Association between discrimination and poor sleep health outcomes among 2192 South Korean gay, lesbian, and bisexual adults: A nationwide cross-sectional survey

Choo, Sungsub; Kim, Ranyeong; Lee, Hyemin; Yi, Horim; Kim, Rockli; Kim, Seung-Sup

doi:10.1016/j.sleh.2022.09.006

Cited by 4 publications

(6 citation statements)

References 30 publications

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“… 29 A total of 17 studies were included, and the association between organizational justice, 30 31 32 low income, 31 race, 33 34 35 36 37 38 ethnicity, 35 36 37 38 39 40 41 nationality, 42 unfair treatment, 43 job stress, 44 sex, 45 age, 45 and sleep problems 29 was examined. The association between discrimination based on sex, 46 sexual orientation, 47 48 49 religion, 50 disability, 51 educational level, 52 and sleep problems was identified in other studies published after 2014. There was only one paper on employment status based discrimination and sleep, but it was categorized according to whether or not the person was working, as opposed to our study, which was divided into regular, temporary, and daily workers.…”

Section: Discussionmentioning

confidence: 81%

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Association between discrimination in the workplace and insomnia symptoms

Ju,

Cho,

Kim

et al. 2023

Ann Occup Environ Med

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Background In Korea, little research has focused on the relationship between discrimination in the workplace and sleep health. Thus, this study aims to investigate the association between such discriminatory experiences and insomnia, a common sleep disorder, using Korean employees’ data. Methods This study used data from the 6th Korea Working Conditions Survey. Discrimination experiences due to age, ethnic background, nationality, race, sex, religion, disability, sexual orientation, educational level, hometown, and employment status were investigated. The Minimal Insomnia Symptom Scale estimated insomnia symptoms. The association between discrimination experience and insomnia symptoms were analyzed using survey-weighted logistic regression analysis. Results Based on experiences of discrimination over the past 12 months, insomnia symptoms were associated with discrimination experience due to religion (odds ratio [OR]: 3.70; 95% confidential interval [CI]: 1.58–8.69), sex (OR: 2.51; 95% CI: 1.87–3.37), age (OR: 2.30; 95% CI: 1.88–2.81), hometown (OR: 2.07; 95% CI: 1.44–2.97), employment status (OR: 1.69; 95% CI: 1.37–2.10), and educational level (OR: 1.67; 95% CI: 1.31–2.14). Furthermore, the prevalence of insomnia symptoms increased with the number of discrimination experiences. Conclusions In this study, discrimination experiences due to religion, sex, age, hometown, employment status, and educational level were significantly associated with insomnia symptoms. Furthermore, as the number of discrimination experiences increased, so did the prevalence of insomnia. Preventing workplace discrimination may improve workers’ sleep health.

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Section: Discussionmentioning

confidence: 81%

“… 48 The sixth study examined the influence that discrimination experienced by lesbian, gay, and bisexual Korean adults had on sleep health effects and it revealed a correlation between sexual orientation and sleep problems. 49 …”

Section: Discussionmentioning

confidence: 99%

Association between discrimination in the workplace and insomnia symptoms

Ju,

Cho,

Kim

et al. 2023

Ann Occup Environ Med

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“…Higher levels of internalized homophobia, experiences of sexual orientation change efforts, and experiences of bullying related to sexual orientation during adolescence were also associated with higher rates of suicidal ideation and attempts [29,31,32]. Individuals who perceived a risk of rejection because of their sexual orientation were more likely to avoid or delay seeking healthcare, and those who experienced discrimination based on sexual orientation reported poorer sleep health [33,34].…”

Section: Studies Of the Health Of Sexual Minoritiesmentioning

confidence: 99%

“…Fourth, healthcare professionals should advocate for changes in social perceptions and institutional policies related to SGM health. Studies in Korea have shown that internalized stigma, harassment, discrimination, and exclusion due to SGM identities are associated with worsened mental health and increases in suicidal ideation and attempts [29,30,33,34,44]. To promote SGM health, the American College of Physicians recommends that healthcare professionals advocate for the rights to same-sex marriage, institutional guarantees of GAC for TGD individuals, and the inclusion of sexual orientation and gender identity as protected categories against discrimination [60].…”

