Prevalence of 12-month mental and substance use disorders in sexual minority college students in Mexico.
College student
Mental disorders
Mexico
Sexual identity
Substance use disorders
Journal
Social psychiatry and psychiatric epidemiology
ISSN: 1433-9285
Titre abrégé: Soc Psychiatry Psychiatr Epidemiol
Pays: Germany
ID NLM: 8804358
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
19
08
2019
accepted:
07
08
2020
pubmed:
5
9
2020
medline:
11
2
2021
entrez:
5
9
2020
Statut:
ppublish
Résumé
Mental health disparities have been documented among sexual minority college students, but there is a dearth of evidence from developing countries. The aim is to estimate the prevalence of 12-month mental and substance use disorders across a range of sexual identities among first-year college students in Mexican universities, and test whether there is an association between sexual identity and disorders and whether the association is moderated by gender. The University Project for Healthy Students, a web-based survey conducted as part of the World Health Organization's World Mental Health International College Student initiative, recruited 7874 students from nine Mexican universities in 2016 and 2017. Logistic regressions estimated the association of sexual identity with 12-month major depressive episode, generalized anxiety disorder, panic disorder, alcohol abuse/dependence, and drug abuse/dependence, with interaction terms for gender. Compared to heterosexual students reporting no same-sex attraction (SSA), heterosexual students with SSA (AORs range 1.77-3.67) and lesbian/gay and bisexual students (AORs range 2.22-5.32) were at a higher risk for several disorders. Asexual students were at higher risk for drug abuse/dependence (AOR = 3.64). Students unsure of their sexual identity were at a higher risk for major depressive episode, panic disorder, and drug abuse/dependence (AORs range 2.25-3.82). Gender differences varied across sexual identity and disorder. These findings are the first empirical report of sexual minority psychiatric disparities among a college student population from a developing nation and underscore the importance of clinical interventions that address mental health needs among sexual minority college students.
Identifiants
pubmed: 32886133
doi: 10.1007/s00127-020-01943-4
pii: 10.1007/s00127-020-01943-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
247-257Subventions
Organisme : Consejo Nacional de Ciencia y Tecnología
ID : CB-2016-01-285548
Organisme : NIMHD NIH HHS
ID : T37 MD003405
Pays : United States
Organisme : NIMHD NIH HHS
ID : T37 MD003405
Pays : United States
Références
Bränström R (2017) Minority stress factors as mediators of sexual orientation disparities in mental health treatment: a longitudinal population-based study. J Epidemiol Community Health 71:446–452. https://doi.org/10.1136/jech-2016-207943
doi: 10.1136/jech-2016-207943
pubmed: 28043996
pmcid: 5484026
King M, Semlyen J, Tai SS et al (2008) A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry 8:1–17. https://doi.org/10.1186/1471-244X-8-70
doi: 10.1186/1471-244X-8-70
Sandfort TGM, de Graaf R, ten Have M et al (2014) Same-sex sexuality and psychiatric disorders in the second Netherlands Mental Health Survey and Incidence Study (NEMESIS-2). LGBT Heal 1:292–301. https://doi.org/10.1089/lgbt.2014.0031
doi: 10.1089/lgbt.2014.0031
Gattis MN, Sacco P, Cunningham-Williams RM (2012) Substance use and mental health disorders among heterosexual identified men and women who have same-sex partners or same-sex attraction: results from the national epidemiological survey on alcohol and related conditions. Arch Sex Behav 41:1185–1197. https://doi.org/10.1007/s10508-012-9910-1
