2024
Sexual Orientation Differences in age of First Treatment for a Mental Health Diagnosis: A Population-based Study of Childhood and Adolescence
Bränström R, Pachankis J. Sexual Orientation Differences in age of First Treatment for a Mental Health Diagnosis: A Population-based Study of Childhood and Adolescence. Journal Of The American Academy Of Child & Adolescent Psychiatry 2024 PMID: 39098721, DOI: 10.1016/j.jaac.2024.07.916.Peer-Reviewed Original ResearchSexual orientation differencesSexual orientation disparitiesMental health diagnosesOrientation disparitiesSwedish National Public Health SurveyInternalizing disorder diagnosesPopulation-based studySexual minority identitySexual minority individualsHealth diagnosisNational Public Health SurveyNeurodevelopmental disorder diagnosisStudies of childhoodHeterosexual identityNational health care registriesDisorder diagnosisMinority identityMinority individualsPublic health surveyHealth care registriesOrientation differencesPopulation-based sampleBenefits of interventionsLikelihood of treatmentHealth SurveyThreats to social safety and neuro-inflammatory mechanisms underlying sexual orientation disparities in depression symptom severity: A prospective cohort study of young adults
Bränström R, Hatzenbuehler M, Lattanner M, Hollinsaid N, McDade T, Pachankis J. Threats to social safety and neuro-inflammatory mechanisms underlying sexual orientation disparities in depression symptom severity: A prospective cohort study of young adults. Brain Behavior And Immunity 2024, 119: 211-219. PMID: 38548185, DOI: 10.1016/j.bbi.2024.03.036.Peer-Reviewed Original ResearchDepressive symptom severitySexual minoritiesChronically elevated inflammationInterpersonal eventsRisk of depressionDepressive symptomsSocial safetySymptom severityElevated inflammationSocial Signal Transduction Theory of DepressionSexual minority individualsElevated risk of depressionSexual orientation disparitiesHeterosexual young adultsChronic inflammationTheory of depressionCohort study of young adultsPopulation-based evidencePre-registered analysesStudy of young adultsSevere depressive symptomsYoung adultsNationally representative sampleProspective cohort studySexual orientation
2023
Age-Varying Sexual Orientation Disparities in Mental Health, Treatment Utilization, and Social Stress: A Population-Based Study
Bränström R, Fellman D, Pachankis J. Age-Varying Sexual Orientation Disparities in Mental Health, Treatment Utilization, and Social Stress: A Population-Based Study. Psychology Of Sexual Orientation And Gender Diversity 2023, 10: 686-698. DOI: 10.1037/sgd0000572.Peer-Reviewed Original ResearchNational health care registriesHealth care registriesSexual orientation disparitiesCare registriesRisk of exposureMental healthHigh-risk alcohol useOrientation disparitiesHealth Survey 2018Population-based surveySymptoms of depressionMental health problemsSocial stressSocial stressorsSexual minority individualsHeterosexual individualsTreatment utilizationElevated riskAge 70Age patterningHealth problemsAge groupsMinority individualsAlcohol useDepressionSelf-Schemas and Information Processing Biases as Mechanisms Underlying Sexual Orientation Disparities in Depressive Symptoms: Results From a Longitudinal, Population-Based Study
Bränström R, Pachankis J, Jin J, Klein D, Hatzenbuehler M. Self-Schemas and Information Processing Biases as Mechanisms Underlying Sexual Orientation Disparities in Depressive Symptoms: Results From a Longitudinal, Population-Based Study. Journal Of Psychopathology And Clinical Science 2023, 132: 681-693. PMID: 37326561, PMCID: PMC10524885, DOI: 10.1037/abn0000823.Peer-Reviewed Original ResearchConceptsInformation processing biasesProcessing biasesNegative wordsSelf-schemaDepressive symptomsCognitive risk factorsSelf-report measuresSexual minoritiesSexual minority individualsSexual orientation disparitiesOrientation disparitiesPotential intervention targetsCognitive mechanismsBehavioral tasksCross-sectional designIntervention targetsMinority individualsProspective associationsWordsYoung adultsHeterosexual individualsReaction timeWave 2BiasesNonprobability sampleThe Role of Shame in the Sexual-Orientation Disparity in Mental Health: A Prospective Population-Based Study of Multimodal Emotional Reactions to Stigma
Pachankis J, Hatzenbuehler M, Klein D, Bränström R. The Role of Shame in the Sexual-Orientation Disparity in Mental Health: A Prospective Population-Based Study of Multimodal Emotional Reactions to Stigma. Clinical Psychological Science 2023, 12: 486-504. PMID: 38938414, PMCID: PMC11210704, DOI: 10.1177/21677026231177714.Peer-Reviewed Original ResearchStigma theoryMental healthRole of shameIndirect effectsSexual minoritiesSexual orientation disparitiesMental health sequelaeSocial anxietyAdverse mental healthEmotional reactionsMental health disparitiesRelated constructsInterpersonal stigmaInternalized stigmaShameSuicidal thoughtsYoung adultsProspective populationHeterosexual young adultsRepresentative cohortTreatment targetsLater experienceStigmaEmotionsAnxiety
