Mental and physical health of LGBT people

Key findings

(1) The use of the gastrointestinal tract as a genital organ is associated with health risks of an infectious and traumatic nature.

(2) Among people leading a homosexual lifestyle, both men and women, there are manifold increased risks of various diseases, both infectious (HIV, syphilis, gonorrhea, etc.), and surgical and psychiatric.

Introduction

The next statement of the LGBT + activists - the movement is a statement that the same-sex sexual act is supposedly a kind of physiological behavior of a person and, as a result, has no effect on health. The anatomical and physiological characteristics of the human body and research results contradict similar slogans. Homosexual behavior is associated with an increased risk of various pathologies, which the LGBT + activists are silent about.

When considering this topic, we will analyze the following aspects: (1) violations associated with homosexual sexual intercourse; (2) homosexual disorders.

General health indicators

According to Ruth and Santacruz (2017), a significant amount of scientific research indicates that, compared with heterosexuals, individuals who practice homosexuality and a homosexual lifestyle have recorded significant inequalities in both physical and mental health. The latter experience more health problems throughout life, including infections, including HIV in men, asthma, and diabetes in women (Corliss et al. Xnumx) and other chronic diseases, an increased risk of cardiovascular disease and cancer, a higher probability of becoming disabled at a young age. Juveniles are at greater risk of secondhand smoke and violence. There is a higher mortality rate, in particular, an increased risk of mortality for women, bisexual men and women, suicide attempts, as well as undesirable psychosocial circumstances, many of which are clearly psychiatric in nature, such as increased rates of anxiety, panic attacks, mental disorders, depression and disorders associated with increased use of psychoactive substances, loneliness in old age (Ruth et Santacruz 2017; Lick et al. Xnumx; Yarns et al. Xnumx) Despite the fact that compulsive sexual acts that cause personal stress or psychosocial dysfunction are not formally listed as an independent disease in the latest edition of the classification of the most authoritative American Psychiatric Association (“DSM-5”), some patients and clinicians consider them to be a variety addictions, like addiction to gambling (Yarns et al. Xnumx).

Risks associated with homosexual intercourse

Homosexual men

According to empirical studies, homosexual intercourse between men is associated with health risks. Homosexual intercourse between men practices anal-genital contact1; in scientific and legal literature, anal-genital contact is also called sodomy (Fischel xnumx, p. 2030; Zhakupova 2015, p. A543; Weinmeyer xnumx, p. 916; Israeli Penal Law, art. 347c) In the vast majority of cases, anal eroticism is practiced in homosexual contact between men - the anus and rectum are used in various ways. According to the results of a European study of men who have sex with men, anal-genital contact was practiced in 95% of all sexual contacts, (EMIS 2010, p. 113). Another study examined the practice of sexual contact of homosexual men not infected with HIV, whose partners were carriers of HIV infection - anal-genital contact was practiced in 99,7% of all sexual contacts (Rodger 2016, p. 177).

In addition, the practice of unprotected anal-genital contact among men who have homosexual sex, according to various sources, is 41% (Valleroy 2000), 43% (Grov 2014), 56% (Nelson xnumx), 58% (EMIS 2010, p. 116). The use of condoms in anal-genital contact between men has been declining in recent years (Hess 2017, p. 2814; Unemo 2017).

Risks associated with anal eroticism

The rectum - the final section of the human gastrointestinal tract - is normally intended for the accumulation and excretion of soft and supple feces. The process of human digestion is associated with the presence of symbiotic microorganisms in the lumen of the intestine that contribute to the breakdown of various substances from food (Quigley 2013) These microbes in a healthy person never penetrate the bloodstream due to the presence of a physiological barrier consisting of a mucous layer and intestinal wall (Faderl xnumx) The penetration of symbiotic organisms into the bloodstream causes various diseases, including sepsis (Takiishi 2017; Kelly 2015).