doi: 10.1007/s10508-012-9910-1
pubmed: 22549338
pmcid: 4731090
Lhomond B, Saurel-Cubizolles MJ, Michaels S (2014) A multidimensional measure of sexual orientation, use of psychoactive substances, and depression: results of a national survey on sexual behavior in france. Arch Sex Behav 43:607–619. https://doi.org/10.1007/s10508-013-0124-y
doi: 10.1007/s10508-013-0124-y
pubmed: 23743831
Krueger EA, Meyer IH, Upchurch DM (2018) Sexual orientation group differences in perceived stress and depressive symptoms among young adults in the United States. LGBT Heal 5:242–249. https://doi.org/10.1089/lgbt.2017.0228
doi: 10.1089/lgbt.2017.0228
Meyer IH (2013) Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Sex Orientat Gend Divers 1:3–26. https://doi.org/10.1037/2329-0382.1.S.3
doi: 10.1037/2329-0382.1.S.3
Arnett JJ (2000) Emerging adulthood: a theory of development from the late teens through the twenties. Am Psychol 55:469–480. https://doi.org/10.1037//0003-066X.55.5.469
doi: 10.1037//0003-066X.55.5.469
pubmed: 10842426
Auerbach RP, Mortier P, Bruffaerts R et al (2018) WHO World Mental Health Surveys International College Student Project: prevalence and distribution of mental disorders. J Abnorm Psychol 127:623–638. https://doi.org/10.1037/abn0000362
doi: 10.1037/abn0000362
pubmed: 30211576
pmcid: 6193834
Benjet C, Gutiérrez-García RA, Abrego-Ramírez A et al (2019) Psychopathology and self-harm among incoming first-year students in six Mexican universities. Salud Publica Mex. https://doi.org/10.21149/9158
doi: 10.21149/9158
pubmed: 30753769
Worthington RL, Reynolds AL (2009) Within-group differences in sexual orientation and identity. J Couns Psychol 56:44–55. https://doi.org/10.1037/a0013498
doi: 10.1037/a0013498
Mock SE, Eibach RP (2012) Stability and change in sexual orientation identity over a 10-year period in adulthood. Arch Sex Behav 41:641–648. https://doi.org/10.1007/s10508-011-9761-1
doi: 10.1007/s10508-011-9761-1
pubmed: 21584828
Hequembourg AL, Brallier SA (2009) An exploration of sexual minority stress across the lines of gender and sexual identity. J Homosex 56:273–298. https://doi.org/10.1080/00918360902728517
doi: 10.1080/00918360902728517
pubmed: 19319738
Hartung CM, Lefler EK (2019) Supplemental material for sex and gender in psychopathology: DSM–5 and beyond. Psychol Bull 145:390–409. https://doi.org/10.1037/bul0000183.supp
doi: 10.1037/bul0000183.supp
pubmed: 30640497
Van de Velde S, Bracke P, Levecque K (2010) Gender differences in depression in 23 European countries. Cross-national variation in the gender gap in depression. Soc Sci Med 71:305–313. https://doi.org/10.1016/j.socscimed.2010.03.035
doi: 10.1016/j.socscimed.2010.03.035
pubmed: 20483518
McHugh RK, Votaw VR, Sugarman DE, Greenfield SF (2018) Sex and gender differences in substance use disorders. Clin Psychol Rev 66:12–23. https://doi.org/10.1016/j.cpr.2017.10.012
doi: 10.1016/j.cpr.2017.10.012
pubmed: 29174306
Slade T, Chapman C, Swift W et al (2016) Birth cohort trends in the global epidemiology of alcohol use and alcohol-related harms in men and women: systematic review and metaregression. BMJ Open 6:e011827. https://doi.org/10.1136/bmjopen-2016-011827
doi: 10.1136/bmjopen-2016-011827
pubmed: 27797998
pmcid: 5093369
Institute of Medicine (2011) The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding. National Academies Press, Washington
