Health inequalities by sexual orientation: results from the 2016-2017 Barcelona health survey
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- dc.contributor.author Martí-Pastor, Marc
- dc.contributor.author German, Danielle
- dc.contributor.author Pérez Albarracín, Glòria
- dc.contributor.author Bartoll, Xavier
- dc.contributor.author Díez, Elia
- dc.contributor.author Pont Acuña, Àngels
- dc.contributor.author Garin Boronat, Olatz, 1979-
- dc.contributor.author Alonso Caballero, Jordi
- dc.contributor.author Hernández, Gimena
- dc.contributor.author Mayoral, Karina
- dc.contributor.author Zamora, Víctor
- dc.contributor.author Vilagut Saiz, Gemma, 1975-
- dc.contributor.author Ferrer Forés, Maria Montserrat
- dc.date.accessioned 2022-11-23T07:37:45Z
- dc.date.issued 2022
- dc.description.abstract The aim of this study was to assess health inequalities by sexual attraction in the 2016-2017 Barcelona population, stratifying by sex. <b><i>Methods:</i></b> 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. <b><i>Results:</i></b> 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, <i>p</i> = 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. <b><i>Conclusion:</i></b> 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.
- dc.format.mimetype application/pdf
- dc.identifier.citation Marti-Pastor M, German D, Perez G, Bartoll X, Diez E, Pont A, Garín O, Alonso J, Hernandez G, Mayoral K, Zamora V, Vilagut G, Ferrer M. Health inequalities by sexual orientation: results from the 2016-2017 Barcelona health survey. LGBT Health. 2022 Oct;9(7):496-511. DOI: 10.1089/lgbt.2021.0171
- dc.identifier.doi http://dx.doi.org/10.1089/lgbt.2021.0171
- dc.identifier.issn 2325-8292
- dc.identifier.uri http://hdl.handle.net/10230/54979
- dc.language.iso eng
- dc.publisher Mary Ann Liebert, Inc
- dc.rights Final publication is available from Mary Ann Liebert, Inc., publishers http://dx.doi.org/10.1089/lgbt.2021.0171
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.subject.keyword LGB people
- dc.subject.keyword Health behaviors
- dc.subject.keyword Health survey
- dc.subject.keyword Inequalities
- dc.subject.keyword Quality of life
- dc.title Health inequalities by sexual orientation: results from the 2016-2017 Barcelona health survey
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/acceptedVersion