Health Inequalities by Sexual Orientation: Results from the 2016-2017 Barcelona Health Survey
The aim of this study was to assess health inequalities by sexual attraction in the 2016-2017 Barcelona population, stratifying by sex. Data came from the 2016-2017 Barcelona Health Survey, where 3362 adults answered among other instruments the EuroQol-5 dimensions-5 levels (EQ-5D-5L), which measure...
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| Veröffentlicht in: | LGBT health 2022-10, Vol.9 (7), p.496-511 |
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| creator | Marti-Pastor, Marc German, Danielle Perez, Gloria Bartoll, Xavier Diez, Elia Pont, Angels Garín, Olatz Alonso, Jordi Hernandez, Gimena Mayoral, Karina Zamora, Victor Vilagut, Gemma Ferrer, Montse |
| description | The aim of this study was to assess health inequalities by sexual attraction in the 2016-2017 Barcelona population, stratifying by sex.
Data came from the 2016-2017 Barcelona Health Survey, where 3362 adults answered among other instruments the EuroQol-5 dimensions-5 levels (EQ-5D-5L), which measures five dimensions and summarizes health-related quality of life into a single utility index score. To assess health differences by sexual attraction, we constructed Tobit models for the EQ-5D index score and Poisson regression models for the EQ-5D dimensions. Nested models were constructed to examine the mediating role of discrimination and health-related variables.
After adjusting for sociodemographic variables, women feeling attraction to more than one sex showed a lower EQ-5D index score (worse health) than those with only other sex attraction (-0.042,
= 0.012), and higher prevalence of problems with mobility, usual activities, and anxiety/depression with the following adjusted prevalence ratios (aPR) and confidence intervals (CIs): 1.79 (95% CI 1.05-3.05), 1.84 (95% CI 1.05-3.21), and 1.76 (95% CI 1.27-2.43). Women feeling attraction only to their same sex also presented higher prevalence of anxiety/depression (aPR = 1.46, CI 95% 1.10-1.92). In contrast, differences were not observed for men.
Women, but not men, feeling attraction to more than one sex and only same-sex attraction in Barcelona in 2016-2017 presented worse health than those feeling only other sex attraction, with discrimination playing a mediating role in explaining such inequalities. These results among women indicate the need to develop public health strategies in Barcelona addressed to lesbian and bisexual women, considering the intersection of gender and sexual orientation. |
| doi_str_mv | 10.1089/lgbt.2021.0171 |
| format | Article |
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Data came from the 2016-2017 Barcelona Health Survey, where 3362 adults answered among other instruments the EuroQol-5 dimensions-5 levels (EQ-5D-5L), which measures five dimensions and summarizes health-related quality of life into a single utility index score. To assess health differences by sexual attraction, we constructed Tobit models for the EQ-5D index score and Poisson regression models for the EQ-5D dimensions. Nested models were constructed to examine the mediating role of discrimination and health-related variables.
After adjusting for sociodemographic variables, women feeling attraction to more than one sex showed a lower EQ-5D index score (worse health) than those with only other sex attraction (-0.042,
= 0.012), and higher prevalence of problems with mobility, usual activities, and anxiety/depression with the following adjusted prevalence ratios (aPR) and confidence intervals (CIs): 1.79 (95% CI 1.05-3.05), 1.84 (95% CI 1.05-3.21), and 1.76 (95% CI 1.27-2.43). Women feeling attraction only to their same sex also presented higher prevalence of anxiety/depression (aPR = 1.46, CI 95% 1.10-1.92). In contrast, differences were not observed for men.