2021
Early Timing and Determinants of the Sexual Orientation Disparity in Internalizing Psychopathology: A Prospective Cohort Study from Ages 3 to 15
Pachankis JE, Clark KA, Klein DN, Dougherty LR. Early Timing and Determinants of the Sexual Orientation Disparity in Internalizing Psychopathology: A Prospective Cohort Study from Ages 3 to 15. Journal Of Youth And Adolescence 2021, 51: 458-470. PMID: 34731394, PMCID: PMC9307058, DOI: 10.1007/s10964-021-01532-x.Peer-Reviewed Original ResearchConceptsProspective cohort studySexual orientation disparitiesCohort studyAnxiety symptomsDepression symptomsOrientation disparitiesHigher depression symptomsEarly determinantsSymptomsSupportive interventionsAppropriate interventionsOptimal timingAge 15Poor parental relationshipsAge 12Mother-child relationshipAge 3Social stressDepressionInterventionAgeInternalizing psychopathologyDisparitiesPeer victimizationEarly development
2020
Parent versus child report of children's sexual orientation: associations with psychiatric morbidity in the Adolescent Brain Cognitive Development study
Clark KA, Mennies RJ, Olino TM, Dougherty LR, Pachankis JE. Parent versus child report of children's sexual orientation: associations with psychiatric morbidity in the Adolescent Brain Cognitive Development study. Annals Of Epidemiology 2020, 45: 1-4. PMID: 32439147, PMCID: PMC7245580, DOI: 10.1016/j.annepidem.2020.03.009.Peer-Reviewed Original ResearchConceptsChild's sexual orientationAdolescent Brain Cognitive Development (ABCD) studyCognitive Development StudyParent-child dyadsChild reportsChild psychiatric morbiditySexual orientationAgreement/disagreementYES/Psychiatric morbidityDevelopment studiesParent reportLifetime psychiatric morbidityDyadsEarly vulnerabilityDyad groupLower psychiatric morbidityParentsBaseline assessmentSexual orientation disparitiesOrientation disparitiesChildrenPTSDMorbidity
2019
Sexual violence as a mediator of sexual orientation disparities in alcohol use, suicidality, and sexual-risk behaviour among female youth
Scheer JR, McConocha E, Behari K, Pachankis JE. Sexual violence as a mediator of sexual orientation disparities in alcohol use, suicidality, and sexual-risk behaviour among female youth. Psychology And Sexuality 2019, 12: 37-51. PMID: 33981383, PMCID: PMC8112808, DOI: 10.1080/19419899.2019.1690031.Peer-Reviewed Original ResearchHealth risk behaviorsSexual violence exposureSexual risk behaviorsSexual orientation disparitiesHeterosexual female youthAlcohol useViolence exposureCo-occurring health-risk behaviorsBisexual female youthSerious public health issueOrientation disparitiesMultiple sex partnersPublic health issueFemale youthBinge drinkingElevated riskYouth Risk Behavior SurveyClinical attentionSex partnersRisk Behavior SurveyHealth issuesHealth effectsSexual violenceSuicidalityBehavior SurveyUntethered lives: Barriers to societal integration as predictors of the sexual orientation disparity in suicidality
Bränström R, van der Star A, Pachankis J. Untethered lives: Barriers to societal integration as predictors of the sexual orientation disparity in suicidality. European Journal Of Public Health 2019, 29: ckz185.141. DOI: 10.1093/eurpub/ckz185.141.Peer-Reviewed Original ResearchRisk factorsSexual orientation disparitiesPublic health surveyNational Public Health SurveyDeterminants of suicidalityOrientation disparitiesHealth SurveyElevated riskGeneral populationPreventive interventionsSuicidal ideationSuicidality risk factorsSuicidalityDisproportionate barriersSexual minority populationsMinority populationsSexual orientation differencesSexual minoritiesImportant contributorPopulationDisparitiesUntethered lives: barriers to societal integration as predictors of the sexual orientation disparity in suicidality
Bränström R, van der Star A, Pachankis JE. Untethered lives: barriers to societal integration as predictors of the sexual orientation disparity in suicidality. Social Psychiatry And Psychiatric Epidemiology 2019, 55: 89-99. PMID: 31300892, DOI: 10.1007/s00127-019-01742-6.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overChildCommunity IntegrationCross-Sectional StudiesDepressionFemaleHealth Status DisparitiesHeterosexualityHumansMaleMiddle AgedOdds RatioRisk FactorsSexual and Gender MinoritiesSexual BehaviorSocial SupportSubstance-Related DisordersSuicidal IdeationSuicide, AttemptedSwedenYoung AdultConceptsSexual orientation disparitiesSocietal integrationSexual minoritiesOrientation disparitiesGay men/lesbiansNational Public Health SurveyLGB individuals' experiencesSexual orientation differencesSexual minority populationsSexual minority individualsSocial institutionsSexual orientationSocietal normsHeterosexual individualsDisproportionate barriersMinority individualsSupportive attitudesIndividual experiencesMinority populationsLegal protectionInnovative waysDeterminants of suicidalityRecent decadesRole of barriersPublic health survey