Human gastrointestinal tract

The anatomical structure and physiological function of the rectum do not provide for its use in sexual contacts: the interpretation of anal-genital contact as equivalent to vaginal coitus contradicts the anatomical and biological properties of the human body. Even using a condom, anal-genital contact carries great risks, mainly for the recipient. When exposed to the rectum during the aforementioned sexual activity, its soft tissues are injured. These tissues serve to accumulate relatively soft fecal masses when preparing them for excretion due to slow involuntary contractions of the intestine. A comparison of the rectum with the vagina is irrelevant: the tissues of the rectum are never as strong as the tissues of the vagina, an organ that is evolutionarily designed for reproductive activity. In addition, the environment of the vagina itself is much cleaner than the environment of the rectum. The vagina has special natural lubricants and is supported by a network of muscles. The inner side of the vagina is covered with a thick mucous membrane, consisting of many layers of epithelial cells, which allows you to transfer friction without damage and withstand the immunological effects of sperm. The inner side of the rectum is covered with a thin membrane consisting of a single layer of epithelial cells. The tissues of the rectum are always more or less traumatized in the process of anal sexual activity. Even in the absence of a noticeable injury, microcracks and microcracks of the mucosa contribute to the penetration of fecal microparticles, sperm proteins and microbes into the bloodstream.

Schematic comparison of the mucous membrane of the rectum and vagina. Source: mtnstopshiv.org

Specialists noted that homosexual men have a characteristic lesion of the colon and rectum, due to the non-physiological use of these organs (Kazal 1976) The complex of these pathologies was even called homosexual bowel syndrome.2; it includes in decreasing order of frequency: conical condylomatosis, hemorrhoids, proctitis, rectal fissures and fistulas, pararectal abscesses, amoebiasis, polyps, viral hepatitis, gonorrhea, syphilis, rectal injuries, foreign bodies in the rectum, shigellosis, ulcers rectum and lymphogranulomatosis (Owen xnumx; Kazal 1976) Some authors have criticized the term “homosexual bowel syndrome” on the basis that some of these disorders are also found in the intestines of women, but the vast majority of patients with this syndrome are men who practice anal eroticism with other men (Glenn 1994; Markell 1983).

In addition to the walls of the rectum, the anal sphincter, the annular muscle, also suffers due to the reduction of which, outside the process of defecation, feces are held in the rectum. The anal sphincter has a certain level of tone and elasticity, is able to stretch only minimally to remove relatively soft feces. With repeated injuries, friction and tension, the sphincter loses its tone and ability to maintain a tight closure.

Based on the foregoing, we consider the following problems caused by anal-genital contact: (A) the penetration of microorganisms and viruses from the rectal cavity into the bloodstream due to traumatic friction; (B) fecal incontinence due to stretching of the anal sphincter, and injury to the intestinal wall; (B) disorders caused by an immune response to sperm.

A. Risks of infections

AIDS among gay men

With anal-genital contact, the risk of transmission of the human immunodeficiency virus (HIV / AIDS) is significantly increased, which is also facilitated by the insufficient thickness of the rectal mucosa (Baggaley 2010; Belec 1995; Levy 1993) When HIV / AIDS was first detected in the United States, in 1981, it was originally called gay-related immune defficiency (GRID) by homosexuals3since homosexuals accounted for more than 90% of all newly diagnosed cases (Altman 1982) According to the US National Center for Disease Control and Prevention (NCHP) for the 2015 year, men who have sex with men account for 67% of all new HIV infections in the USA and 82% of all new HIV infections in boys and men over 13 years (CDC 2015) The frequency of AIDS among this group of people is 50 times the frequency in other groups (Bagby 2009). The risk of HIV infection with unprotected anal-genital sexual contact is 17,25 times higher than with unprotected vaginal sex (Patel 2014).

In 2007, the NCHP published a report that provided statistics on mortality and risk factors for mortality (CDC 2007) Among the total number of deaths from AIDS, the risk factors that led to the disease AIDS (for example, blood transfusion, homosexuality, drug addiction, etc.) were calculated. According to the 2007 report, homosexual contact was the only way to become infected with HIV in 59,2% of all AIDS deaths (CDC 2007, p. 19), and in 2015 the figure reached 66,8% (CDC 2015, p. 18). The data presented at the National NCHP Conference in 2010 showed that the frequency of new HIV diagnoses among homosexual men is more than 44 times higher than that of other men (CDC 2010; CDC Press Release xnumx) According to the NCHP report for the 2010 year, homosexual men accounted for 63% of all new cases of HIV infection recorded (CDC 2012) and 67% - of all new HIV cases in 2015 year (Nelson xnumx) In Australia, gay men accounted for 80% of new HIV cases in 2017 year (Kirby Institute 2017).