Section: Suggestions For Improving the Health Of Sexual And Gender Mi...mentioning

confidence: 99%

Health of Korean sexual and gender minorities: a narrative review of quantitative studies

So,

Kim,

Lee

2024

Ewha Med J

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This study reviewed quantitative research on the health of sexual and gender minorities (SGMs) in Korea and aimed to propose a role for healthcare professionals in improving their health and access to medical care. We searched PubMed through February 29, 2024 for articles published since 2000, using terms related to SGMs and the keyword "Korea." This process yielded 33 quantitative studies on Korean SGMs. Of these, 17 focused on sexual minorities and 16 on gender minorities. The findings indicate that Korean SGMs experience many symptoms of depression and anxiety, as well as high rates of suicidal ideation, planning, and attempts. They also report diminished health-related quality of life. SGM individuals who have faced discrimination or pressure to change their sexual or gender identity face an elevated risk of mental health issues. To improve the health of Korean SGMs and improve their access to healthcare, we recommend several approaches. First, more research on the health of Korean SGMs is necessary. Second, education and training programs for health professionals are essential to promote their understanding of SGM health issues and their advocacy for SGM health. Third, strategies are required to develop and implement program interventions that improve SGM health, such as increasing the availability of gender-affirming care, which is known to benefit the health of transgender and gender-diverse individuals. Finally, healthcare professionals should actively advocate for SGM health and call for shifts in public perception and institutional change, grounded in a broad understanding of SGMs and their health needs.

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“…Based on previous research, responses indicating 5 or more days (i.e., '5-6 days' or '7 days') were classified as past-week unrestful sleep. [32][33][34] Sleep disturbance over the past 12 months was assessed using the Minimal Insomnia Symptom Scale. 35 Three subdomains of sleep disturbance were measured: 'difficulty in falling asleep,' 'waking repeatedly during sleep,' and 'waking up with a feeling of exhaustion and fatigue.'…”

Section: Sleep Problemsmentioning

confidence: 99%

People-Oriented Culture and Its Association With Burnout, Depressive Symptoms, and Sleep Problems During COVID-19 Pandemic Among EMS Providers in Korea

Kim,

Yoon,

Kim

et al. 2024

J Occup Environ Med

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Objective This study examined how perceived people-oriented culture (POC) was associated with burnout, depressive symptoms, and sleep problems during the COVID-19 pandemic among emergency medical service (EMS) providers in Korea. Methods We conducted a cross-sectional survey among 693 EMS providers in 2021. Results Overall, 60% reported burnout and around 25% had depressive symptoms. Prevalence of poor sleep quality, unrestful sleep, and sleep disturbance were 46.5%, 58.2%, and 52.2%, respectively. Compared to high POC group, higher prevalence of depressive symptoms was observed among medium (PR: 1.57, 95% CI: 1.06, 2.32) and low (PR: 2.70, 95% CI: 1.92, 3.79) POC group. Similar trends were observed in the analysis of burnout and sleep problems. Conclusions Our findings underscore that low POC could play a critical role in worsening burnout, depressive symptoms, and sleep problems among EMS providers.

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Association between discrimination and poor sleep health outcomes among 2192 South Korean gay, lesbian, and bisexual adults: A nationwide cross-sectional survey

Cited by 4 publications

References 30 publications

Association between discrimination in the workplace and insomnia symptoms

Association between discrimination in the workplace and insomnia symptoms

Health of Korean sexual and gender minorities: a narrative review of quantitative studies

People-Oriented Culture and Its Association With Burnout, Depressive Symptoms, and Sleep Problems During COVID-19 Pandemic Among EMS Providers in Korea

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