2018
Sexual orientation disparities in the co-occurrence of substance use and psychological distress: a national population-based study (2008–2015)
Bränström R, Pachankis JE. Sexual orientation disparities in the co-occurrence of substance use and psychological distress: a national population-based study (2008–2015). Social Psychiatry And Psychiatric Epidemiology 2018, 53: 403-412. PMID: 29450600, PMCID: PMC5862943, DOI: 10.1007/s00127-018-1491-4.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overComorbidityCrime VictimsCross-Sectional StudiesDiagnosis, Dual (Psychiatry)Discrimination, PsychologicalFemaleHealth Status DisparitiesHeterosexualityHumansMaleMiddle AgedPrevalenceSexual and Gender MinoritiesSexual BehaviorSocial IsolationSocial StigmaStress, PsychologicalSubstance-Related DisordersSwedenYoung AdultConceptsSubstance usePsychological distressElevated prevalenceSexual orientation disparitiesNational population-based studyHigh-risk alcohol useDaily tobacco smokingPopulation-based studyOverall response rateSocial isolationPublic health surveyNational Public Health SurveyMental health problemsOrientation disparitiesSexual minoritiesCo-occurring problemsTobacco smokingHealth SurveyElevated riskMultiple mediation analysisStigma-related stressResponse rateHealth problemsAlcohol useConclusionsThis studySocietal-Level Explanations for Reductions in Sexual Orientation Mental Health Disparities: Results From a Ten-Year, Population-Based Study in Sweden
Hatzenbuehler M, Bränström R, Pachankis J. Societal-Level Explanations for Reductions in Sexual Orientation Mental Health Disparities: Results From a Ten-Year, Population-Based Study in Sweden. Stigma And Health 2018, 3: 16-26. DOI: 10.1037/sah0000066.Peer-Reviewed Original ResearchHealth disparitiesMental health disparitiesPsychological distressSexual orientation disparitiesNationwide population-based cross-sectional surveyPopulation-based cross-sectional surveyAdverse mental health outcomesStructural stigmaCross-sectional surveyMental health outcomesSexual orientationOrientation disparitiesGay men/lesbians
2017
Sexual Minority Stigma and Health
Pachankis J, Lick D. Sexual Minority Stigma and Health. 2017, 477-498. DOI: 10.1093/oxfordhb/9780190243470.013.29.Peer-Reviewed Original ResearchPhysical healthAdverse healthPhysical health burdenHealth burdenSexual orientation disparitiesPoor health
2016
Sexual orientation disparities in mental health: the moderating and mediating role of sociodemographic and minority stress factors
Bränström R, Hatzenbuehler M, Pachankis J. Sexual orientation disparities in mental health: the moderating and mediating role of sociodemographic and minority stress factors. European Journal Of Public Health 2016, 26: ckw170.047. DOI: 10.1093/eurpub/ckw170.047.Peer-Reviewed Original ResearchSexual Orientation Disparities in Preventable Disease: A Fundamental Cause Perspective.
Bränström R, Hatzenbuehler ML, Pachankis JE, Link BG. Sexual Orientation Disparities in Preventable Disease: A Fundamental Cause Perspective. American Journal Of Public Health 2016, 106: 1109-15. PMID: 26985608, PMCID: PMC4880229, DOI: 10.2105/ajph.2016.303051.Peer-Reviewed Original ResearchConceptsFundamental cause theoryFundamental cause perspectiveSexual orientation health disparitiesSexual orientation differencesHealth-protective resourcesSupportive social connectionsSexual orientation disparitiesHealth disparitiesBisexual womenSexual orientationGeneral population-based studyStockholm Public Health CohortBisexual menPopulation-based studySocial connectionsUnequal distributionHeterosexual menOrientation disparitiesHealth cohortPreventable diseaseMorbidity dataGreater riskOrientation differencesDiseaseDisparities
2015
Sexual orientation disparities in physical health: age and gender effects in a population-based study
Bränström R, Hatzenbuehler ML, Pachankis JE. Sexual orientation disparities in physical health: age and gender effects in a population-based study. Social Psychiatry And Psychiatric Epidemiology 2015, 51: 289-301. PMID: 26298574, PMCID: PMC4747986, DOI: 10.1007/s00127-015-1116-0.Peer-Reviewed Original ResearchConceptsPhysical health disparitiesOlder age groupsHealth disparitiesSexual orientation disparitiesPhysical healthAge groupsPopulation-based health surveyYoung adultsWorse self-rated healthPopulation-based studyOrientation disparitiesSelf-rated healthSubstantial health disparitiesGeneral population samplePhysical health symptomsBackgroundRecent studiesHealth SurveyMore physical health symptomsHealth behaviorsBinomial regression analysisGender-specific findingsSexual orientation health disparitiesHealth symptomsNegative binomial regression analysisPotential mechanisms