Adult Mental Health by Sexual Orientation and Experiences of Violence: Results from the 2017 Santé publique France Barometer

Introduction - Lesbian, gay, and bisexual (LGB) people are often stigmatized and exposed to various forms of heterosexist discrimination and violence. Experiencing violence is associated with an increased risk of mental health disorders and suicidal behavior. Methods - The 2017 Santé publique France Barometer is a telephone survey that polled a representative sample of all individuals aged 18 to 75 living in metropolitan France. Four indicators of mental health occurring within the past year were examined: a) major depressive episode (MDE); b) current depressive symptoms; c) suicidal ideation; and d) suicide attempts. We use multivariate logistic regression models to examine the association between sexual orientation and each of the mental health indicators, as well as the link between sexual orientation and physical and/or verbal violence experienced in the year preceding the study. Next, we quantify the strength of the mediating effect of exposure to violence on the association between sexual orientation and current depressive symptoms. Results—According to the 2017 Santé publique France Health Barometer, LGB individuals are more likely to experience mental health disorders: the risk of depressive disorders, suicidal thoughts, and suicide attempts is at least twice as high compared to the heterosexual population. They are also at greater risk of experiencing physical and/or verbal violence in the year preceding the survey. Mediation analyses show that experienced violence accounts for 25% of the difference in current depressive symptoms between LGB individuals and heterosexual individuals. Discussion - Our results underscore the importance of initiatives that structurally combat violence and discrimination against LGB individuals in order to prevent mental health problems in this population.

Author(s): El Khoury Lesueur Fabienne, Léon Christophe, Heron Mégane, Sitbon Audrey, Velter Annie

Publishing year: 2021

Pages: 97-104

Weekly Epidemiological Bulletin, 2021, n° 6-7, p. 97-104

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