ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2024
Disparities in positive mental health of sexual and gender minority adults in Canada.
Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Mental health status of sexually diverse youth at age 23: Cross-sectional data from the Quebec Longitudinal Study of Child Development.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Positive psychological well-being and psychological distress in higher education students.Journal of affective disorders · 2026Article
- Experiences of sexually and gender-diverse women with community-based health promotion services in Canada.BMC health services research · 2026Article
- Joy in the margins: examining narratives of everyday resistance among SGM BIPOC young adults in Orange County.BMC public health · 2025Article
- Coping and positive mental health in Canada among youth and adults: findings from a population-based nationally representative survey.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025Article
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Authors and funding
3 authors.
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Abstract
introductionThe goal of this study was to examine potential disparities in positive mental health (PMH) among adults in Canada by sexual orientation and gender modality.
methodsUsing 2019 Canadian Community Health Survey (CCHS) Annual Component data (N = 57 034), we compared mean life satisfaction and the prevalence of high self-rated mental health (SRMH), happiness and community belonging between heterosexual and sexual minority adults, and between cisgender and gender minority adults. We used 2019 CCHS Rapid Response on PMH data (N = 11 486) to compare the prevalence of high psychological well-being between heterosexual and sexual minority adults. Linear and logistic regression analyses examined the between-group differences in mean life satisfaction and the other PMH outcomes, respectively.
resultsSexual minority (vs. heterosexual) adults reported lower mean life satisfaction (B = -0.7, 95% CI: -0.8, -0.5) and were less likely to report high SRMH (OR = 0.4, 95% CI: 0.3, 0.5), happiness (OR = 0.4, 95% CI: 0.3, 0.5), community belonging (OR = 0.6, 95% CI: 0.5, 0.7) and psychological well-being (OR = 0.4, 95% CI: 0.3, 0.6). Differences were not always significant for specific sexual minority groups in sexstratified analyses. Gender minority adults reported lower mean life satisfaction and were less likely to report high SRMH and happiness than cisgender adults.
conclusionFuture research could investigate how these PMH disparities arise, risk and protective factors in these populations, how other sociodemographic factors interact with sexual orientation and gender identity to influence PMH and changes in disparities over time.
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