Sexual Orientation and Functional Limitations: Cross-sectional Analyses From the Adult Psychiatric Morbidity Survey,Archives of Physical Medicine and Rehabilitation

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Sexual Orientation and Functional Limitations: Cross-sectional Analyses From the Adult Psychiatric Morbidity Survey
Archives of Physical Medicine and Rehabilitation ( IF 4.3 ) Pub Date : 2021-05-04 , DOI: 10.1016/j.apmr.2021.04.005
Louis Jacob ₁ , Guillermo F López-Sánchez ₂ , Karel Kostev ₃ , Alexis Schnitzler ₄ , Josep Maria Haro ₅ , Ai Koyanagi ₆ , Daragh T McDermott ₇ , Jae Il Shin ₈ , Lee Smith ₉

Affiliation

Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Barcelona, Spain; Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, France.
Vision and Eye Research Institute, School of Medicine, Faculty of Health, Education, Medicine, and Social Care, Anglia Ruskin University-Cambridge Campus, Cambridge, United Kingdom.
Philipps University of Marburg, Marburg, Germany.
Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, Garches, France; EA4047, UFR des Sciences de la Santé, University Versailles Saint Quentin en Yvelines, "Handi-Resp", France.
Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Barcelona, Spain.
Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Barcelona, Spain; ICREA, Barcelona, Spain.
School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, United Kingdom.
Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, United Kingdom.

Objective

To assess the association between sexual orientation and functional limitations in a large representative sample of the English population.

Design

Cross-sectional.

Setting

Data were from the 2007 Adult Psychiatric Morbidity Survey.

Participants

A total of 7403 adults aged 16-95 years (51.4% female; mean age, 46.3±18.6y) were included in the present study.

Interventions

Not applicable.

Main Outcome Measures

Sexual orientation was assessed using 2 items adapted from the Kinsey scale and was dichotomized into heterosexual and sexual minority orientation. Functional limitations were assessed using 7 activities of daily living (ADL) and instrumental activities of daily living (IADL). Functional limitations were defined as at least 1 difficulty in 1 of 7 ADL and IADL. Adjusted logistic regression analyses were conducted to investigate the association between sexual orientation (independent variable) and functional limitations (dependent variable).

Results

The level of sexual minority orientation and prevalence of functional limitations in the sample was 7.1% and 32.9%, respectively. After adjusting for several potential confounders, sexual minority orientation was positively and significantly associated with functional limitations (odds ratio, 1.51; 95% confidence interval, 1.18-1.95; reference group: heterosexual orientation).

Conclusions

Based on the findings of this study, interventions aiming to prevent against and/or manage/reduce functional limitations in sexual minorities are needed. More research is also warranted to better understand mediators (eg, obesity, cognitive complaints, psychiatric disorders) involved in the sexual orientation–functional limitation relationship.

中文翻译：

性取向和功能限制：来自成人精神病发病率调查的横断面分析

客观的

在英国人口的大型代表性样本中评估性取向与功能限制之间的关联。

设计

横截面。

环境

数据来自 2007 年成人精神病发病率调查。

参与者

本研究共包括 7403 名 16-95 岁的成年人（51.4% 为女性；平均年龄为 46.3±18.6 岁）。

干预措施

不适用。

主要观察指标

使用改编自金赛量表的 2 个项目评估性取向，并分为异性恋和性少数取向。使用 7 项日常生活活动 (ADL) 和工具性日常生活活动 (IADL) 评估功能限制。功能限制被定义为 7 个 ADL 和 IADL 中的至少 1 个困难。进行了调整后的逻辑回归分析以研究性取向（自变量）和功能限制（因变量）之间的关联。