Exploring LGBT2Q+ Intracategorical Factors in Mental Health Service Utilization: Differences in Gender Modalities, Sexual Orientations, and Ethnoracial Groups in Canada.
LGBT2Q+ (lesbian, gay, bisexual, transgender, Two-Spirit, queer, plus) Canadians face minority stressors that lead to higher mental health inequalities such as worse self-reported mental health and increased risk of mental health issues when compared to their heterosexual/straight and cisgender coun...
| Published in: | Community Mental Health Journal Vol. 60; no. 7; pp. 1434 - 1448 |
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| Main Authors: | , , , , |
| Format: | Article |
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Springer Nature
Oct2024
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=179690370&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 179690370 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00103853 CMH jtl: Community Mental Health Journal issn: 00103853 maglogo: N pubinfo: dt: Oct2024 vid: 60 iid: 7 pid: 237 pub: Springer Nature artinfo: ui: 179690370 10.1007/s10597-024-01299-y ppf: 1434 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1MB tig: atl: Exploring LGBT2Q+ Intracategorical Factors in Mental Health Service Utilization: Differences in Gender Modalities, Sexual Orientations, and Ethnoracial Groups in Canada. aug: au: Tse, Samson Chee, Kenny Coleman, Todd. A. Coulombe, Simon Travers, Robb affil: https://ror.org/00fn7gb05 Department of Psychology, Wilfrid Laurier University, Waterloo, ON, Canada https://ror.org/03dbr7087 Faculty of Social Works, University of Toronto, Toronto, ON, Canada https://ror.org/00fn7gb05 Department of Health Sciences, Wilfrid Laurier University, Waterloo, ON, Canada https://ror.org/04sjchr03 Department of Industrial Relations, Université Laval, Québec, QC, Canada su: Canada Sexual orientation Psychology of gay people Mental health services Psychology of lesbians Psychology of LGBTQ+ people Sex distribution Minority stress Cisgender people Health equity Medical care use Research funding Logistic regression analysis Descriptive statistics Data analysis software Confidence intervals sug: subj: Sexual orientation Psychology of gay people Mental health services Psychology of lesbians Psychology of LGBTQ+ people Sex distribution Minority stress Cisgender people Health equity Canada Residential Mental Health and Substance Abuse Facilities Offices of Mental Health Practitioners (except Physicians) Psychiatric and Substance Abuse Hospitals Medical care use Research funding Logistic regression analysis Descriptive statistics Data analysis software Confidence intervals keyword: Health inequality Healthcare utilization LGBT2Q+ Mental health Sexual orientation and gender identity Health inequality Healthcare utilization LGBT2Q+ Mental health Sexual orientation and gender identity ab: LGBT2Q+ (lesbian, gay, bisexual, transgender, Two-Spirit, queer, plus) Canadians face minority stressors that lead to higher mental health inequalities such as worse self-reported mental health and increased risk of mental health issues when compared to their heterosexual/straight and cisgender counterparts. However, there are within-group (intracategorical) differences within a community as large as LGBT2Q+ peoples. Guided by the Andersen Model of Healthcare Utilization, we sought to explore intracategorical differences in LGBT2Q+ Canadian predisposing, enabling, and need factors in mental health service utilization within the past year. Using data from the 2020 LGBT2Q+ Health Survey (N = 1542), modified Poisson logistic regression found that more polysexual respondents and trans/gender-diverse respondents were more likely to have utilized mental health services within the past year than their gay, lesbian, and cis male counterparts. As well, compared to White respondents, Indigenous respondents were more likely to have utilized mental health services, while other racialized respondents were associated with less utilization. Backwards elimination of Andersen model of healthcare utilization factors predicting mental health service utilization retained two predisposing factors (ethnoracial groups and gender modality) and two need factors (self-reporting living with a mood disorder and self-reporting living with an anxiety disorder). Results suggest that polysexual, trans and gender-diverse, and racialized LGBT2Q+ peoples have an increased need for mental health services due to increased specific minority stressors that cisgender, White, monosexual peoples do not face. Implications for healthcare providers are discussed on how to improve service provision to LGBT2Q+ peoples. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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