It is interesting that, according to the same NCHPZ for 2010-2016 years, the number of infections among heterosexuals is decreasing every year (in 2015, about 3 000 per year), while among homosexuals it remains unchanged - about 26 000 per year (CDC 2016) Given that in the United States homosexuals make up only 2.3% of the population (Ward et al. Xnumx), HIV infection among them occurs approximately 375 times more often than among heterosexuals. Currently, only 9% of infections in the United States occur through heterosexual contacts, while homosexuals, despite their relative small numbers, are responsible for 67% of all HIV infections, and for 83% among men.

HIV infection among men in the United States.
Source: US National Center for Disease control, HIV Surveillance reports, vol. 28, page 17
HIV infection among men in the United States.
MSM are men who have sex with men.
Source: US National Center for Disease control, HIV Surveillance reports, vol. Xnumx

A similar picture is observed in other countries.

HIV infection among men in Australia.
MSM are men who have sex with men.
Source: HIV, hepatitis and STIs in Australia. The Kirby Institute, 2017
HIV infection among men in Canada.
MSM - men who have sex with men.
VVN - intravenous drug administration.
Source: HIV and AIDS in Canada. Surveillance report to December 31, 2013,
Public Health Agency of Canada, November 2014
HIV prevalence among men who have sex with men compared to the general population, 2009 – 2013 years. Based on UN Country Program Reports (UNAIDS 2014, p. 5)

Moreover, due to the significantly higher incidence of AIDS among homosexuals, they are forbidden to donate organs and blood, even in countries where homosexuality is indoctrinated in public life (for example, the USA, Germany or the Netherlands) (FDA 2017).

Also, AIDS and related immune disorders are one of the causes of the development of a malignant skin tumor called Kaposi’s sarcoma: in the USA, Kaposi’s sarcoma associated with AIDS is observed mainly among men who have sex with men (Kumar 2016; PDQ 2015).

HIV / AIDS is not the only sexually transmitted disease (STD) that is common for gay men. According to various reports, gay men have an increased risk of the following STDs: syphilis (Towns 2017), gonorrhea (Fairley 2017b), chlamydia and venereal lymphogranulomatosis (Saxon xnumx; Annan 2009) viral hepatitis (CDC 2015; Lim xnumx), cryptosporidiosis (Hellard xnumx), Epstein-Barr virus (Hsu xnumx; Van Baarle 2000; Naher 1995), shigellosis (Danila xnumx; Thorpe in Holmes xnumx, p. 549), salmonellosis and typhoid (Reller 2003; Baker xnumx), papillomavirus (Patel 2017) Below we will note in more detail some of the listed STDs.

Source: Sexually transmitted infections and screening for chlamydia in England, 2017.
Public Health England. Health Protection Report Volume 12, Number 20, 8 June 2018.
Syphilis

Some authors call syphilis a new (after HIV) epidemic among homosexuals (Spornraft-Ragaller 2014) For example, according to the King County of Washington State in America for 1999 year, 85% of cases of syphilis were reported among gay men (CDC 1999) At the national level in America, the incidence of primary and secondary syphilis among homosexual men is more than 46 times higher than that of heterosexuals (CDC 2010) There has been an increase in new cases of syphilis among gay men over the past decade (Mayer 2017; Abara xnumx, p. 9).

Gonorrhea

There is an increase in the incidence of gonorrhea among homosexual men (Fairley 2017b) The incidence of gonorrhea among men who have sex with men is ten times higher than the incidence of gonorrhea in heterosexual intercourse, even in countries with a developed health system (Fairley 2017a) In homosexual men, gonorrhea infection affects mainly the pharynx and rectum, and the infection proceeds with implicit symptoms, or generally asymptomatically (Barbee 2014).

B. Risks of damage to the anal sphincter

According to the results of a large American study, regular practice of anal-genital sexual contact leads to dysfunction of the anal sphincter and fecal incontinence - encopresis (Markland xnumx).

