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COMPARING PERCEIVED AND UNMET MENTAL HEALTH NEEDS AMONG LGB AND HETEROSEXUAL INDIVIDUALS IN CANADA

dc.contributor.authorPrince, S M Kawser Zafor
dc.contributor.copyright-releaseNot Applicable
dc.contributor.degreeMaster of Science
dc.contributor.departmentDepartment of Community Health & Epidemiology
dc.contributor.ethics-approvalNot Applicable
dc.contributor.external-examinern/a
dc.contributor.manuscriptsNot Applicable
dc.contributor.thesis-readerCindy Feng
dc.contributor.thesis-readerJennifer Lane
dc.contributor.thesis-supervisorJianLi Wang
dc.date.accessioned2025-10-09T16:36:01Z
dc.date.available2025-10-09T16:36:01Z
dc.date.defence2025-10-06
dc.date.issued2025-10-09
dc.description.abstractObjectives: This study aimed to (1) estimate and compare proportions of perceived and unmet mental health needs among Lesbian Gay, Bisexual (LGB) and heterosexual individuals in Canada; (2) assess changes in these needs between 2012 and 2022; and (3) evaluate associations between LGB identity and mental health needs. Methods: Data derived from Canadian Community Health Survey - Mental Health (CCHS-MH) 2012 and Mental Health and Access to Care Survey (MHACS) 2022. Survey-weighted proportions were calculated, and multivariable logistic regression examined associations between LGB status and perceived or unmet needs, adjusting for covariates. Effect modification by age, sex, and race was tested. Results: LGB adults reported higher perceived needs in 2012 (44% vs. 17%) and 2022 (62% vs. 23%) (p < 0.05). Unmet needs remained constant at 50%. Adjusted ORs for perceived need were 2.17 (2012) and 2.88 (2022). Unmet needs were significantly higher in 2012 (OR: 1.53) but not in 2022 (OR: 1.09). No effect modification was observed. Conclusions: Despite progress among heterosexual individuals, unmet needs among LGB adults remain unchanged, highlighting the urgency for tailored, trauma-informed, sexual minority-affirming mental health interventions.
dc.identifier.urihttps://hdl.handle.net/10222/85467
dc.language.isoen
dc.subjectSexual Minorities
dc.subjectMental Health Services
dc.subjectHealth Services Needs and Demand
dc.subjectHealth Services Accessibility
dc.subjectHealth Surveys
dc.subjectCross-Sectional Studies
dc.subjectHealth Status Disparities Canada
dc.subjectNeeds Assessment
dc.titleCOMPARING PERCEIVED AND UNMET MENTAL HEALTH NEEDS AMONG LGB AND HETEROSEXUAL INDIVIDUALS IN CANADA

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