Mental health and substance use disorders among Latino and Asian American lesbian, gay, and bisexual adults

J Consult Clin Psychol. 2007 Oct;75(5):785-94. doi: 10.1037/0022-006X.75.5.785.

Abstract

Growing evidence suggests that lesbian, gay, and bisexual adults may be at elevated risk for mental health and substance use disorders, possibly due to anti-gay stigma. Little of this work has examined putative excess morbidity among ethnic/racial minorities resulting from the experience of multiple sources of discrimination. The authors report findings from the National Latino and Asian American Survey (NLAAS), a national household probability psychiatric survey of 4,488 Latino and Asian American adults. Approximately 4.8% of persons interviewed identified as lesbian, gay, bisexual, and/or reported recent same-gender sexual experiences. Although few sexual orientation-related differences were observed, among men, gay/bisexual men were more likely than heterosexual men to report a recent suicide attempt. Among women, lesbian/bisexual women were more likely than heterosexual women to evidence positive 1-year and lifetime histories of depressive disorders. These findings suggest a small elevation in psychiatric morbidity risk among Latino and Asian American individuals with a minority sexual orientation. However, the level of morbidity among sexual orientation minorities in the NLAAS appears similar to or lower than that observed in population-based studies of lesbian, gay, and bisexual adults.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Alcoholism / epidemiology*
  • Alcoholism / psychology
  • Anxiety Disorders / epidemiology
  • Anxiety Disorders / psychology
  • Asian Americans / psychology
  • Asian Americans / statistics & numerical data*
  • Bisexuality / psychology
  • Bisexuality / statistics & numerical data*
  • Comorbidity
  • Cross-Sectional Studies
  • Diagnosis, Dual (Psychiatry)
  • Dysthymic Disorder / epidemiology
  • Dysthymic Disorder / psychology
  • Feeding and Eating Disorders / epidemiology
  • Feeding and Eating Disorders / psychology
  • Female
  • Health Surveys
  • Hispanic Americans / psychology
  • Hispanic Americans / statistics & numerical data*
  • Homosexuality, Female / psychology
  • Homosexuality, Female / statistics & numerical data*
  • Homosexuality, Male / psychology
  • Homosexuality, Male / statistics & numerical data*
  • Humans
  • Male
  • Mental Disorders / epidemiology*
  • Mental Disorders / psychology
  • Middle Aged
  • Prejudice
  • Risk Factors
  • Substance-Related Disorders / epidemiology*
  • Substance-Related Disorders / psychology
  • Suicide, Attempted / psychology
  • Suicide, Attempted / statistics & numerical data
  • United States