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Dimensions of Sexual Orientation and the Prevalence of Mood and Anxiety Disorders in the United States

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Bostwick, Wendy B., Boyd, Carol J., Hughes, Tonda L., McCabe, Sean Esteban·2010·American Journal of Public Health

DOI 10.2105/ajph.2008.152942PMC PMC2820045

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Abstract

OBJECTIVES: We used data from a nationally representative sample to examine the associations among 3 dimensions of sexual orientation (identity, attraction, and behavior), lifetime and past-year mood and anxiety disorders, and sex. METHODS: We analyzed data from wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. RESULTS: Mental health outcomes differed by sex, dimension of sexual orientation, and sexual minority group. Whereas a lesbian, gay, or bisexual identity was associated with higher odds of any mood or anxiety disorder for both men and women, women reporting only same-sex sexual partners in their lifetime had the lowest rates of most disorders. Higher odds of any lifetime mood or anxiety disorder were more consistent and pronounced among sexual minority men than among sexual minority women. Finally, bisexual behavior conferred the highest odds of any mood or anxiety disorder for both males and females. CONCLUSIONS: Findings point to mental health disparities among some, but not all, sexual minority groups and emphasize the importance of including multiple measures of sexual orientation in population-based health studies.

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Authors: Bostwick, W. B., Boyd, C. J., Hughes, T. L., & McCabe, S. E.
Affiliations: University of Michigan (US)
ORCID: Bostwick, Wendy B.
Boyd, Carol J.
Hughes, Tonda L.
McCabe, Sean Esteban
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 2010-03
Volume: 100
Issue: 3
Pages: 468-475
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.2008.152942
PMC: PMC2820045
OpenAlex: W2051979792
Cited by: 829
References: 41
Citations by year: 2026: 21 · 2025: 34 · 2024: 52 · 2023: 62 · 2022: 56 · 2021: 70 · 2020: 73 · 2019: 65 · 2018: 67 · 2017: 58 · 2016: 73 · 2015: 65 · 2014: 57 · 2013: 37 · 2012: 20
FWCI: 16.10
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: American Journal of Public Health (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Funders: University of Michigan
National Institute on Drug Abuse (R21DA023055, DA023055)
Topics: Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Social Sciences › Gender Studies › Gender and Feminist Studies
Keywords: sexual orientation, sexual minority mental health, mood disorders, anxiety disorders, sexual identity, sexual attraction, sexual behavior, bisexual behavior, sex differences, mental health disparities, NESARC
MeSH terms: Adult, Anxiety Disorders, Bisexuality, Cross-Sectional Studies, Female, Humans, Male, Mental Health, Minority Groups, Population Surveillance, Surveys and Questionnaires, Stereotyping, United States, Prevalence, Multivariate Analysis, Logistic Models, Sex Distribution, Homosexuality, Male, Homosexuality, Female, Mood Disorders, Health Status Disparities

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Dimensions of Sexual Orientation and the Prevalence of Mood and Anxiety Disorders in the United States

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