The analysis included data from 4 individuals aged 170–20 years (69 women and 2 men) ... After multivariate adjustment for other factors associated with fecal incontinence, anal-genital contact remained a significant predictor of fecal incontinence in men (prevalence rate: 070 , 2, with a 100% confidence interval: 2,8-95) and women (prevalence rate: 1,6, with a 5,0% confidence interval: 1,5-95) ... Conclusions: the results found support the statement that anal-genital contact is a factor leading to fecal incontinence in adults, especially in men (Markland xnumx).

Fecal incontinence refers to the involuntary discharge of intestinal contents (feces, liquid, gases) and the inability to delay defecation until reaching the toilet (Paquette xnumx) Fecal incontinence carries a risk of secondary complications, can lead to disability and serious personal problems of patients, and its treatment is a very difficult task (Saldana Ruiz 2017) The result of anal-genital intercourse, “by mutual consent is too rude”, may be serious intestinal injuries requiring urgent surgical intervention (Altomare 2017, p. 372). Anal-genital contact in many cases leads to severe pain (Rosser 1998; Damon 2005; Hollows xnumx; Hirshfield xnumx)

B. Risks Associated with Immune Response to Sperm

Antisperm antibodies (ASA) - antibodies produced by the human body against sperm antigens (Krause 2017, p. 109). The formation of ASA is one of the reasons for the decrease in fertility or autoimmune infertility: ASA affect the function of spermatozoa, disrupt fertilization processes (change the course of the acrosomal reaction), implantation and development of the embryo (Restrepo 2013) Studies on various animal models have shown a relationship between ASA and embryo degeneration (Krause 2017, p. 164) Cui et al. After conducting a meta-analysis of the relationship between ASA and male infertility, covering 1167 cases of male infertility, we found that in 238 cases (20,4%) in infertile men, ASA (Cui xnumx), and Restrepo and Cardona-Maya indicate in their review that ASA is the cause of infertility in 10 – 30% infertile couples (Restrepo 2013) According to Fijak et al, this indicator may be even higher, since in 31% of cases the causes of infertility remain unspecified, and ASA can also play a role in these unspecified cases (Fijak xnumx, 2018) The contraceptive effects of ASA are being investigated during the development of the so-called immune contraceptive vaccine for humans (Krause 2017, p. 251), as well as to reduce and control the wildlife population (Krause 2017, p. 268).

A number of authors indicate that sperm in the rectum during anal-genital contact is the cause of the formation of ASA in both sexes (Rao 2014Tom. 1, p. 311; Lu 2008; Bronson xnumx) Wolff et al. Found that the frequency of detection of ASA in homosexual men reaches 28,6% (Wolff xnumx) A study by Witkin and colleagues revealed a correlation between the presence of sperm antigens and circulating immune complexes in blood plasma in homosexual men compared to heterosexuals (Witkin 1983a) In a study by Mulhall and colleagues, the detection rate of ASA in men who had unprotected receptive anal-genital contact during the last 6 months was 17%, and 0% in men who did not practice such contacts (Mulhall 1990) However, a study by Sands et al. Did not reveal a relationship between homosexual contacts and ASA titers in men (Sands xnumx) Nevertheless, leading experts in the field of immune infertility believe that, despite the insufficient number of studies for an unambiguous conclusion, the likelihood of ASA formation in male receptive partners in genital-anal contact is very high (Krause 2017, p. 142).

ASA can also form in the body when the blood-testicular barrier is violated (blood is contacted with semigenic cells) due to sexually transmitted diseases (see above: gonorrhea, etc.) - the formation of antisperm antibodies to antigens of their own spermatozoa (Jiang xnumx; Restrepo 2013; Francavilla xnumx, p. 2899).

Interestingly, spermatozoa associated with ASA can cause the formation of ASA in women (Krause 2017, p. 166). This fact is of special scientific and clinical interest, taking into account the data that from 45,6% to 73% of homosexual men have sex with women (Tao xnumx; Larmarange xnumx) Fethers and co-authors cite similar data in their study of sexual practices in homosexual women: for them, the likelihood of sexual contact with a homosexual man was many times higher than for heterosexual women (Fethers xnumx, pages 347 – 348).

