Citation

Roberts AL, Austin SB, Corliss HL, Vandermorris AK, Koenen KC. Am. J. Public Health 2010; 100(12): 2433-2441.

Affiliation

Harvard School of Public Health.

Copyright

(Copyright © 2010, American Public Health Association)

DOI

10.2105/AJPH.2009.168971

PMID

20395586

PMCID

PMC2978167

Abstract

Objectives. We assessed sexual orientation disparities in exposure to violence and other potentially traumatic events and onset of posttraumatic stress disorder (PTSD) in a representative US sample. Methods. We used data from 34653 noninstitutionalized adult US residents from the 2004 to 2005 wave of the National Epidemiologic Survey on Alcohol and Related Conditions.Results. Lesbians and gay men, bisexuals, and heterosexuals who reported any same-sex sexual partners over their lifetime had greater risk of childhood maltreatment, interpersonal violence, trauma to a close friend or relative, and unexpected death of someone close than did heterosexuals with no same-sex attractions or partners. Risk of onset of PTSD was higher among lesbians and gays (adjusted odds ratio AOR.=2.03; 95% confidence interval CI.=1.34, 3.06), bisexuals (AOR=2.13; 95% CI=1.38, 3.29), and heterosexuals with any same-sex partners (AOR=2.06; 95% CI=1.54, 2.74) than it was among the heterosexual reference group. This higher risk was largely accounted for by sexual orientation minorities' greater exposure to violence, exposure to more potentially traumatic events, and earlier age of trauma exposure.Conclusions. Profound sexual orientation disparities exist in risk of PTSD and in violence exposure, beginning in childhood. Our findings suggest there is an urgent need for public health interventions aimed at preventing violence against individuals with minority sexual orientations and providing follow-up care to cope with the sequelae of violent victimization.

Language: en