Psychiatry and Neurology

Lehman, James R.; Martinez, Ashley R.; Zhou, A. Ning; Carlson, Stephan

doi:10.1007/978-3-030-24025-7_12

Cited by 1 publication

(1 citation statement)

References 114 publications

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“…The association between sexual orientation and body mass index can be explained by the minority stress model that influences nutrition, physical activity, and alcohol use (13). Eating disorders and body dysmorphia are common in SGM communities, especially among gay men (58). Sexual minority men are more likely to be underweight (59).…”

Section: Obesity Eating Disorders and Disordered Gut-brain Interactionsmentioning

confidence: 99%

Digestive Health in Sexual and Gender Minority Populations

et al. 2022

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It has been over 50 years since the Stonewall Inn Riots in June 1969, a seminal event for the lesbian, gay, bisexual, transgender, queer, intersex, and other sexual and gender-diverse minorities (LGBTQI1, or lesbian, gay, bisexual, transgender, queer, intersex, and everyone else) rights movement. However, sexual and gender minority (SGM) individuals still face discrimination and harassment due to their sexual orientation or gender identity. As such, the National Institute on Minority Health and Health Disparities has identified SGM communities as a "health disparity population." Broadly, there are higher rates of sexually transmitted infections, substance use and abuse, mental health conditions, obesity and eating disorders, certain cancers (breast, cervical, and anorectal), and cardiovascular disease in SGM communities. Transgender patients, especially those of color, are more likely to be uninsured, experience discrimination, and be denied health care than cisgender patients. In addition, SGM individuals have twice the risk of lifetime exposure to emotional, physical, and sexual trauma compared with heterosexuals. It is expected all these factors would negatively affect digestive health as well. This review summarizes the effects of social determinants of health and discrimination on health care access, highlights important digestive diseases to consider in the SGM population, and offers solutions to improve and prioritize the health of these communities. We aim to draw attention to SGM-specific issues that affect gastrointestinal health and spur research that is desperately lacking.

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Section: Obesity Eating Disorders and Disordered Gut-brain Interactionsmentioning

confidence: 99%