Regarding the long-term consequences of ASA in the problem of infertility, Kirilenko et al write:

“... In recent years, it has become clear that the poor quality of sperm is the cause of not only the absence of pregnancy, but also impaired development of the embryo, congenital anomalies, and even cancer in children. Of the many currently suggested causes of impaired sperm function, nuclear DNA damage is the most studied and increasingly recognized as a key factor affecting the quality of the embryo, its development and implantation. Meta-analyzes on the role of DNA fragmentation showed that the risk of spontaneous abortion and fetal development disorders increases up to four times with increased sperm DNA fragmentation (15-30% norm, depending on the methods used), even after methods of in vitro fertilization and intracytoplasmic sperm injection. The leading pathogenetic mechanism of such damage is considered to be the overproduction of reactive oxygen species - ozone, hydrogen peroxide, nitric oxide, which leads to spermatozoa OS. The most common cause of oxidative stress in the male reproductive system is infectious and inflammatory diseases and ASA in the male urogenital tract ... ”(Kirilenko 2017).

Of course, a study evaluating the relationship with men who have sex with men as a risk factor for female infertility would clarify this issue.

In addition to reproductive problems, rectal administration of sperm is likely to be the cause of other disorders. An interesting observation was made by Witkin et al .: weekly rectal insemination of male rabbits with rabbit sperm for 15 weeks led to the appearance of antibodies to GM1 gangliosides. Similar antibodies have been found in homosexual AIDS patients (Witkin 1983b), however, in this case, additional research is needed for any unambiguous conclusions.

Homosexuals have autoimmune thrombocytopenic purpura, including severe forms (Bender xnumx; Goldsweig 1986; Morris xnumx) Morris and colleagues suggested that hematologic abnormalities were due to spermogenic immune responses (Morris xnumx).

Risks associated with other forms of anal eroticism

Anal and manual penetration or fisting4 - the practice of sexual contact with the introduction of the hand into the rectum (Holland xnumx, p. 34). According to the international European survey, among homosexuals who have had sexual intercourse with unstable partners over the past year, 17,1% practiced anal-manual penetration in the active role, and 10,5% in the receptive role (EMIS 2010, p. 116). According to surveys among gay men, 7% of respondents in Los Angeles, USA practice fisting (NTS 1998) and 8% of respondents in Sydney, Australia (Richters xnumx).

Anal-manual penetration (both by force and by consent) leads to a number of significant anatomical and functional damage to the digestive tract (Capeletti 2016) In a study conducted among men who have sex with men, 14% practiced fisting. Moreover, a link between fisting and HIV and STDs has been identified (Rice xnumx) A study conducted among gay men infected with HIV also showed that fisting is one of the risk factors for HIV infection (Callander 2016).

Anal-oral contact or rimming5 - The practice of sexual contact with stimulation of the anus with the tongue and lips. According to the international European survey, among homosexuals who have had sexual intercourse with unstable partners over the past year, 64,6% practiced anal-oral contact in the active role, and 76,0% in the receptive role (EMIS 2010, p. 116).

In a study conducted among men who have sex with men, rimming was practiced by 85%, and a relationship was also revealed between rimming and STDs (Rice xnumx) In a study by Keystone and colleagues (1980), intestinal parasites were detected in 67,5% of homosexual men and 16% of heterosexual men, including intestinal amoebiasis (27% and 1%, respectively) and giardiasis (13% and 3%, respectively) (Keystone 1980) Interestingly, 17% of heterosexuals in this sample practiced anilingus, but did not have intestinal parasites (Keystone 1980) Such observations suggest that intestinal parasitoses among homosexuals are associated not only with the practice of anal eroticism, but also with the fact that they serve as a reservoir of intestinal parasites, which is confirmed by more than one controlled study (Ezeh 2016) Anal-oral contact is also associated with a high frequency of gonorrheal infection of the pharynx in men who have sex with men (Chow xnumx, 2016; Templeton xnumx).

Homosexual women

The health consequences of homosexual behavior for women have been described and studied to a lesser extent than for men - this is partly due to the fact that the HIV epidemic among gay men has attracted the lion's share of medical attention. Also, the difficulty in studying the health risks among homosexual women is due to the fact that most women who have sex with women have sex with men, and up to 30% they continue to have heterosexual sexual activity (Marrazzo xnumx; Solarz 1999; O'Hanlan 1996; Skinner 1996; Ferris xnumx; Einhorn xnumx; Johnson 1987) For example, in a study in an Australian STD clinic, only 7% of homosexual women said they had never had heterosexual intercourse (Fethers xnumx, p. 348). This study also examined the average number of male partners over a lifetime: there were twice as many homosexual women as heterosexual women (Fethers xnumx, p. 347). The likelihood of having sex with more than 50 men was 4,5 times higher for homosexual women than for heterosexual women, and the likelihood of having sex with a gay man who is HIV-infected or drug addict is 3 times higher (Fethers xnumx, pages 347 – 348).

