Sexual orientation differences in outpatient psychiatric treatment and antidepressant usage: evidence from a population-based study of siblings

European Journal of Epidemiology
Richard BränströmJohn Pachankis

Abstract

In the past two decades, population-based health surveys have begun including measures of sexual orientation, permitting estimates of sexual orientation disparities in psychiatric morbidity and differences in treatment utilization. The present study takes advantage of the high-quality, comprehensive nationwide health registry data available in Sweden to examine whether psychiatric outpatient treatment for various diagnoses and antidepressant medication usage are greater in sexual minority individuals compared to their siblings. A longitudinal cohort study design was used with a representative random population-based sample in Stockholm, Sweden. Registry-based health record data on all specialized outpatient health care visits and prescription drug use was linked to a sample of 1154 sexual minority individuals from the Stockholm Public Health Cohort and their siblings. The main outcomes were treatment due to psychiatric diagnoses retrieved from nationwide registry-based health records. In analyses accounting for dependency between siblings, gay men/lesbians had a greater likelihood of being treated for mood disorder [adjusted odds ratio (AOR) 1.77; 99% confidence intervals (CI) 1.00, 3.16] and being prescribed antidepressants (A...Continue Reading

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Citations

Jul 14, 2019·Social Psychiatry and Psychiatric Epidemiology·Richard BränströmJohn E Pachankis
May 6, 2020·European Journal of Epidemiology·M Arfan IkramTrudy Voortman

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