PMID- 30564720
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220330
IS  - 2398-3795 (Electronic)
IS  - 2398-3795 (Linking)
VI  - 2
IP  - 2
DP  - 2018 Jul
TI  - Health service use by same-sex attracted Australian women for alcohol and mental 
      health issues: a cross-sectional study.
PG  - bjgpopen18X101565
LID - 10.3399/bjgpopen18X101565 [doi]
LID - bjgpopen18X101565
AB  - BACKGROUND: Same-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. AIM: This study investigated the 
      influences on health service use for alcohol and mental health problems among 
      SSAW. DESIGN & SETTING: The Gelberg-Andersen behavioural model of health service 
      utilisation was used to generate outcome variables. METHOD: A convenience sample 
      of 521 community-connected Australian SSAW completed an online survey. Health 
      service use according to sexual identity was compared using chi(2) analysis. Binary 
      logistic regression examined associations between the independent variables with 
      treatment utilisation. RESULTS: Reports 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. CONCLUSION: Disclosing 
      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.
FAU - McNair, Ruth
AU  - McNair R
AD  - Honorary Associate Professor, Department of General Practice, University of 
      Melbourne, Carlton, Australia.
FAU - Pennay, Amy
AU  - Pennay A
AD  - Research Fellow, School of Psychology and Public Health, Centre for Alcohol 
      Policy Research, La Trobe University, Melbourne, Australia.
FAU - Hughes, Tonda L
AU  - Hughes TL
AD  - Professor of Nursing in Psychiatry and Director of Global Health Research, 
      Department of Psychiatry, School of Nursing, Columbia University, New York, US.
FAU - Love, Scarlet
AU  - Love S
AD  - Resident Medical Officer, Royal Melbourne Hospital, Parkville, Australia.
FAU - Valpied, Jodie
AU  - Valpied J
AD  - Honorary Lecturer, Department of General Practice, University of Melbourne, 
      Carlton, Australia.
FAU - Lubman, Dan I
AU  - Lubman DI
AD  - Director, Turning Point, Eastern Health Clinical School, Monash University, 
      Melbourne, Australia.
AD  - Professor of Addiction Studies and Services, Monash University, Melbourne, 
      Australia.
LA  - eng
PT  - Journal Article
DEP - 20180516
PL  - England
TA  - BJGP Open
JT  - BJGP open
JID - 101713531
PMC - PMC6184099
OTO - NOTNLM
OT  - alcohol
OT  - general practitioner
OT  - health service use
OT  - mental health
OT  - same-sex attracted women
EDAT- 2018/12/20 06:00
MHDA- 2018/12/20 06:01
PMCR- 2018/05/16
CRDT- 2018/12/20 06:00
PHST- 2017/10/24 00:00 [received]
PHST- 2018/02/20 00:00 [accepted]
PHST- 2018/12/20 06:00 [entrez]
PHST- 2018/12/20 06:00 [pubmed]
PHST- 2018/12/20 06:01 [medline]
PHST- 2018/05/16 00:00 [pmc-release]
AID - 01565 [pii]
AID - 10.3399/bjgpopen18X101565 [doi]
PST - epublish
SO  - BJGP Open. 2018 May 16;2(2):bjgpopen18X101565. doi: 10.3399/bjgpopen18X101565. 
      eCollection 2018 Jul.