Objective
Research has shown that some individuals with sexual minority status have a higher prevalence of psychiatric disorders (both mental health and substance use) and also tend to seek treatment at higher rates as compared with similar heterosexuals. Relationships among treatment need and treatment use, however, are not well understood. This paper examines the relationship of sexual orientation and gender to perceptions of need and unmet need for treatment among individuals with and without mental health or substance use disorders.
Methods
Data were obtained from a probability sample of California residents that oversampled for sexual minorities (unweighted N = 2,079). Bivariate analyses compared perceived treatment need and treatment use among groups defined by sexual orientation, gender, and presence of a mood, anxiety, or substance use disorder. Logistic regression models were fit predicting absence of treatment among those who perceived a need for it (unmet need), testing the interactive effects of gender, disorder, and sexual orientation and controlling for socio-demographics.
Results
Sexual minority women had about half the odds of unmet need for treatment compared with other women, but there was no interaction between sexual minority status and unmet treatment need for men. Among individuals without any of the disorders measured, sexual minorities had lower odds of unmet need for treatment compared with others. Heterosexual men and women were most likely to have unmet treatment needs.
Conclusions
Sexual orientation and gender differentially influence treatment utilization, particularly among those who do not have a diagnosed disorder but perceive a need for treatment. Diagnostic criteria appear to be less relevant to understanding treatment use among sexual minorities.