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Sexual orientation and self-rated health: the role of social capital, offence, threat of violence, and violence.

Axelsson, Jakob H LU ; Modén, Birgit LU ; Rosvall, Maria LU and Lindström, Martin LU (2013) In Scandinavian Journal of Public Health 41(5). p.508-515
Abstract
Objective: To study the association between sexual orientation and self-rated health, including trust, offence, threat of violence, and violence. Design/setting/participants/measurement: The 2008 Public Health Survey in Skåne is a cross-sectional postal questionnaire study. A total of 28,198 persons aged 18-80 years responded (55%). Logistic regressions analysed the association between sexual orientation and self-rated health. Results: 27.4% of all men and 30.0% of all women rated their health as poor. Poor self-rated health was significantly more prevalent in higher age, among immigrants, people with lower education, low social support, low trust, experience of being offended, experience of threat of violence and violence, and bisexual... (More)
Objective: To study the association between sexual orientation and self-rated health, including trust, offence, threat of violence, and violence. Design/setting/participants/measurement: The 2008 Public Health Survey in Skåne is a cross-sectional postal questionnaire study. A total of 28,198 persons aged 18-80 years responded (55%). Logistic regressions analysed the association between sexual orientation and self-rated health. Results: 27.4% of all men and 30.0% of all women rated their health as poor. Poor self-rated health was significantly more prevalent in higher age, among immigrants, people with lower education, low social support, low trust, experience of being offended, experience of threat of violence and violence, and bisexual and other orientation. Homosexual and bisexual men and women had higher age-adjusted odds ratios of having felt offended compared to heterosexual respondents. The odds ratios of low trust, threat of violence (men), and experience of violence (women) were significant for respondents with bisexual orientation but not for respondents with homosexual orientation. In the age-adjusted model, no significant association was observed between homosexual orientation and poor self-rated health among women. All other associations between sexual orientation and health were significant in the age-adjusted model but non-significant in the multiple models. Conclusions: Associations between sexual orientation and health disappear after multiple adjustments including trust and experience of offence, threat of violence, and violence. The study suggests that the group with bisexual orientation seems to be more exposed to low social capital (trust), threat of violence, and violence than the group with homosexual orientation. (Less)
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; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Public Health
volume
41
issue
5
pages
508 - 515
publisher
SAGE Publications
external identifiers
  • wos:000319684100010
  • pmid:23399539
  • scopus:84878499280
  • pmid:23399539
ISSN
1651-1905
DOI
10.1177/1403494813476159
language
English
LU publication?
yes
id
324c2845-d1dd-4112-853e-6f193e487349 (old id 3559916)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23399539?dopt=Abstract
date added to LUP
2016-04-01 10:18:39
date last changed
2020-01-29 01:30:58
@article{324c2845-d1dd-4112-853e-6f193e487349,
  abstract     = {Objective: To study the association between sexual orientation and self-rated health, including trust, offence, threat of violence, and violence. Design/setting/participants/measurement: The 2008 Public Health Survey in Skåne is a cross-sectional postal questionnaire study. A total of 28,198 persons aged 18-80 years responded (55%). Logistic regressions analysed the association between sexual orientation and self-rated health. Results: 27.4% of all men and 30.0% of all women rated their health as poor. Poor self-rated health was significantly more prevalent in higher age, among immigrants, people with lower education, low social support, low trust, experience of being offended, experience of threat of violence and violence, and bisexual and other orientation. Homosexual and bisexual men and women had higher age-adjusted odds ratios of having felt offended compared to heterosexual respondents. The odds ratios of low trust, threat of violence (men), and experience of violence (women) were significant for respondents with bisexual orientation but not for respondents with homosexual orientation. In the age-adjusted model, no significant association was observed between homosexual orientation and poor self-rated health among women. All other associations between sexual orientation and health were significant in the age-adjusted model but non-significant in the multiple models. Conclusions: Associations between sexual orientation and health disappear after multiple adjustments including trust and experience of offence, threat of violence, and violence. The study suggests that the group with bisexual orientation seems to be more exposed to low social capital (trust), threat of violence, and violence than the group with homosexual orientation.},
  author       = {Axelsson, Jakob H and Modén, Birgit and Rosvall, Maria and Lindström, Martin},
  issn         = {1651-1905},
  language     = {eng},
  number       = {5},
  pages        = {508--515},
  publisher    = {SAGE Publications},
  series       = {Scandinavian Journal of Public Health},
  title        = {Sexual orientation and self-rated health: the role of social capital, offence, threat of violence, and violence.},
  url          = {https://lup.lub.lu.se/search/ws/files/1733438/3636033.pdf},
  doi          = {10.1177/1403494813476159},
  volume       = {41},
  year         = {2013},
}