Sexual-orientation based discrimination is associated with anxiety and depression in young physicians. A national study

JOURNAL OF AFFECTIVE DISORDERS

卷:274

Article

Duba, A.¹  Messiaen, M.¹  Boulangeat, C.¹  Korchia, T.¹  Lancon, C.¹  Bourbon, A.¹  Viprey, M.¹  Auquier, P.¹  Boyer, L.¹  Fond, G.¹ 

[1] Aix Marseille Univ, AP HM, Marseille, France

关键词: Psychiatry;    anxiety;    depression;    gay;    lesbian;    sexual orientation;    discrimination;    medical students;   

DOI  :  10.1016/j.jad.2020.05.155

来源: Elsevier

【 摘 要 】

Introduction: The professional risk factors for depression and anxiety are underexplored in young physicians. While there has been increasing research on the mental health and well-being of lesbian, gay and bisexual patients, few studies have examined the mental health and well-being of lesbian, gay and bisexual young physicians. Objective: The objective of the present study was to determine the prevalence of Sexual Orientation-Based Discrimination (SOBD) in French young physicians and if SOBD was associated with increased anxiety and depression in this population. Method: This national study is a cross-sectional observational epidemiological national study. The participants were recruited between April 1 st 2019 and June 31 st 2019. One question with binary answer was asked on SOBD. Mental health was assessed by Hamilton Anxiety & Depression scales. Results: On the 2003 participants, 148 (7%) reported SOBD exposure, 647 (32%) current anxiety disorders and 174 (9%) a current major depressive disorder according to their HAD score. SOBD was almost twice more frequently reported in participants with anxiety disorder and major depression (respectively 10%,vs 6% and 12% vs. 7%, p < 0.05). In the first model of multivariate analyses, current anxiety disorder was significantly associated with being woman (adjusted odds ratio aOR = 1.688, 95%CI 1.350-2.110, p < 0.001) and SOBD (aOR =1.729, 95%CI 1.226-2.440, p = 0.002). In the second model of multivariate analyses, current major depression was significantly associated with only SOBD (aOR =1.748, 95%CI 1.057-2.888, p = 0.029). Conclusion: SOBD has been associated with increased rates of anxiety disorder and major depression in young physicians and should be targeted in mental health prevention programs.

【 授权许可】

Free