Lesbian, gay, and bisexual-identified (LGB) people experience worse mental and physical health than their straight-identified counterparts. Given remarkable social and legal changes regarding LGB status in recent decades, we theorize that this profound health disadvantage may be changing across cohorts. Using data from the 2013-2018 National Health and Interview Surveys, we analyze five mental and physical health outcomes-psychological distress, depression, anxiety, self-rated physical health, and activity limitation-across three birth cohorts colloquially known as (1) Millennials, (2) Generation Xers, and (3) Baby Boomers and pre-Boomers. We find no evidence of reduced health disparities by sexual orientation across cohorts. Instead, relative to straight-identified respondents, the health disadvantages of gay, lesbian, and-most strikingly-bisexual-identified people have increased across cohorts. Findings highlight the importance of identifying the causes of increased health disparities as well as designing and implementing moredirect public policies and programs to eliminate health disparities among more recent LGB cohorts.

中文翻译：

---

按性取向划分的出生队列健康差异趋势。

女同性恋、男同性恋和双性恋者 (LGB) 的身心健康状况比异性恋者更差。鉴于近几十年来关于 LGB 地位的显着社会和法律变化，我们推测这种严重的健康劣势可能会在不同人群中发生变化。使用 2013-2018 年全国健康和访谈调查的数据，我们分析了三个出生队列的五种身心健康结果——心理困扰、抑郁、焦虑、自评身体健康和活动受限——通俗地称为 (1) 千禧一代，(2) X 一代，以及 (3) 婴儿潮一代和婴儿潮前一代。我们没有发现任何证据表明不同队列中的性取向会减少健康差异。相反，相对于异性恋受访者，男同性恋、女同性恋、最引人注目的是，双性恋人群在整个队列中都有所增加。调查结果强调了确定健康差距扩大的原因以及设计和实施更直接的公共政策和计划以消除最近 LGB 人群之间健康差距的重要性。