Military Psychology ( IF 1.270 ) Pub Date : 2022-07-25 , DOI: 10.1080/08995605.2022.2099708 Laura Houghtaling 1, 2 , Theresa L Osypuk 1, 2
ABSTRACT
The objective of this study was to examine sexual orientation-based disparities in six self-reported health outcomes among millennial aged military veterans. We collected data using The Millennial Veteran Health Study, a cross-sectional internet-based survey with extensive quality control measures. The survey was fielded April through December 2020 and targeted millennial aged veterans across the United States. A total of 680 eligible respondents completed the survey. We assessed six binary health outcomes: alcohol use, marijuana use, frequent chronic pain, opioid misuse, high psychological distress, and fair or poor health status. Using logistic regression adjusted for a range of demographic, socioeconomic, and military-based covariates, we find that bisexual veterans consistently report worse health than straight veterans for all six health outcomes tested. Results for gay or lesbian, compared to straight veterans, were less consistent. Sensitivity models with continuous outcomes, and stratified by gender, found similar results. These results have implications for improving the health of bisexual individuals, including addressing discrimination, belonging, and social identity, particularly in institutional settings that have traditionally heteronormative and masculine cultures such as the military.
中文翻译:
千禧一代退伍军人的性取向健康差异
摘要
这项研究的目的是调查千禧一代退伍军人六种自我报告的健康结果中基于性取向的差异。我们使用千禧一代退伍军人健康研究收集数据,这是一项基于互联网的横断面调查,采取了广泛的质量控制措施。该调查于 2020 年 4 月至 12 月期间进行,针对的是美国各地的千禧一代退伍军人。共有 680 名符合条件的受访者完成了调查。我们评估了六种二元健康结果:饮酒、大麻使用、频繁的慢性疼痛、阿片类药物滥用、高度心理困扰以及健康状况一般或较差。使用针对一系列人口、社会经济和军事协变量进行调整的逻辑回归,我们发现,在所有六项测试的健康结果中,双性恋退伍军人的健康状况始终比异性恋退伍军人差。与异性恋退伍军人相比,男同性恋或女同性恋的结果不太一致。具有连续结果并按性别分层的敏感性模型也发现了类似的结果。这些结果对改善双性恋者的健康具有重要意义,包括解决歧视、归属感和社会认同问题,特别是在军队等传统异性恋和男性文化的机构环境中。