Health disparities among millennial veterans by sexual orientation.
Laura M HoughtalingTheresa L OsypukPublished in: Military psychology : the official journal of the Division of Military Psychology, American Psychological Association (2022)
The objective of this study was to examine sexual orientation-based disparities in six self-reported health outcomes among millennial aged military veterans. We collected data using The Millennial Veteran Health Study, a cross-sectional internet-based survey with extensive quality control measures. The survey was fielded April through December 2020 and targeted millennial aged veterans across the United States. A total of 680 eligible respondents completed the survey. We assessed six binary health outcomes: alcohol use, marijuana use, frequent chronic pain, opioid misuse, high psychological distress, and fair or poor health status. Using logistic regression adjusted for a range of demographic, socioeconomic, and military-based covariates, we find that bisexual veterans consistently report worse health than straight veterans for all six health outcomes tested. Results for gay or lesbian, compared to straight veterans, were less consistent. Sensitivity models with continuous outcomes, and stratified by gender, found similar results. These results have implications for improving the health of bisexual individuals, including addressing discrimination, belonging, and social identity, particularly in institutional settings that have traditionally heteronormative and masculine cultures such as the military.
Keyphrases
- mental health
- healthcare
- chronic pain
- public health
- health information
- men who have sex with men
- cross sectional
- quality control
- hiv positive
- adipose tissue
- south africa
- skeletal muscle
- electronic health record
- human health
- drug delivery
- climate change
- human immunodeficiency virus
- metabolic syndrome
- social media
- health insurance
- glycemic control
- hepatitis c virus