In addition to STDs, there is a risk of transmission of intestinal infections and injuries in homosexual intercourse between women. According to a survey of homosexual women in Michigan, female homosexual intercourse includes: vaginal-oral stimulation during the menstrual period of the receptive partner - 38,1% of cases, anal-oral stimulation - 16,9%, anal penetration (by hand or objects) with bleeding or trauma - 2,4%, injection of urine or feces into the mouth or vagina - 1,7% (Bybee xnumx) In a survey in Italian Turin, 95,1% of women who have sex with women indicated that they had homosexual intercourse during menstruation (Raiteri 1994, p. 202), and 46,1% practice anus manipulation in sexual contact (Raiteri 1994, p. 202). In another study, 7% of homosexual women indicated that they had been practicing anal-oral stimulation in the last two weeks (Russel 1995) According to another study, 17% practice manual-vaginal penetration - insertion of a hand into the vagina or vaginal fisting, 29% - anal-oral stimulation, and 3% - anal fisting (Bailey 2003, p. 148). In a study by Schick and colleagues, vaginal fisting over the past month has been practiced by 14,5% of women who have sex with women (Schick xnumx, p. 409).

According to studies, homosexual women have, in comparison with heterosexual women, an increased frequency of bacterial vaginosis (Bailey 2004; McCaffrey 1999; Skinner 1996; Berger 1995; Edwards xnumx), 2,5 times higher than that of heterosexual women (Evans 2007).

Risks associated with concomitant mental disorders

In 2017, a group of researchers from Seattle University published an analysis of data from the National Health Interview Survey (2013 – 2014)Fredriksen-Goldsen 2017). The analysis included 33 men and women aged 346 and over, of which 50% are homosexual women and 1,34% are homosexual men (Fredriksen-Goldsen 2017, p. 1335). The authors found that homosexuals compared to heterosexual respondents significantly more often practiced unhealthy lifestyles, suffered from a whole range of various diseases, including immune disorders, rheumatic disorders, strokes, mental disorders, etc. (Fredriksen-Goldsen 2017).

In meta-analyzes devoted to the study of the question of whether there are relationships between homosexuality and psychopathology among young people and adults, which were published in the journal Archives of General Psychiatry, the following data were obtained:

Indicators of increased suicide risk are closely related to homosexual attraction (Herrell 1999, p. 873). It is unlikely that a significantly increased risk of suicidal behavior in homosexual men may be due solely to substance abuse or other concomitant psychiatric pathology (Herrell 1999, p. 867).

The results confirm the evidence that homosexual and bisexual young people are at increased risk of mental health problems, in particular suicidal behavior and other disorders (Fergusson 1999, p. 876).

Based on a random sample of respondents, Gilman and colleagues (2001) calculated disease prevalence over the past 12 months (“12 months prevalence”) and lifetime risk (“lifetime risk”) in heterosexual and homosexual groups (Gilman xnumx).

Comparison of the main indicators of psychiatric disorders between heterosexual and homosexual women (Gilman xnumx).

Psychopathology Prevalence: homosexual / heterosexual respondents Lifetime Risk: Homosexual / Heterosexual Respondents
Post-Traumatic Stress Disorder 21% / 6% 2,7
Anxiety disorder 40% / 22,4% 1,8
Depressive syndrome 34,5% / 12,9% 1,9
Affective disorders 35,1% / 13,9% 2,0
Addiction to drugs 19,5% / 7,2% 2,4

A study by Jorm and colleagues (2002) obtained similar data on the significant prevalence among homosexual respondents of pathologies such as anxiety disorder, depression, suicidal tendency and affective disorders (Jorm xnumx).

Various studies have revealed elevated levels of psychiatric disorders among homosexual individuals (King xnumx; Bradford xnumx; Pillard 1988).

