Health service use by same-sex attracted Australian women for alcohol and mental health issues: a cross-sectional study

McNair, Ruth; Pennay, Amy; Hughes, Tonda L.; Love, Scarlet; Valpied, Jodie; Lubman, Dan I.

doi:10.3399/bjgpopen18x101565

Cited by 12 publications

(10 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One recent study showed that 70% of LGBQ cisgender people indicating clinical levels of distress hadn't accessed mental health care in the past 6 months, and almost one-fifth had never done so despite feeling it would be beneficial (Cronin et al 2021). Similar behaviours have been noted in LBQ+ women populations, in which two-fifths of those participating in a previous study believed they needed mental health or alcohol-related support but had never accessed it (McNair et al 2018).…”

Section: Introductionmentioning

confidence: 76%

The influence of care continuity and disclosure of sexual orientation in general practice on lesbian, bi+ and queer cisgender women’s engagement with mental health services

Buckingham

Bourne

McNair

et al. 2023

Aust. J. Prim. Health

Self Cite

View full text Add to dashboard Cite

Background Lesbian, bisexual+ and queer (LBQ+) cisgender women have considerable unmet mental health needs. The aims of this study were to examine LBQ+ cisgender women’s prior engagement with general practitioners (GPs), and how this relationship shaped their mental health service use. Method Data from 2707 cisgender LBQ+ women were drawn from a national survey of adults who are lesbian, gay, bisexual, trans, intersex, queer or questioning, asexual and other diverse sexuality and gender identities (LGBTIQA+) in Australia. Multivariable logistic regression analyses examined demographic predictors of continuity of care with GPs and GPs’ awareness of LBQ+ women’s sexual orientation. The relationship between these variables and recent mental health service use was then analysed, comparing LBQ+ women’s engagement with services known to be LGBTIQA+ inclusive and those without an inclusive reputation. Results LBQ+ cisgender women with a regular GP had greater odds of having accessed mental health services in the last 12 months. Two-thirds had a regular GP, with the lowest odds among women aged 18–35 years and highest odds among women with a disability. LBQ+ women who did not believe their regular GP knew of their sexuality had lower odds of having accessed LGBTIQA+ inclusive mental health services. These individuals were typically aged below 25 years, bisexual+ or queer identified, had below undergraduate-level education, earned <$2000 AUD per week, or lived in an outer-suburban or regional area. Conclusion GPs may be missing opportunities to promote continuity of care through developing trusting relationships with specific sub-populations of LBQ+ women, which in turn appears to sustain inequitable access to mental health care. To offer appropriate care and referrals for this population, GPs should provide safe and inclusive environments to enable comfortable and supportive discussions about sexual orientation when this is relevant to a person’s health care.

show abstract

Section: Introductionmentioning

confidence: 76%

The influence of care continuity and disclosure of sexual orientation in general practice on lesbian, bi+ and queer cisgender women’s engagement with mental health services

Buckingham

Bourne

McNair

et al. 2023

Aust. J. Prim. Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Four studies examined the associations between IPV and physical health (Lehavot et al, 2009; McCauley et al, 2015; Muzny et al, 2018; Oginni et al, 2021). Another three examined healthcare utilization and costs (Coston, 2020; McNair et al, 2018; Valentine et al, 2015). Seven studies tested associations between IPV and mental health (Charak et al, 2019; Coston, 2019; Descamps et al, 2000; Hellemans et al, 2015; Lehavot et al, 2009; Longares et al, 2016; Muzny et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…Despite the burdens of increased healthcare needs and costs, the majority of SMW experiencing IPV do appear to seek help. In a convenience sample of same sex-attracted Australian women ( N = 521), 66% of participants who experienced past year IPV received mental health or alcohol treatment (McNair et al, 2018). However, as a group, they may still underutilize resources.…”

Section: Resultsmentioning

confidence: 99%

Intimate Partner Violence Among Sexual Minority Women: A Scoping Review

Porsch

Veldhuis

et al. 2022

Trauma, Violence, & Abuse

View full text Add to dashboard Cite

Intimate partner violence (IPV) is prevalent among sexual minority women (SMW). However, compared to IPV research with heterosexual women and other LGBTQ+ population groups, SMW are understudied. We conducted a scoping review to examine the current state of knowledge about IPV among SMW, and to identify gaps and directions for future research. A search of Medline, Embase, CINAHL, and PsycINFO databases returned 1,807 papers published between January 2000 and December 2021. After independent reviewers screened these papers for relevance, 99 were included in the final review. Papers were included if they used quantitative methods and reported IPV data on adult SMW separately from other groups. Findings confirmed high rates of IPV among SMW and highlighted groups with particular vulnerabilities, including non-monosexual women and SMW of color. Risk factors for IPV in this population include prior trauma and victimization, psychological and emotional concerns, substance use, and minority stressors. Outcomes include poor mental and physical health. Findings related to the effects of minority stressors on IPV and comparisons across sexual minority groups were inconsistent. Future research should focus on IPV perpetration; mechanisms underlying risk for IPV, including structural-level risk factors; and understanding differences among SMW subgroups.

show abstract

“…Moreover, participants with a regular GP may experience support from their GP to navigate the health system and are consequently more confident that they will be able to access inclusive services. Accordingly, previous Australian research has shown that sexual minority women with a regular GP were more likely to utilise additional healthcare services such as alcohol and mental health support services (McNair et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Preferences for Types of Inclusive Family Violence Services Among LGBTQ People in Australia

et al. 2023

Self Cite

View full text Add to dashboard Cite

Purpose LGBTQ people are less likely to seek support and face significant barriers in accessing affirmative family violence support services. Efforts to improve family violence service access must be grounded in the preferences of LGBTQ people themselves. Method Data from a large nationwide Australian survey of the health and wellbeing of LGBTQ adults were analysed. 4,148 participants expressed a preference for family violence service provision. Multivariable logistic regressions were used to identify factors associated with preferences for family violence service provision, comparing mainstream services that are not known to be inclusive, mainstream services that are known to be LGBTQ-inclusive, and LGBTQ-specific services. Results In total, 8.8% (n = 363) of participants indicated a preference for mainstream services, 57.5% (n = 2,383) for mainstream services that are known to be LGBTQ-inclusive and 33.8% (n = 1,402) for LGBTQ-specific services. Trans and non-binary identified people were more likely to prefer LGBTQ-specific services than cisgender participants, while bisexual, pansexual and asexual people were more likely to prefer mainstream LGBTQ-inclusive services. Participants with a regular general practitioner were more likely to prefer LGBTQ-inclusive services. Participants who had not felt supported the most recent time they reported an experience of family violence were more likely to prefer LGBTQ-specific services. Conclusion Family violence and healthcare services require training in LGBTQ issues to provide inclusive and affirming care. The findings have implications for policy and practice in family violence care and illustrate an urgent need to reform the current narrative of family violence, which frequently excludes LGBTQ communities.

show abstract

Health service use by same-sex attracted Australian women for alcohol and mental health issues: a cross-sectional study

Cited by 12 publications

References 45 publications

The influence of care continuity and disclosure of sexual orientation in general practice on lesbian, bi+ and queer cisgender women’s engagement with mental health services

The influence of care continuity and disclosure of sexual orientation in general practice on lesbian, bi+ and queer cisgender women’s engagement with mental health services

Intimate Partner Violence Among Sexual Minority Women: A Scoping Review

Preferences for Types of Inclusive Family Violence Services Among LGBTQ People in Australia

Contact Info

Product

Resources

About