Table 2.
Indicators of distress, functional limitations, and mental health services use among women, age 18 and older, in 2013–2014 National Health Interview Survey by sexual orientation: Crude and adjusted prevalences and partial results of regression models shown
| Morbidity indicators | Crude Prevalence
|
Adjusted Prevalence
|
Adjusted RR (95 % CI) | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Sexual Minority | Heterosexual | Sexual Minority | Heterosexual | ||||||
| % | (SE) | % | (SE) | % | (SE) | % | (SE) | ||
| High psychological distress, past 30 days | 7.5 | (1.0) | 3.8 | (0.1) | 7.2 | (1.0) | 3.8 | (0.1) | 1.88 (1.41–2.50) |
| Psychological distress interferes with life | 33.7 | (2.2) | 21.4 | (0.3) | 31.3 | (2.2) | 21.5 | (0.3) | 1.46 (1.27–1.68) |
| Overall health status rated fair/poor | 14.5 | (1.7) | 13.4 | (0.2) | 18.3 | (2.0) | 13.3 | (0.2) | 1.38 (1.11–1.71) |
| Saw mental health provider, past year | 18.5 | (1.7) | 8.1 | (0.2) | 15.6 | (1.4) | 8.1 | (0.2) | 1.92 (1.59–2.32) |
| General functional limitations (family referent reported) | |||||||||
| Any—Not MHSA-related | 11.0 | (1.5) | 13.8 | (0.2) | 15.8 | (1.9) | 13.7 | (0.2) | 1.15 (0.91–1.46) |
| Any—MHSA-related | 7.0 | (1.1) | 2.6 | (0.1) | 6.6 | (1.1) | 2.6 | (0.1) | 2.52 (1.85–3.47) |
| Mobility deficits/life participation limitations (respondent reported) | |||||||||
| Any—Not MHSA-related | 35.2 | (2.4) | 36.3 | (0.4) | 43.2 | (2.4) | 36.1 | (0.4) | 1.20 (1.07–1.33) |
| Any—MHSA-related | 5.6 | (0.9) | 2.3 | (0.1) | 5.0 | (0.8) | 2.3 | (0.1) | 2.11 (1.55–2.87) |
| Any limitations reported by either source | |||||||||
| Any—Not MHSA-related | 34.5 | (2.4) | 36.5 | (0.4) | 42.2 | (2.4) | 36.3 | (0.4) | 1.16 (1.04–1.30) |
| Any—MHSA-related | 8.4 | (1.1) | 3.8 | (0.1) | 7.6 | (1.0) | 3.8 | (0.1) | 2.00 (1.54–2.60) |
| Receives disability income (18–64 years only) | 9.2 | (1.5) | 6.3 | (0.2) | 10.7 | (1.7) | 6.2 | (0.2) | 1.71 (1.25–2.35) |
Note. N = 38,063, including 878 lesbian, gay, and bisexual women; 37,185 heterosexual women. SE = Standard Error; RR = Relative Risk; CI: = Confidence interval; MHSA = mental health and substance abuse. Predicted marginals (adjusted prevalences) and adjusted RR were obtained by logistic or multinomial logistic regression methods evaluating sexual orientation differences while adjusting for confounding due to demographic characteristics (age, race/ethnicity, nativity, relationship status, education, family income, geographic region) and survey cycle. Mental health provider treatment differences were further adjusted for health insurance status while disability income was not adjusted for family income.