Evidence map›Paper›PMID 30564720›Full record

ArticleBJGP open2018

Health service use by same-sex attracted Australian women for alcohol and mental health issues: a cross-sectional study.

Ruth McNair, Amy Pennay, Tonda L Hughes, Scarlet Love, Jodie Valpied, Dan I Lubman

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
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

3 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
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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

6 authors at 5 institutions in 3 countries.

Ruth McNairHonorary Associate Professor, Department of General Practice, University of Melbourne, Carlton, Australia.
Amy PennayResearch Fellow, School of Psychology and Public Health, Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia.
Tonda L HughesProfessor of Nursing in Psychiatry and Director of Global Health Research, Department of Psychiatry, School of Nursing, Columbia University, New York, US.
Scarlet LoveResident Medical Officer, Royal Melbourne Hospital, Parkville, Australia.
Jodie ValpiedHonorary Lecturer, Department of General Practice, University of Melbourne, Carlton, Australia.
Dan I LubmanDirector, Turning Point, Eastern Health Clinical School, Monash University, Melbourne, Australia.
University of Melbourne · AUAustralian Regenerative Medicine Institute · AUColumbia University · USFaculty of Public Health · GBThe Royal Melbourne Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSame-sex attracted women (SSAW) have higher rates of alcohol and mental health problems than heterosexual women, but utilisation of and satisfaction with treatment is limited.

aimThis study investigated the influences on health service use for alcohol and mental health problems among SSAW. DESIGN &

settingThe Gelberg-Andersen behavioural model of health service utilisation was used to generate outcome variables.

methodA convenience sample of 521 community-connected Australian SSAW completed an online survey. Health service use according to sexual identity was compared using χ

resultsReports of alcohol treatment were very low. Only 41.1% of participants with service need had utilised mental health and alcohol treatment. Bisexual women (adjusted odds ratio [AOR] = 2.76) and those with 'other' identities (AOR = 2.38) were more likely to use services than lesbian women. Enablers to service use were having a regular GP (AOR = 3.02); disclosure of sexuality to the GP (AOR = 2.42); lesbian, gay, bisexual and transgender (LGBT) community-connectedness (AOR = 1.11); and intimate partner violence ([IPV] AOR = 2.51). Social support was associated with a reduction in treatment use (AOR = 0.97). Significant access barriers included not feeling ready for help, and previous negative experiences related to sexual identity.

conclusionDisclosing sexual identity to a regular, trusted GP correlated with improved utilisation of alcohol and mental health treatment for SSAW. The benefits of seeking help for alcohol use, and of accessing LGBT-inclusive GPs to do so, should be promoted to SSAW.

Indexed as

alcoholgeneral practitionerhealth service usemental healthsame-sex attracted women

Identifiers

PMID30564720
PMCPMC6184099
OpenAlexW2804261016

What OpenQuestion holds

Textmetadata
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.