Depression and Anxiety Disorders

Ron Stoll, a leading American AIDS researcher for many years, says that “there are serious psychosocial problems among homosexuals” (Stall xnumx). The American organization "Gay & Lesbian Medical Association" in its materials indicates that homosexual men are more likely to suffer from depression and anxiety disorders (Silenzio 2010), which is confirmed in a number of studies (Cochran xnumx; King xnumx, 2008; Meyer 2003; Jorm xnumx; Gilman xnumx; Sandfort 2001; Fergusson 1999; Hershberger 1995; Berg 2008; Bostwick xnumx) In a study in the Netherlands, among homosexual men, the incidence of depressive disorders throughout the year was 2,94 times higher than among heterosexual men, and the incidence of anxiety disorders was 2,61 times higher (Sandfort 2001) Some researchers suggest that homosexual men make up almost half of the cases of psychiatric disorders - 42 – 49% (Warner xnumx).

Suicide

People of both sexes with homosexual tendencies represent the group with the highest risk of suicide (Voroshilin 2012, p. 40). A study by Herrell and colleagues (1999) found that homosexual attraction is significantly correlated with different estimated indicators of suicidal disorders: for homosexual men, the risk of suicidal ideation was 4,1 times higher, the risk of committing suicide was 6,5 times higher (Herrell 1999) After a statistical adjustment to assess the effects of factors such as substance use and depressive symptoms, all suicidal outcomes were still statistically significant. Studies conducted among young people who identify themselves as homosexuals have revealed a significantly higher number of suicides and suicide attempts among them (Mathy xnumx) than among heterosexual young people. In the 2008 year, the results of a statistical meta-analysis were published, during which over 13 of thousands of publications on this topic were processed, as a result of which the most correctly conducted studies were selected and studied by 25 (King xnumx) It was found that in comparison with the general population in people with homosexual inclinations, there is a more than twofold increase in the risk of suicidal behavior; the risk of depressive and anxiety disorders, alcohol and drug addiction was one and a half times higher (King xnumx) In particular, stratification of risk groups by gender revealed that, compared with the average value in the population, among homosexual men, the risk of suicide was 4,28 times higher; among homosexual women, the risk of alcohol dependence was 4 times higher, and drug addiction was 3,5 times higher (King xnumx) In a large American study, it was found that the risks of suicidal behavior, depressive disorder and self-mutilation (self-harm) among young people with homosexual tendencies exceed similar risks among heterosexual youth, regardless of the race of the respondents (Lytle 2014) The risks of mental disorders and suicidal behavior among homosexuals are also noted in studies in Australia (Swannell xnumx; Skerrett 2015), in England (Chakraborty xnumx), in New Zealand (Skegg 2003), in Sweden (Björkenstam 2016) LGBT + proponents of the movement sometimes attribute such data to discrimination. However, we note that the above studies were conducted in countries where people with homosexual inclinations enjoy the support and protection of the state apparatus.

Drug addict

According to various studies, the level of drug addiction among homosexuals is higher than in the general population, as well as in comparison with heterosexual individuals (Padilla 2010; Halkitis 2009; Cochran xnumx; King xnumx, 2008; Meyer 2003; Jorm xnumx; Gilman xnumx; Sandfort 2001; Stall xnumx; Fergusson 1999; Hershberger 1995), according to some reports, 2 – 3 times higher than among heterosexual men (Cochran xnumx; Ryan xnumx; Skinner 1994; Green xnumx). According to the American organization Gay & Lesbian Medical Association, homosexual men are more likely to be addicted to drugs (Silenzio 2010) According to Grant and colleagues, homosexual men are more likely to suffer from impulsive-compulsive disorders and drug addiction than heterosexual men (Grant xnumx) For homosexual women, the risk of substance use during the year was 4,05 times higher than for heterosexual women (Sandfort 2001).

Alcoholism

The American organization "Gay & Lesbian Medical Association" indicates that among homosexuals there is an increased level of alcoholism (Silenzio 2010) Homosexual men have a higher incidence of alcoholism compared to heterosexuals (Irwin 2006; Wong xnumx; Stall xnumx) Over the years, studies have shown a significantly higher level of alcoholism among gay women compared to heterosexual women (Cassidy in McElmurry 1997; Eliason xnumx; Drabble 2005; Skinner 1996, 1994; Haas in Dan xnumx; O'Hanlan 1995; Rosser 1993; NGLTF 1993; Cabaj in Lowinson xnumx, Cabaj 1996; Hall 1993; Finnegan in Engs 1990; Glaus xnumx).

