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LGBTQ+ の成人は、痛みの割合が高いと報告しています


新しい調査研究では、LGBTQ+ の成人は、異性愛者の成人と比較して、より高いレベルの痛みを経験していることが明らかになりました。 西洋社会学のアンナ・ザジャコワ教授は、痛みは集団レベルでの身体的および心理的幸福の総合的な尺度として役立つ可能性があると示唆しています。 研究者は、心理的苦痛が LGBTQ+ グループの痛みの有病率の高さと最も​​強く関連している要因であり、社会経済的地位と医療共変量はわずかな役割しか果たしていないことを発見しました。 著者らは、LGBTQ+ の個人が直面するスティグマと差別が痛みのリスクを高める可能性があると考えており、これらの格差をよりよく理解し、対処するための追加の研究が必要である.


2013 ~ 2018 年の国民健康インタビュー調査 (NHIS) のデータを分析した新しい研究では、痛みを感じていると報告する人の数は、ストレートの成人よりも LGBTQ+ の成人の方が有意に多いことがわかりました。


「しかし、慢性疼痛は現在、それ自体が状態として広く理解されています。 人口の負担が大きく、個人の生活の質に大きな影響を与えることを考えると、これも重要な状態です」と、最近ジャーナルに掲載された研究の共著者であるザヤコバは述べています 痛み. 「実際、私たちは痛みを、人口レベルでの身体的および心理的幸福の総合的な尺度と見なしています。」

分析は、西側の研究者によって行われました。[{” attribute=””>University at Buffalo, State University of New York, Michigan State University, Ohio State University, and National Center for Complementary and Integrative Health. The researchers found LGBTQ+ adults (those who self-identified in the National Health Interview Survey as gay, lesbian, bisexual or “something else”) reported markedly higher levels of pain.

The results showed that compared with straight adults, gay and lesbian adults had a 47 percent higher prevalence of pain and a 33 percent higher prevalence of chronic pain, bisexual adults had a 105 percent higher prevalence of pain and an 88 percent higher prevalence of chronic pain, and adults who identified as “something else” on the survey had a 133 percent higher prevalence of pain and an 89 percent higher prevalence of chronic pain.

Of the other factors examined, the one most strongly linked with higher prevalence of pain in LGBTQ+ groups was psychological distress. Socioeconomic status and health care covariates played only modest roles, which were not statistically significant.

“These findings highlight the importance of psychosocial inputs and supports that seem to be driving a lot of the differences,” Zajacova said.

The authors suggest the stigma and discrimination faced by members of these groups may increase the risk of pain. They called for additional research to develop a fuller understanding of pain disparities by sexual identity, with the ultimate goal of eliminating disparities and reducing pain to achieve better health and well-being.

The authors stress this kind of data collection is important in the Canadian context as well.

“I suspect we might see similar patterns in Canada despite it being more advanced in terms of sociolegal acceptance of LGBTQ+ adults, because what we are seeing seems to hint at the psychosocial issues that may be influencing higher prevalence of pain,” Zajacova said.

The data used in this analysis are for adults aged 18 to 64 who participated in the 2013–2018 waves of the NHIS. They also answered questions about chronic pain, defined in the survey as having pain most days or every day in the past three months (2013–2015 and 2018) or six months (2016 and 2017) and pain at three or more sites (defined as positive responses to questions about three or more of the following: low-back pain, neck pain, severe headache or migraine, facial or jaw ache or pain, and persistent joint pain). Data were also collected on a variety of other factors such as socioeconomic characteristics, health behaviors, and psychological distress.

Reference: “Chronic pain among U.S. sexual minority adults who identify as gay, lesbian, bisexual, or ‘something else’” by Anna Zajacova, Hanna Grol-Prokopczyk, Hui Liu, Rin Reczek, Richard L Nahin, 30 March 2023, Pain.
DOI: 10.1097/j.pain.0000000000002891

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