Lucassen MFG, Stasiak K, Samra R et al (2017) Sexual minority youth and depressive symptoms or depressive disorder: A systematic review and meta-analysis of population-based studies. Aust N Z J Psychiatry 51:774–787. https://doi.org/10.1177/0004867417713664
doi: 10.1177/0004867417713664
pubmed: 28565925
Plöderl M, Tremblay P (2015) Mental health of sexual minorities. A systematic review. Int Rev Psychiatry 27:367–385. https://doi.org/10.3109/09540261.2015.1083949
doi: 10.3109/09540261.2015.1083949
pubmed: 26552495
Caceres BA, Jackman KB, Ferrer L et al (2019) A scoping review of sexual minority women’s health in Latin America and the Caribbean. Int J Nurs Stud 94:85–97. https://doi.org/10.1016/j.ijnurstu.2019.01.016
doi: 10.1016/j.ijnurstu.2019.01.016
pubmed: 30947062
pmcid: 6570531
Mendoza-Pérez JC, Ortiz-Hernández L (2018) Violence as mediating variable in mental health disparities associated to sexual orientation among Mexican Youths. J Homosex 00:1–23. https://doi.org/10.1080/00918369.2017.1422938
doi: 10.1080/00918369.2017.1422938
Ortiz-Hernández L, Valencia-Valero RG (2015) Disparidades en salud mental asociadas a la orientación sexual en adolescentes mexicanos [Disparities in mental health associated with sexual orientation among Mexican adolescents]. Cad Saude Publica 31:417–430. https://doi.org/10.1590/0102-311X00065314
doi: 10.1590/0102-311X00065314
pubmed: 25760174
Mendoza JC, Ortiz Hernández L, Román R, Rojas A (2015) Principales Resultados del Diagnóstico situacional de personas lesbianas, gays, bisexuales, transgénero, travestis, transexuales, intersexuales y queers (LGBTIQ) de México 2015 [Principal results of the situational diagnosis of lesbian, gay, bisexual, tra. Mexico City
Ortiz-Hernández L, García Torres MI (2005) Efectos de la violencia y la discriminación en la salud mental de bisexuales, lesbianas y homosexuales de la Ciudad de México [Effects of violence and discrimination on the mental health of bisexuals, lesbians, and gays in Mexico City]. Cad Saude Publica 21:913–925. https://doi.org/10.1590/S0102-311X2005000300026
doi: 10.1590/S0102-311X2005000300026
pubmed: 15868050
Alterio AM, Ortega RN (2017) La Suprema Corte y el matrimonio igualitario en México
Corrales J (2015) The politics of LGBT rights in Latin America and the caribbean: Research agendas. Eur Rev Lat Am Caribb Stud 100:53–62. https://doi.org/10.18352/erlacs.10126
doi: 10.18352/erlacs.10126
Corrales J (2020) The Expansion of LGBT Rights in Latin America and the Backlash. Oxford Handb Glob LGBT Sex Divers Polit. https://doi.org/10.1093/oxfordhb/9780190673741.013.14
doi: 10.1093/oxfordhb/9780190673741.013.14
Baruch-Dominguez R, Infante-Xibille C, Saloma-Zuñiga CE (2016) Homophobic bullying in Mexico: Results of a national survey. J LGBT Youth 13:18–27. https://doi.org/10.1080/19361653.2015.1099498
doi: 10.1080/19361653.2015.1099498
Pew Research Center (2020) The Global Divide on Homosexuality Persists
Piña Osorio JM, Aguayo Rousell HB (2015) Homofobia en estudiantes universitarios de México. Región Y Soc. https://doi.org/10.22198/rys.2015.64.a309
doi: 10.22198/rys.2015.64.a309
(2017) Encuesta Nacional Sobre Discriminación Principales Resultados
Dillon FR, Worthington RL, Moradi B (2011) Sexual Identity as a Universal Process. In: Schwartz SJ, Luyckx K, Vignoles VL (eds) Handbook of Identity Theory and Research. Springer, New York, pp 649–670
doi: 10.1007/978-1-4419-7988-9_27
Korchmaros JD, Powell C, Stevens S (2013) Chasing sexual orientation: A comparison of commonly used single-indicator measures of sexual orientation. J Homosex 60:596–614. https://doi.org/10.1080/00918369.2013.760324
doi: 10.1080/00918369.2013.760324
