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Mental disorders and sexual orientation in college students across 13 countries of differing levels of LGBTQ+ acceptance

dc.rights.licenseopenen_US
dc.contributor.authorRENTERIA, Roberto
dc.contributor.authorANDERSSON, Claes
dc.contributor.authorBENDTSEN, Marcus
dc.contributor.authorMORTIER, Philippe
dc.contributor.authorAUERBACH, Randy P
dc.contributor.authorBANTJES, Jason
dc.contributor.authorBAUMEISTER, Harald
dc.contributor.authorBERMAN, Anne H
dc.contributor.authorBOOTSMA, Erik
dc.contributor.authorBRUFFAERTS, Ronny
dc.contributor.authorCOHUT, Irina F
dc.contributor.authorCROCKETT, Marcelo A
dc.contributor.authorCUIJPERS, Pim
dc.contributor.authorDAVID, Oana A
dc.contributor.authorEBERT, David D
dc.contributor.authorGUTIERREZ-GARCIA, Raul A
dc.contributor.authorHASKING, Penelope A
dc.contributor.authorHUNT, Xanthe
dc.contributor.authorHURKS, Petra
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorHUSKY, Mathilde
dc.contributor.authorJIMENEZ, Ana Lucia
dc.contributor.authorKAHLKE, Fanny
dc.contributor.authorKUCHLER, Ann-Marie
dc.contributor.authorMAC-GINTY, Scarlett
dc.contributor.authorMAK, Arthur D P
dc.contributor.authorMARTINEZ, Vania
dc.contributor.authorMCLAFFERTY, Margaret
dc.contributor.authorMONROY-VELASCO, Iris R
dc.contributor.authorMURRAY, Elaine K
dc.contributor.authorO'NEILL, Siobhan
dc.contributor.authorPAPASTERI, Claudiu C
dc.contributor.authorPAZ, Priscilla
dc.contributor.authorPOPESCU, Codruta A
dc.contributor.authorROBINSON, Kealagh
dc.contributor.authorSALEMINK, Elske
dc.contributor.authorSIU, Oi-Ling
dc.contributor.authorSTEIN, Dan J
dc.contributor.authorSTRUIJS, Sascha Y
dc.contributor.authorTOMOIAGA, Cristina
dc.contributor.authorVAN LUENEN, Sanne
dc.contributor.authorVIGO, Daniel V
dc.contributor.authorWANG, Angel Y
dc.contributor.authorWIERS, Reinout W
dc.contributor.authorWONG, Samuel Y S
dc.contributor.authorBENJET, Corina
dc.date.accessioned2025-05-26T11:44:44Z
dc.date.available2025-05-26T11:44:44Z
dc.date.issued2025-06-01
dc.identifier.issn1879-1379en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/206714
dc.description.abstractEnMental health disparities have been reported among sexual minority individuals; minority stress theory posits that such disparities are a result of stigma and discrimination. We estimated the prevalence of mental disorders across sexual orientation groups among first-year college students and whether differences across sexual orientation groups varied by gender and country-level LGBTQ+ (lesbian, gay, bisexual, transgender, queer) social acceptance. Using data (N = 53,175; 13 countries) from the World Mental Health Surveys International College Surveys, we performed multilevel logistic regressions to estimate the associations between sexual orientation (i.e., heterosexual, heterosexual with same-gender attraction [SGA], gay/lesbian, bisexual, asexual, questioning, and other) and five twelve-month DSM-5 disorders (major depressive disorder, generalized anxiety disorder, panic disorder, alcohol use disorder, drug use disorder). Heterosexual students with SGA (AORs 1.30-2.15), gay/lesbian (AORs 1.49-2.70), bisexual (AORs 2.26-3.49), questioning (AORs 1.38-2.04), and "other" (AORs 1.76-2.94) students had higher odds of all disorders compared to heterosexual students with no SGA; asexual students did not. Significant interactions with gender show that the gender difference in prevalence was greater among bisexual individuals for most disorders and among all sexual minorities (except "other") for drug use disorder. Significant interactions with country level LGBT+ social acceptance showed some sexual minority groups had lower odds (AORs 0.83-0.95) of disorder as country-level acceptance increased. These findings provide further evidence of mental disorder disparities across a wide range of sexual orientations and how these disparities vary by gender and societal LGBTQ+ acceptance in students from diverse countries.
dc.language.isoENen_US
dc.subject.enCollege student
dc.subject.enCross-national
dc.subject.enDSM-5
dc.subject.enMental disorder
dc.subject.enSexual orientation
dc.subject.enSocial acceptance
dc.title.enMental disorders and sexual orientation in college students across 13 countries of differing levels of LGBTQ+ acceptance
dc.title.alternativeJ Psychiatr Resen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.jpsychires.2025.04.021en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed40286461en_US
bordeaux.journalJournal of Psychiatric Researchen_US
bordeaux.page331-340en_US
bordeaux.volume186en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamACTIVE_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-05084954
hal.version1
hal.date.transferred2025-05-26T11:44:51Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
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