Research highlights health inequalities in the LGB community ShareThis


A study of the mental health of the LGB population has found that people who identified as gay, lesbian or bisexual experienced poorer mental health than heterosexual people. The research highlights the inequalities experienced by sexual minorities.

Published in Preventive Medicine, the research examined variation in markers of physical and mental health among both sexual minority and heterosexual individuals and was one of the first studies to include data on people who identify as other and those who prefer not to say (PNS), as well as those who identify as gay, lesbian, bisexual or heterosexual. The data was taken from Wave Two and Wave Three (2011–2014) of Understanding Society.

Sexual orientation was asked in the self-completion portion of the study. Markers of health include physical and mental functioning, minor psychological distress, self-rated health, substance use and disability.

Over 40,000 individuals completed the self-completion survey and answered the sexual orientation question at Wave Three. Ninety-four percent of respondents identified as heterosexual/straight, 1% identified as gay or lesbian, 1% as bisexual, 1% as other and 3% preferred not to state (PNS) their sexual orientation.

Key findings

  • Gay/lesbian and bisexual respondents were more likely to report having a limiting long-standing illness compared to heterosexual respondents
  • Bisexuals experienced the poorest health and other studies from different countries have shown similar findings.
  • Sexual minority young people were more likely to report use of other drugs in the past year compared to heterosexual and PNS young people.
  • Respondents who prefer not to say their sexual orientation had lower scores on the general health indicators, e.g. physical and mental functioning, when compared to heterosexuals.
  • PNS respondents reported better smoking and alcohol behaviours than heterosexual respondents.

One of the report’s authors, Dr Cara Booker from the University of Essex, explains why this research is important. “Few studies from the United Kingdom have fully investigated inequalities between members of different sexual minority groups and heterosexuals over range of health outcomes.
“To our knowledge, this is one of the first studies to include respondents who categorise themselves as other or prefer not to state their sexual orientation. The findings from this study show that these respondents should not simply be excluded when exploring mechanisms that contribute to health inequality among sexual minorities.”

Dr Booker fully explains why this report used Understanding Society data. “A major strength of this study is that it uses national-representative data and that it is able to directly compare socio-demographic and health characteristics between sexual orientation groups. The sexual orientation question is asked in the self-completion portion of Understanding Society which may lead to higher reporting of being a sexual minority than if asked in the face-to-face interview.”

The report suggests “more should be done within the health service to encourage providers and patients to discuss health implications and practices associated with being a sexual minority, specifically among bisexuals. Additionally, service providers should be made aware of the health inequalities associated with non-stated sexual minorities, such as those who prefer not to state their sexual orientation or those who state theirs as other.”

Read the full paper

Cara L. Booker et al. Sexual orientation health inequality: Evidence from Understanding Society, the UK Longitudinal Household Study. Preventive Medicine. 8 June 2017.

NB Please note that this news article has been reposted from the Understanding Society website.