a large cross-national population-based comparison. The current study addresses this gap by examining differences between LGB and heterosexual participants in 13 cross-national surveys, and by exploring whether these disparities were associated with country-level LGBT acceptance. Since lower social support has been suggested as a mediator of sexual orientation-based differences in psychiatric morbidity, our secondary aim was to examine whether mental health disparities were partially explained by general social support from family and friends. Twelve-month prevalence of DSM-IV anxiety, mood, eating, disruptive behavior, and substance disorders was assessed with the WHO Composite International Diagnostic Interview in a general population sample across 13 countries as part of the World Mental Health Surveys. Participants were 46,889 adults (19,887 males; 807 LGB-identified). Male and female LGB participants were more likely to report any 12-month disorder (OR 2.2, p 
Original languageEnglish
Number of pages14
JournalSocial psychiatry and psychiatric epidemiology
Early online date19 Jul 2022
DOIs
Publication statusE-pub ahead of print - 19 Jul 2022

Keywords

  • Cross-national
  • Health status disparities
  • Sexual orientation
  • Mental disorders
  • Epidemiology

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