{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T02:50:47Z","timestamp":1785207047776,"version":"3.55.0"},"reference-count":46,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["LGBT Health"],"published-print":{"date-parts":[[2022,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>This study examined differences in mental health and health risk behaviors across sexual orientation and gender identity among U.S. veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Veterans were recruited through targeted social media advertising, community organizations, and listservs to complete an online survey (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u20091062). Generalized linear regression was used to evaluate differences in outcomes between subgroups, which included cisgender heterosexual men and women, lesbian women, gay men, bisexual men and women, transgender men and women, and veterans with other gender identities.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Transgender men and women reported a significantly higher prevalence of lifetime suicide plans and attempts compared to all other subgroups within the respective genders. Beyond this finding, patterns of all outcomes varied by gender. Compared to other subgroups of men, transgender men reported higher prevalence of posttraumatic stress disorder, whereas cisgender gay men reported higher prevalence of lifetime cocaine use and positive human immunodeficiency virus (HIV) status. Within the women subgroups, all LGBT subgroups reported higher prevalence of lifetime smoking and past-year marijuana use compared to heterosexual women. Cisgender lesbian women also reported higher prevalence of past-month heavy episodic drinking, and cisgender bisexual women reported higher prevalence of lifetime cocaine and stimulant use compared to other groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Transgender women and men reported significantly higher prevalence of lifetime suicide plans and attempts than other groups, highlighting this as an area in need of urgent public health attention. Other disparity patterns indicated the importance of examining subgroups within the LGBT veteran community.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lgbt.2022.0039","type":"journal-article","created":{"date-parts":[[2022,6,29]],"date-time":"2022-06-29T10:33:29Z","timestamp":1656498809000},"page":"543-554","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Disparities in Mental Health and Health Risk Behaviors for LGBT Veteran Subgroups in a National U.S. Survey"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0230-2910","authenticated-orcid":false,"given":"Keren","family":"Lehavot","sequence":"first","affiliation":[{"name":"Health Services Research &amp; Development (HSR&amp;D) Center of Innovation (COIN), VA Puget Sound Health Care System, Seattle, Washington, USA."},{"name":"Department of Psychiatry &amp; Behavioral Sciences, University of Washington, Seattle, Washington, USA."},{"name":"Department of Health Systems and Population Health, University of Washington, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristine","family":"Beaver","sequence":"additional","affiliation":[{"name":"Health Services Research &amp; Development (HSR&amp;D) Center of Innovation (COIN), VA Puget Sound Health Care System, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac","family":"Rhew","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences, University of Washington, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krista","family":"Dashtestani","sequence":"additional","affiliation":[{"name":"Health Services Research &amp; Development (HSR&amp;D) Center of Innovation (COIN), VA Puget Sound Health Care System, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Upham","sequence":"additional","affiliation":[{"name":"Health Services Research &amp; Development (HSR&amp;D) Center of Innovation (COIN), VA Puget Sound Health Care System, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6742-7912","authenticated-orcid":false,"given":"Jillian","family":"Shipherd","sequence":"additional","affiliation":[{"name":"LGBTQ+ Health Program, Office of Patient Care Services, Veterans Health Administration, Washington, District of Columbia, USA."},{"name":"National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, Boston, Massachusetts, USA."},{"name":"Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0766-8404","authenticated-orcid":false,"given":"Michael","family":"Kauth","sequence":"additional","affiliation":[{"name":"LGBTQ+ Health Program, Office of Patient Care Services, Veterans Health Administration, Washington, District of Columbia, USA."},{"name":"South Central Mental Illness Research, Education and Clinical Center, Michael E. 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