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AJPH First Look, published online ahead of print May 2, 2006
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June 2006, Vol 96, No. 6 | American Journal of Public Health 1119-1125
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2004.058891

RESEARCH AND PRACTICE

Sexual Orientation and Mental and Physical Health Status: Findings From a Dutch Population Survey

Theo G.M. Sandfort, PhD, Floor Bakker, PhD, François G. Schellevis, MD, PhD and Ine Vanwesenbeeck, PhD

Theo G.M. Sandfort is with the HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York. Floor Bakker and Ine Vanwesenbeeck are with the Rutgers Nisso Groep, Utrecht, Netherlands. François Schellevis is with Netherlands Institute for Health Services Research, Utrecht.

Correspondence: Requests for reprints should be sent to Theo Sandfort, PhD, HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, 1051 Riverside Dr, Unit 15, New York, NY 10032 (e-mail: tgs2001{at}columbia.edu).

Objectives. We sought to determine whether sexual orientation is related to mental and physical health and health behaviors in the general population.

Methods. Data was derived from a health interview survey that was part of the second Dutch National Survey of General Practice, carried out in 2001 among an all-age random sample of the population. Of the 19685 persons invited to participate, 65% took part in the survey. Sexual orientation was assessed in persons aged 18 years and older and reported by 98.2% of 9684 participants. The respondents’ characteristics are comparable with those of the Dutch general population.

Results. Gay/lesbian participants reported more acute mental health symptoms than heterosexual people and their general mental health also was poorer. Gay/lesbian people more frequently reported acute physical symptoms and chronic conditions than heterosexual people. Differences in smoking, alcohol use, and drug use were less prominent.

Conclusions. We found that sexual orientation was associated with mental as well as physical health. The causal processes responsible for these differences by sexual orientation need further exploration.




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Am J Public Health, November 1, 2007; 97(11): 2048 - 2055.
[Abstract] [Full Text] [PDF]


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