Oncological diseases

There is strong evidence that the incidence of cancer is higher among the “LGBT +” population (Boehmer and Ronit 2015). A study by Zaritsky and Dibble examined a sample of 370 pairs of homosexual women with heterosexual sisters, it was found that homosexual women had a higher risk of developing uterine cancer compared to their sisters - the authors suggested that this was due to the fact that childlessness and obesity among homosexual women higher (Zaritsky 2010) Anal carcinoma is a cancer of the rectum associated with papillomavirus (Breese xnumx) against the background of the HIV virus (Hleyhel xnumx) The frequency of anal carcinoma in men practicing anal-genital contact is much higher than its frequency in the general population (Siegenbeek van Heukelom 2017; Chin-hong xnumx, 2005; Tseng 2003; Willett xnumx) In a large study by Daling and colleagues on the risk of developing anal cancer among men, covering the period from 1978 to 1985, the practice of any homosexual intercourse increased the risk by 50 times, and the practice of directly anal-genital contact increased by 33 times (Daling xnumx) A systematic review and meta-analysis by Machalek et al. Found that the incidence of anal cancer among HIV-infected homosexuals was 45,9 cases in 100 000 population, among non-infected homosexuals - 5,1 in 100 000 population (Machalek xnumx), in the general population - from 1 to 2 on the 100 000 population (Grulich xnumx).

Additional Information

Additional information and details can be found in the following sources:

  1. Massresistance. The Health Hazards of Homosexuality. What the Medical and Psychological Research Reveals. MassResistance, 2017
  2. Katz KA, Furnish TJ. Dermatology-Related Epidemiologic and Clinical Concerns of Men Who Have Sex With Men, Women Who Have Sex With Women, and Transgender Individuals. Archives of dermatology. October 2005, Vol 141, pp. 1303 - 1310
  3. Boehmer U, Ronit U. Cancer and the LGBT Community. Unique Perspectives from Risk to Survivorship. Springer, 2015.
  4. Wolitski RJ, Stall R, and Valdiserri RO. Unequal opportunity. Health disparities affecting gay and bisexual men in the United States. New York: Oxford University Press; 2008. Xnumx p
  5. Holland E. The Nature of Homosexuality: Vindication for Homosexual Activists and the Religious Right. iUniverse. New York-London-Shanghai. 2004. Chapters 2, 3, 6
  6. Phelan JE, et al. What Research Shows: NARTH's Response to the APA Claims on Homosexuality A Report of the Scientific Advisory Committee of the National Association for Research and Therapy of Homosexuality. Journal Of Human Sexuality. Xnumx; Volume 1. Page 53.
  7. Sprigg P., et al. Getting it straight: what the research shows about homosexuality. Washington: Family Research Council (2004)

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Notes

1 the introduction of the penis of the active partner into the rectum of the receptive partner

2 English: "gay bowel syndrome"

3 Currently, under the pressure of public organizations of the LGBT + movement, such definitions as immunodeficiency of homosexuals and homosexual intestinal syndrome are considered discriminatory. Great efforts to remove the term “immunodeficiency of homosexuals” from use were made by biologist and activist Bruce Weller, founder of The National Gay Task Force (Chuck 2003, p. 168).

4 from English Fist is a fist

5 from English "Rim" - the rim


Laser Proctology Center “ATLANTiK” offers treatment of gay bowel syndrome (gay bowel syndrome):

12 thoughts on “LGBT mental and physical health”

    1. I am a gay-friendly psychologist, I confirm that everything is true, but I am forbidden to tell gays the truth, otherwise my license will be taken away. Therefore, lately my colleagues and I have been “footballing” gays with each other, because... It is impossible to help a person without telling him the truth.

  1. It is so natural that with unprotected or rough sex there will be such consequences. As if straight people couldn't have this. They, too, because of irresponsibility and negligence, practice without condoms and suffer from uterine cancer, HIV and the like. So what now, go around and shout that it’s not normal to be heterosexual? Some people have sex with condoms in order to avoid pregnancy, but gays have such prejudices that if they are men, then pregnancy will not happen, hence the problems, due to insecurity.

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