{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:57:12Z","timestamp":1790823432712,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Studies documenting the health of sexual and gender minorities have mostly relied on practices to define minorities and have failed to examine associations between sexual and gender minorities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Based on the CSF2023, a national population\u2010based survey on sexuality and sexual health in France, we analyze (i) the multidimensionality of sexual orientation within the lesbian, gay, bisexual, and transgender, queer, or other sexual orientations and gender identities (LGBT+) population, and (ii) their experiences of sexual violence and discrimination and its impact on mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>While 8% of women and 7% of men aged 18\u201389\u2009years reported having a same\u2010sex partner, a higher proportion (23% of women and 15% of men) were not strictly heterosexual, that is, reported same\u2010sex attraction, same\u2010sex practices, or identification as non\u2010heterosexual. Thinking about changing gender remained a rare phenomenon (2% of women and 3% of men). In a linear regression model using the Patient Health Questionnaire\u20109 (PHQ9) score, the mental health of non\u2010strictly heterosexuals appeared to be worse than that of heterosexuals (c\u2009=\u20090.86 (0.42\u20131.31) for women; c\u2009=\u20091.00 (0.45\u20131.55) for men), as was the mental health of those who had thought about changing gender versus those who had not (c\u2009=\u20091.73 (0.63\u20132.84) for women; c\u2009=\u20092.10 (0.76\u20133.43) for men).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Considering indicators of sexual orientation and gender identity that go beyond practices significantly expands the boundaries of minority groups whose mental health appears to be impaired. This perspective is essential if we are to reach the target groups of mental health prevention policies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psrh.70089","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:08:35Z","timestamp":1790820515000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<scp>LGBT<\/scp>\n                    + People in France and Mental Health: Changing the Boundaries"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2236-0886","authenticated-orcid":false,"given":"Elise","family":"Marsicano","sequence":"first","affiliation":[{"name":"Strasbourg University  Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Beaubatie","sequence":"additional","affiliation":[{"name":"CNRS  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Kuhn","sequence":"additional","affiliation":[{"name":"IRIS, INSERM\/EHESS\/CNRS  Aubervilliers France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Bajos","sequence":"additional","affiliation":[{"name":"IRIS, INSERM\/EHESS\/CNRS  Aubervilliers France"},{"name":"EHESS  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Rapport sur l'homophobie 2016","author":"SOS homophobie","year":"2017"},{"key":"e_1_2_8_3_1","volume-title":"Rapport sur les Lgbtiphobies 2023","author":"SOS homophobie","year":"2024"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020731419885093"},{"key":"e_1_2_8_5_1","volume-title":"STI Cases on the Rise Across Europe","author":"ECDC","year":"2024"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508\u2010012\u20109902\u20101"},{"issue":"2","key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/S0029-6465(22)02384-2","article-title":"Health Problems of Gay and Bisexual Men","volume":"34","author":"Ungvarski P. 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