pubmed: 23469819
Igartua K, Thombs BD, Burgos G, Montoro R (2009) Concordance and discrepancy in sexual identity, attraction, and behavior among adolescents. J Adolesc Heal 45:602–608. https://doi.org/10.1016/j.jadohealth.2009.03.019
doi: 10.1016/j.jadohealth.2009.03.019
Badgett L, Goldberg N (2009) Best Practices for Asking Questions about Sexual Orientation on Surveys. Los Angeles
Salk RH, Hyde JS, Abramson LY (2015) Gender differences in depression in representative national samples: meta-analyses of diagnoses and symptoms. Psychol Bull 79:211–227. https://doi.org/10.1177/0003122413519445.Are
doi: 10.1177/0003122413519445.Are
McLean CP, Asnaani A, Litz BT, Hofmann SG (2011) Gender differences in anxiety disorders: Prevalence, course of illness, comorbidity and burden of illness. J Psychiatr Res 45:1027–1035. https://doi.org/10.1016/j.jpsychires.2011.03.006.Gender
doi: 10.1016/j.jpsychires.2011.03.006.Gender
pubmed: 21439576
pmcid: 3135672
Cuijpers P, Auerbach RP, Benjet C et al (2019) Introduction to the special issue: The WHO World Mental Health International College Student (WMH-ICS) initiative. Int J Methods Psychiatr Res. https://doi.org/10.1002/mpr.1762
doi: 10.1002/mpr.1762
pubmed: 31568624
pmcid: 7027670
Kessler RC, Santiago PN, Colpe LJ et al (2013) Clinical reappraisal of the Composite International Diagnostic Interview Screening Scales (CIDI-SC) in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). Int J Methods Psychiatr Res 22:303–321. https://doi.org/10.1002/mpr.1398
doi: 10.1002/mpr.1398
pubmed: 24318219
pmcid: 4027964
Kessler RC, Üstün TB (2004) The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res 13:93–121. https://doi.org/10.1002/mpr.168
doi: 10.1002/mpr.168
pubmed: 15297906
Benjet C, Borges G, Medina-Mora ME et al (2009) Diferencias de sexo en la prevalencia y severidad de trastornos psiquiátricos en adolescentes de la Ciudad de México [Sex differences in the prevalence and severity of psychiatric disorders in adolescents from Mexico City]. Salud Ment 32:155–163
Medina-Mora ME, Borges G, Benjet C et al (2007) Psychiatric disorders in Mexico: Lifetime prevalence in a nationally representative sample. Br J Psychiatry 190:521–528. https://doi.org/10.1192/bjp.bp.106.025841
doi: 10.1192/bjp.bp.106.025841
pubmed: 17541113
Saunders JB, Aasland OG, Babor TF et al (1993) Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption-II. Addiction 88:791–804. https://doi.org/10.1111/j.1360-0443.1993.tb02093.x
doi: 10.1111/j.1360-0443.1993.tb02093.x
pubmed: 8329970
Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG (2001) The alcohol use disorders identification test guidelines for use in primary care. World Heal Organ. https://doi.org/10.1177/0269881110393051
doi: 10.1177/0269881110393051
Reinert DF, Allen JP (2002) The alcohol use disorders identification test (AUDIT): a review of recent research. Alcohol Clin Exp Res 26:272–279. https://doi.org/10.1111/j.1530-0277.2002.tb02534.x
doi: 10.1111/j.1530-0277.2002.tb02534.x
pubmed: 11964568
Muthén L, Muthén B (2012) Mplus user’s guide (version 7.0). Mplus user’s Guid (seventh Ed 1–850. https://doi.org/10.1111/j.1600-0447.2011.01711.x
Enders CK (2010) Applied missing data analysis. Guilford Press
Stride CB, Gardner S, Catley N, Thomas F (2015) Mplus code for mediation, moderation, and moderated mediation models. http://www.offbeat.group.shef.ac.uk/FIO/mplusmedmod.htm
Yi H, Lee H, Park J et al (2017) Health disparities between lesbian, gay, and bisexual adults and the general population in South Korea: rainbow Connection Project I. Epidemiol Health 39:e2017046. https://doi.org/10.4178/epih.e2017046
