PDF(Pubmed)
Abstract：
Evidence from many parts of the world shows that sexual and gender minority (SGM) people have poorer health than their cisgender heterosexual counterparts. Minority stressors, particularly stigma and discrimination, have been identified as major contributors to sexual orientation- and gender identity-related health disparities, particularly negative mental health and behavioral health outcomes. To better understand factors that contribute to these disparities, we conducted a scoping review of SGM mental health and substance use research in the Netherlands-a country with a long-standing reputation as a pioneer in SGM equality.
Using Joanna Briggs Institute guidelines and the PRISMA-ScR protocol, we searched seven databases to identify studies published between 2010 and 2022 that focused on substance use and/or mental health of SGM youth and adults in the Netherlands.
Although there was some evidence that SGM people in the Netherlands report fewer substance use and mental health concerns than those in less progressive countries, with very few exceptions studies found poorer outcomes among SGM participants than cisgender, heterosexual participants. However, this observation must be considered cautiously given major gaps in the literature. For example, only one study focused exclusively on adult sexual minority women, two focused on older SGM adults, and very little attention was given to nonbinary individuals. Most studies used non-probability samples that were quite homogenous. Many studies, especially those with youth, assessed sexual orientation based on sexual attraction; some studies of adults operationalized SGM status as having a same-sex partner. Importantly, we found no studies that directly assessed associations between structural-level stigma and health outcomes. Studies were mostly focused at the individual level and on health problems; very little attention was given to strengths or resilience.
Findings of persistent health disparities-despite the relatively long history of SGM supportive policies in the Netherlands-highlight the need for more research and greater attention to population groups that have been underrepresented. Such research would not only provide guidance on strategies to improve the health of SGM people in the Netherlands, but also in other countries that are seeking to reduce health inequities. Addressing SGM health disparities in the Netherlands and elsewhere is complex and requires a multifaceted approach that addresses individual, interpersonal and structural factors.
Using Joanna Briggs Institute guidelines and the PRISMA-ScR protocol, we searched seven databases to identify studies published between 2010 and 2022 that focused on substance use and/or mental health of SGM youth and adults in the Netherlands.
Although there was some evidence that SGM people in the Netherlands report fewer substance use and mental health concerns than those in less progressive countries, with very few exceptions studies found poorer outcomes among SGM participants than cisgender, heterosexual participants. However, this observation must be considered cautiously given major gaps in the literature. For example, only one study focused exclusively on adult sexual minority women, two focused on older SGM adults, and very little attention was given to nonbinary individuals. Most studies used non-probability samples that were quite homogenous. Many studies, especially those with youth, assessed sexual orientation based on sexual attraction; some studies of adults operationalized SGM status as having a same-sex partner. Importantly, we found no studies that directly assessed associations between structural-level stigma and health outcomes. Studies were mostly focused at the individual level and on health problems; very little attention was given to strengths or resilience.
Findings of persistent health disparities-despite the relatively long history of SGM supportive policies in the Netherlands-highlight the need for more research and greater attention to population groups that have been underrepresented. Such research would not only provide guidance on strategies to improve the health of SGM people in the Netherlands, but also in other countries that are seeking to reduce health inequities. Addressing SGM health disparities in the Netherlands and elsewhere is complex and requires a multifaceted approach that addresses individual, interpersonal and structural factors.
摘要：
背景：来自世界许多地方的证据表明，性和性别少数（SGM）人群的健康状况比顺性异性恋者差。少数民族压力源，特别是耻辱和歧视，已被确定为与性取向和性别认同相关的健康差异的主要贡献者，特别是负面的心理健康和行为健康结果。为了更好地理解导致这些差异的因素，我们对荷兰的SGM精神健康和药物使用研究进行了范围审查,荷兰是SGM平等领域的先驱,长期享有盛誉.
方法：使用JoannaBriggs研究所指南和PRISMA-ScR协议，我们检索了7个数据库,以确定2010年至2022年期间发表的有关荷兰SGM青年和成人药物使用和/或心理健康的研究.
结果：尽管有一些证据表明，荷兰的SGM人报告的药物使用和心理健康问题比进步较少的国家少，除了极少数例外，研究发现SGM参与者的结果比顺式性别更差，异性恋参与者。然而,鉴于文献中的主要空白，必须谨慎考虑这一观点。例如,只有一项研究专门针对成年性少数族裔女性，两个专注于年龄较大的SGM成年人，很少关注非二元个体。大多数研究使用相当均匀的非概率样本。许多研究,尤其是那些年轻的人，根据性吸引力评估性取向；一些对成年人的研究将SGM状态视为具有同性伴侣。重要的是,我们没有发现直接评估结构层面病耻感与健康结局之间关联的研究.研究主要集中在个人层面和健康问题上；很少关注力量或韧性。
结论：尽管荷兰SGM支持性政策的历史相对较长，但持续的健康差异的发现突出了对代表性不足的人群进行更多研究和更多关注的必要性。这样的研究不仅可以为改善荷兰SGM人群健康的策略提供指导，但在其他寻求减少健康不平等的国家也是如此。解决荷兰和其他地方的SGM健康差距是复杂的，需要采取多方面的方法来解决个人，人际和结构因素。
方法：使用JoannaBriggs研究所指南和PRISMA-ScR协议，我们检索了7个数据库,以确定2010年至2022年期间发表的有关荷兰SGM青年和成人药物使用和/或心理健康的研究.
结果：尽管有一些证据表明，荷兰的SGM人报告的药物使用和心理健康问题比进步较少的国家少，除了极少数例外，研究发现SGM参与者的结果比顺式性别更差，异性恋参与者。然而,鉴于文献中的主要空白，必须谨慎考虑这一观点。例如,只有一项研究专门针对成年性少数族裔女性，两个专注于年龄较大的SGM成年人，很少关注非二元个体。大多数研究使用相当均匀的非概率样本。许多研究,尤其是那些年轻的人，根据性吸引力评估性取向；一些对成年人的研究将SGM状态视为具有同性伴侣。重要的是,我们没有发现直接评估结构层面病耻感与健康结局之间关联的研究.研究主要集中在个人层面和健康问题上；很少关注力量或韧性。
结论：尽管荷兰SGM支持性政策的历史相对较长，但持续的健康差异的发现突出了对代表性不足的人群进行更多研究和更多关注的必要性。这样的研究不仅可以为改善荷兰SGM人群健康的策略提供指导，但在其他寻求减少健康不平等的国家也是如此。解决荷兰和其他地方的SGM健康差距是复杂的，需要采取多方面的方法来解决个人，人际和结构因素。
