Effects of perceived discrimination on mental health and mental health services utilization among gay, lesbian, bisexual and transgender persons

Diana Burgess, Richard Lee, Alisia Tran, Michelle Van Ryn

Research output: Contribution to journalArticle

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Abstract

Objectives. Previous research has found that lesbian, gay, bisexual and transgender (LGBT) individuals are at risk for a variety of mental health disorders. We examined the extent to which a recent experience of a major discriminatory event may contribute to poor mental health among LGBT persons. Methods. Data were derived from a cross-sectional strata-cluster survey of adults in Hennepin County, Minnesota, who identified as LGBT (n = 472) or heterosexual (n = 7,412). Results. Compared to heterosexuals, LGBT individuals had poorer mental health (higher levels of psychological distress, greater likelihood of having a diagnosis of depression or anxiety, greater perceived mental health needs, and greater use of mental health services), more substance use (higher levels of binge drinking, greater likelihood of being a smoker and greater number of cigarettes smoked per day), and were more likely to report unmet mental healthcare needs. LGBT individuals were also more likely to report having experienced a major incident of discrimination over the past year than heterosexual individuals. Although perceived discrimination was associated with almost all of the indicators of mental health and utilization of mental health care that we examined, adjusting for discrimination did not significantly reduce mental health disparities between heterosexual and LGBT persons. Conclusion. LGBT individuals experienced more major discrimination and reported worse mental health than heterosexuals, but discrimination did not account for this disparity. Future research should explore additional forms of discrimination and additional stressors associated with minority sexual orientation that may account for these disparities.

Original languageEnglish (US)
Pages (from-to)1-14
Number of pages14
JournalJournal of LGBT Health Research
Volume3
Issue number4
DOIs
StatePublished - Aug 15 2008

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Transgendered Persons
Female Homosexuality
Bisexuality
Male Homosexuality
Mental Health Services
Mental Health
Heterosexuality
Patient Acceptance of Health Care
Binge Drinking
Mental Disorders
Tobacco Products
Sexual Behavior
Anxiety
Depression
Psychology
Delivery of Health Care

Keywords

  • Discrimination
  • Homosexuality
  • Mental health
  • Minority groups/psychology
  • Prejudice

ASJC Scopus subject areas

  • Clinical Neurology

MeSH PubMed subject areas

  • Comparative Study
  • Journal Article
  • Research Support, U.S. Gov't, Non-P.H.S.

Cite this

Effects of perceived discrimination on mental health and mental health services utilization among gay, lesbian, bisexual and transgender persons. / Burgess, Diana; Lee, Richard; Tran, Alisia; Van Ryn, Michelle.

In: Journal of LGBT Health Research, Vol. 3, No. 4, 15.08.2008, p. 1-14.

Research output: Contribution to journalArticle

Burgess, Diana; Lee, Richard; Tran, Alisia; Van Ryn, Michelle / Effects of perceived discrimination on mental health and mental health services utilization among gay, lesbian, bisexual and transgender persons.

In: Journal of LGBT Health Research, Vol. 3, No. 4, 15.08.2008, p. 1-14.

Research output: Contribution to journalArticle

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