Sexual Orientation Differences in Complementary Health Approaches Among Young Adults in the United States

Abstract

Purpose Lesbian, gay, and bisexual (LGB) young adults experience a wide range of health disparities, compared to heterosexuals. However, LGBs also experience many barriers to conventional healthcare, including social stigma, lack of LGB-specific knowledge among providers, and lower rates of health insurance coverage, which may limit utilization of traditional health services. Complementary health approaches (CHA) may represent an alternative to conventional care, but very little is currently known about CHA use in this population. We examined whether and how LGB young adults differed from heterosexual young adults in use of CHA. Methods Data were from Wave III of the National Longitudinal Study of Adolescent to Adult Health (2001-02). Fifteen types of CHA were considered. Descriptive and bivariate statistics were computed using design-based F-tests and logistic regression was used. Analyses were weighted and gender-stratified. Results Almost 46% of gay/bisexual men used CHA in the past 12 months versus 26% of heterosexual men (p<0.001) and 50% of lesbian/bisexual women versus 30% of heterosexual women (p<0.001). LGBs also differed significantly on demographics, access to conventional care, and health behaviors. Multivariate results showed higher odds of CHA among LGBs relative to heterosexuals (AOR = 2.37 for men, AOR = 1.98 for women, both p<0.001). Conclusions This is the first study to systematically demonstrate sexual orientation differences in CHA in a nationally representative sample of young adults. Public health wellness initiatives for sexual minorities should include evidence-based CHA in addition to traditional health services.

Eating disorders symptoms in sexual minority women: A systematic review

“…Over the last decade, researchers have shown an increased interest for the physical and mental health of sexual minorities (SMs), that is, individuals who identify themselves as gay, lesbian, bisexual, or have engaged in same-sex sexual behaviour (Everett, Hatzenbuehler, & Hughes, 2016;Kerridge et al, 2017;Upchurch, Krueger, & Wight, 2016). Although there are few studies, the results showed substantial health disparities between SM individuals and heterosexual peers, with a greater number of physical health symptoms and conditions (e.g., pain, dermatitis, and asthmas) and a higher risk of mental problems (e.g., depressive symptoms, suicide risk, and substance use or abuse) in SM subjects (Marshal et al, 2011;Operario et al, 2015;Strutz, Herring, & Halpern, 2015).…”