Women, but not men, feeling attraction to more than one sex and only same-sex attraction in Barcelona in 2016-2017 presented worse health than those feeling only other sex attraction, with discrimination playing a mediating role in explaining such inequalities. These results among women indicate the need to develop public health strategies in Barcelona addressed to lesbian and bisexual women, considering the intersection of gender and sexual orientation.</description><identifier>ISSN: 2325-8292</identifier><identifier>EISSN: 2325-8306</identifier><identifier>DOI: 10.1089/lgbt.2021.0171</identifier><identifier>PMID: 35802488</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Adult ; Depression - epidemiology ; Female ; Health Status ; Health Status Disparities ; Health Surveys ; Humans ; Male ; Original ; Quality of Life ; Sexual Behavior ; Surveys and Questionnaires</subject><ispartof>LGBT health, 2022-10, Vol.9 (7), p.496-511</ispartof><rights>Copyright 2022, Mary Ann Liebert, Inc., publishers 2022 Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-5842e6897da8f38a109bc1f6cad1c4a6dac7d4d0b14b9bd85224758c3ca40c153</citedby><cites>FETCH-LOGICAL-c390t-5842e6897da8f38a109bc1f6cad1c4a6dac7d4d0b14b9bd85224758c3ca40c153</cites><orcidid>0000-0001-9867-7391</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35802488$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marti-Pastor, Marc</creatorcontrib><creatorcontrib>German, Danielle</creatorcontrib><creatorcontrib>Perez, Gloria</creatorcontrib><creatorcontrib>Bartoll, Xavier</creatorcontrib><creatorcontrib>Diez, Elia</creatorcontrib><creatorcontrib>Pont, Angels</creatorcontrib><creatorcontrib>Garín, Olatz</creatorcontrib><creatorcontrib>Alonso, Jordi</creatorcontrib><creatorcontrib>Hernandez, Gimena</creatorcontrib><creatorcontrib>Mayoral, Karina</creatorcontrib><creatorcontrib>Zamora, Victor</creatorcontrib><creatorcontrib>Vilagut, Gemma</creatorcontrib><creatorcontrib>Ferrer, Montse</creatorcontrib><title>Health Inequalities by Sexual Orientation: Results from the 2016-2017 Barcelona Health Survey</title><title>LGBT health</title><addtitle>LGBT Health</addtitle><description>The aim of this study was to assess health inequalities by sexual attraction in the 2016-2017 Barcelona population, stratifying by sex.
Data came from the 2016-2017 Barcelona Health Survey, where 3362 adults answered among other instruments the EuroQol-5 dimensions-5 levels (EQ-5D-5L), which measures five dimensions and summarizes health-related quality of life into a single utility index score. To assess health differences by sexual attraction, we constructed Tobit models for the EQ-5D index score and Poisson regression models for the EQ-5D dimensions. Nested models were constructed to examine the mediating role of discrimination and health-related variables.
After adjusting for sociodemographic variables, women feeling attraction to more than one sex showed a lower EQ-5D index score (worse health) than those with only other sex attraction (-0.042,
= 0.012), and higher prevalence of problems with mobility, usual activities, and anxiety/depression with the following adjusted prevalence ratios (aPR) and confidence intervals (CIs): 1.79 (95% CI 1.05-3.05), 1.84 (95% CI 1.05-3.21), and 1.76 (95% CI 1.27-2.43). Women feeling attraction only to their same sex also presented higher prevalence of anxiety/depression (aPR = 1.46, CI 95% 1.10-1.92). In contrast, differences were not observed for men.
Women, but not men, feeling attraction to more than one sex and only same-sex attraction in Barcelona in 2016-2017 presented worse health than those feeling only other sex attraction, with discrimination playing a mediating role in explaining such inequalities. These results among women indicate the need to develop public health strategies in Barcelona addressed to lesbian and bisexual women, considering the intersection of gender and sexual orientation.</description><subject>Adult</subject><subject>Depression - epidemiology</subject><subject>Female</subject><subject>Health Status</subject><subject>Health Status Disparities</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Male</subject><subject>Original</subject><subject>Quality of Life</subject><subject>Sexual Behavior</subject><subject>Surveys and Questionnaires</subject><issn>2325-8292</issn><issn>2325-8306</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkc9LwzAUx4MobsxdPUqOXlrzo2kTD4IOdYPBwOlRQpqmW6U_tiQd7r-3ZXPoO7yXR77vmxc-AFxjFGLExV25Sn1IEMEhwgk-A0NCCQs4RfH575kIMgBj575QFyLClCWXYEAZRyTifAg-p0aVfg1ntdm2qix8YRxM93BpvrsWLmxhaq980dT38M24tvQO5rapoF8bSBCOgy4l8ElZbcqmVvDot2ztzuyvwEWuSmfGxzoCHy_P75NpMF-8ziaP80BTgXzAeERMzEWSKZ5TrjASqcZ5rFWGdaTiTOkkizKU4igVacYZIVHCuKZaRUhjRkfg4eC7adPKZLrb2apSbmxRKbuXjSrk_5u6WMtVs5MipoJQ3hncHg1ss22N87IqXPejUtWmaZ0kMU8SzASjnTQ8SLVtnLMmPz2DkeyxyB6L7LHIHks3cPN3uZP8FwL9AWRAiT8</recordid><startdate>202210</startdate><enddate>202210</enddate><creator>Marti-Pastor, Marc</creator><creator>German, Danielle</creator><creator>Perez, Gloria</creator><creator>Bartoll, Xavier</creator><creator>Diez, Elia</creator><creator>Pont, Angels</creator><creator>Garín, Olatz</creator><creator>Alonso, Jordi</creator><creator>Hernandez, Gimena</creator><creator>Mayoral, Karina</creator><creator>Zamora, Victor</creator><creator>Vilagut, Gemma</creator><creator>Ferrer, Montse</creator><general>Mary