Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the National Comorbidity Survey

Stephen E. Gilman · Susan D. Cochran · Vickie M. Mays · Michael Hughes · David G. Ostrow · Ronald C. Kessler

671 citations0/0 files storedAmerican Journal of Public Health

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LGBTQ Health, Identity, and Policy HIV/AIDS Research and Interventions Mental Health Treatment and Access

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.

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References

1994Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States 1981National Institute of Mental Health Diagnostic Interview Schedule 1995Minority Stress and Mental Health in Gay Men 1995The social organization of sexuality: sexual practices in the United States 1999Prevalence of and Risk Factors for Lifetime Suicide Attempts in the National Comorbidity Survey 1994Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI): A critical review 1999The Prevalence, Distribution, and Mental Health Correlates of Perceived Discrimination in the United States 1966"A Controlled Study"

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