doi: 10.4178/epih.e2017046
pubmed: 29056030
pmcid: 5790982
Auerbach RP, Mortier P, Bruffaerts R et al (2018) Mental disorder comorbidity and suicidal thoughts and behaviors in the World Health Organization World Mental Health Surveys International College Student initiative. Int J Methods Psychiatr Res. https://doi.org/10.1002/mpr.1752
doi: 10.1002/mpr.1752
pubmed: 30585363
pmcid: 6877279
Lozano-Verduzco I, FernándezNiño JA, BaruchDomínguez R (2017) Association between internalized homophobia and mental health indicators in LGBT individuals in Mexico City. Salud Ment 40:219–225. https://doi.org/10.17711/SM.0185-3325.2017.028
doi: 10.17711/SM.0185-3325.2017.028
Kuyper L, Bos H (2016) Mostly heterosexual and lesbian/gay young adults: differences in mental health and substance use and the role of minority stress. J Sex Res 53:731–741. https://doi.org/10.1080/00224499.2015.1071310
doi: 10.1080/00224499.2015.1071310
pubmed: 26515026
Birkett M, Espelage DL, Koenig B (2009) LGB and questioning students in schools: the moderating effects of homophobic bullying and school climate on negative outcomes. J Youth Adolesc 38:989–1000. https://doi.org/10.1007/s10964-008-9389-1
doi: 10.1007/s10964-008-9389-1
pubmed: 19636741
pmcid: 6322390
Bostwick WB, Boyd CJ, Hughes TL, McCabe SE (2010) Dimensions of sexual orientation and the prevalence of mood and anxiety disorders in the united states. Am J Public Health 100:468–475. https://doi.org/10.2105/AJPH.2008.152942
doi: 10.2105/AJPH.2008.152942
pubmed: 19696380
pmcid: 2820045
Lozano-Verduzco I, Rocha Sánchez TE (2011) La homofobia y su relación con la masculinidad hegemónica en México [Homophobia and its relationship with hegemonic masculinity in Mexico]. Puerto Rican J Psychol 22:101–121
Hughes T (2011) Alcohol use and alcohol-related problems among sexual minority women. Alcohol Treat Q 29:403–435. https://doi.org/10.1080/07347324.2011.608336
doi: 10.1080/07347324.2011.608336
pubmed: 22470226
pmcid: 3315841
Szymanski DM, Henrichs-Beck C (2014) Exploring sexual minority women’s experiences of external and internalized heterosexism and sexism and their links to coping and distress. Sex Roles 70:28–42. https://doi.org/10.1007/s11199-013-0329-5
doi: 10.1007/s11199-013-0329-5
Johnson TP, Hughes TL, Cho YI et al (2015) Hazardous drinking, depression, and anxiety among sexual-minority women: self-medication or impaired functioning. J Stud Alcohol Drugs 74:565–575. https://doi.org/10.15288/jsad.2013.74.565
doi: 10.15288/jsad.2013.74.565
Hughes T, Szalacha LA, McNair R (2010) Substance abuse and mental health disparities: comparisons across sexual identity groups in a national sample of young Australian women. Soc Sci Med 71:824–831. https://doi.org/10.1016/j.socscimed.2010.05.009
doi: 10.1016/j.socscimed.2010.05.009
pubmed: 20579794
Agénor M (2020) Future Directions for Incorporating Intersectionality Into Quantitative Population Health Research. Am J Public Health 110:803–806. https://doi.org/10.2105/AJPH.2020.305610
doi: 10.2105/AJPH.2020.305610
pubmed: 32298180
Bauer GR (2014) Incorporating intersectionality theory into population health research methodology: challenges and the potential to advance health equity. Soc Sci Med 110:10–17. https://doi.org/10.1016/j.socscimed.2014.03.022
doi: 10.1016/j.socscimed.2014.03.022
pubmed: 24704889
SEP (2017) 2016-2017, Sistema Educativo de los Estados Unidos Mexicanos: Principales Cifras [Educational System of the United Mexican States: Main Figures 2016-2017]. Mexico City
OECD (2017) Education at a Glance: OECD Indicators