Ann Liebert, Inc., publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9867-7391</orcidid></search><sort><creationdate>202210</creationdate><title>Health Inequalities by Sexual Orientation: Results from the 2016-2017 Barcelona Health Survey</title><author>Marti-Pastor, Marc ; German, Danielle ; Perez, Gloria ; Bartoll, Xavier ; Diez, Elia ; Pont, Angels ; Garín, Olatz ; Alonso, Jordi ; Hernandez, Gimena ; Mayoral, Karina ; Zamora, Victor ; Vilagut, Gemma ; Ferrer, Montse</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-5842e6897da8f38a109bc1f6cad1c4a6dac7d4d0b14b9bd85224758c3ca40c153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Depression - epidemiology</topic><topic>Female</topic><topic>Health Status</topic><topic>Health Status Disparities</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Male</topic><topic>Original</topic><topic>Quality of Life</topic><topic>Sexual Behavior</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marti-Pastor, Marc</creatorcontrib><creatorcontrib>German, Danielle</creatorcontrib><creatorcontrib>Perez, Gloria</creatorcontrib><creatorcontrib>Bartoll, Xavier</creatorcontrib><creatorcontrib>Diez, Elia</creatorcontrib><creatorcontrib>Pont, Angels</creatorcontrib><creatorcontrib>Garín, Olatz</creatorcontrib><creatorcontrib>Alonso, Jordi</creatorcontrib><creatorcontrib>Hernandez, Gimena</creatorcontrib><creatorcontrib>Mayoral, Karina</creatorcontrib><creatorcontrib>Zamora, Victor</creatorcontrib><creatorcontrib>Vilagut, Gemma</creatorcontrib><creatorcontrib>Ferrer, Montse</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>LGBT health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marti-Pastor, Marc</au><au>German, Danielle</au><au>Perez, Gloria</au><au>Bartoll, Xavier</au><au>Diez, Elia</au><au>Pont, Angels</au><au>Garín, Olatz</au><au>Alonso, Jordi</au><au>Hernandez, Gimena</au><au>Mayoral, Karina</au><au>Zamora, Victor</au><au>Vilagut, Gemma</au><au>Ferrer, Montse</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health Inequalities by Sexual Orientation: Results from the 2016-2017 Barcelona Health Survey</atitle><jtitle>LGBT health</jtitle><addtitle>LGBT Health</addtitle><date>2022-10</date><risdate>2022</risdate><volume>9</volume><issue>7</issue><spage>496</spage><epage>511</epage><pages>496-511</pages><issn>2325-8292</issn><eissn>2325-8306</eissn><abstract>The aim of this study was to assess health inequalities by sexual attraction in the 2016-2017 Barcelona population, stratifying by sex.
Data came from the 2016-2017 Barcelona Health Survey, where 3362 adults answered among other instruments the EuroQol-5 dimensions-5 levels (EQ-5D-5L), which measures five dimensions and summarizes health-related quality of life into a single utility index score. To assess health differences by sexual attraction, we constructed Tobit models for the EQ-5D index score and Poisson regression models for the EQ-5D dimensions. Nested models were constructed to examine the mediating role of discrimination and health-related variables.
After adjusting for sociodemographic variables, women feeling attraction to more than one sex showed a lower EQ-5D index score (worse health) than those with only other sex attraction (-0.042,
= 0.012), and higher prevalence of problems with mobility, usual activities, and anxiety/depression with the following adjusted prevalence ratios (aPR) and confidence intervals (CIs): 1.79 (95% CI 1.05-3.05), 1.84 (95% CI 1.05-3.21), and 1.76 (95% CI 1.27-2.43). Women feeling attraction only to their same sex also presented higher prevalence of anxiety/depression (aPR = 1.46, CI 95% 1.10-1.92). In contrast, differences were not observed for men.
Women, but not men, feeling attraction to more than one sex and only same-sex attraction in Barcelona in 2016-2017 presented worse health than those feeling only other sex attraction, with discrimination playing a mediating role in explaining such inequalities. These results among women indicate the need to develop public health strategies in Barcelona addressed to lesbian and bisexual women, considering the intersection of gender and sexual orientation.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>35802488</pmid><doi>10.1089/lgbt.2021.0171</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0001-9867-7391</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | LGBT health, 2022-10, Vol.9 (7), p.496-511 |
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| language | eng |
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| subjects | Adult Depression - epidemiology Female Health Status Health Status Disparities Health Surveys Humans Male Original Quality of Life Sexual Behavior Surveys and Questionnaires |
| title | Health Inequalities by Sexual Orientation: Results from the 2016-2017 Barcelona Health Survey |
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