Evidence map›Paper›PMID 27287188›Full record

ArticleBMC public health2016

Occurrence of multiple mental health or substance use outcomes among bisexuals: a respondent-driven sampling study.

Greta R Bauer, Corey Flanders, Melissa A MacLeod, Lori E Ross

Abstract read
In one paragraph

Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Greta R BauerEpidemiology & Biostatistics, Schulich School of Medicine & Dentistry, Western University, K201 Kresge Building, London, ON, N6A 5C1, Canada. greta.bauer@schulich.uwo.ca.
Corey FlandersCentre for Addiction and Mental Health, Toronto, ON, Canada.
Melissa A MacLeodEpidemiology & Biostatistics, Schulich School of Medicine & Dentistry, Western University, K201 Kresge Building, London, ON, N6A 5C1, Canada.
Lori E RossCentre for Addiction and Mental Health, Toronto, ON, Canada.

Funding

CIHR MOP-106609
6 · The paper itself

Abstract

backgroundBisexual populations have higher prevalence of depression, anxiety, suicidality and substance use than heterosexuals, and often than gay men or lesbians. The co-occurrence of multiple outcomes has rarely been studied.

methodsData were collected from 405 bisexuals using respondent-driven sampling. Weighted analyses were conducted for 387 with outcome data. Multiple outcomes were defined as 3 or more of: depression, anxiety, suicide ideation, problematic alcohol use, or polysubstance use.

resultsAmong bisexuals, 19.0 % had multiple outcomes. We did not find variation in raw frequency of multiple outcomes across sociodemographic variables (e.g. gender, age). After adjustment, gender and sexual orientation identity were associated, with transgender women and those identifying as bisexual only more likely to have multiple outcomes. Social equity factors had a strong impact in both crude and adjusted analysis: controlling for other factors, high mental health/substance use burden was associated with greater discrimination (prevalence risk ratio (PRR) = 5.71; 95 % CI: 2.08, 15.63) and lower education (PRR = 2.41; 95 % CI: 1.06, 5.49), while higher income-to-needs ratio was protective (PRR = 0.44; 0.20, 1.00).

conclusionsMental health and substance use outcomes with high prevalence among bisexuals frequently co-occurred. We find some support for the theory that these multiple outcomes represent a syndemic, defined as co-occurring and mutually reinforcing adverse outcomes driven by social inequity.

Indexed as

AdolescentAdultBisexualityFemaleHumansMaleMental DisordersMiddle AgedOntarioPrevalenceSampling StudiesSubstance-Related DisordersSurveys and QuestionnairesEpidemiologyHealth inequalitiesMental healthSexual orientationSubstance use

Identifiers

PMID27287188
PMCPMC4902901

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.