title: Same-sex sexuality and psychiatric disorders in the second Netherlands Mental Health Survey and Incidence Study (NEMESIS-2).
abstract: OBJECTIVE
  Sexual orientation has been shown to be a risk factor for psychiatric disorders. This study compared whether sexual orientation-related disparities in the prevalence of psychiatric disorders are similar based on homosexual behavior versus attraction and tested whether, with increased acceptance of homosexuality, these disparities have diminished over time.
  
  
  METHODS
  The Composite International Diagnostic Interview 3.0 was administered with a total of 6,646 Dutch persons, aged 18 to 64 years.
  
  
  RESULTS
  Between 2.0% and 2.5% of the participants reported same-sex sexual behavior in the preceding year or same-sex attraction. Homosexually active persons and persons with same-sex attraction reported a higher prevalence of disorders than heterosexual persons. There were more disparities in the prevalence of disorders based on sexual attraction than based on sexual behavior. Comparing these results with a previous study, showed that no significant changes over time have occurred in the pattern of health disparities.
  
  
  CONCLUSIONS
  Sexual orientation continues to be a risk factor for psychiatric disorders, stressing the need for understanding the origins of these disparities.
authors.affiliation: HIV Center for Clinical and Behavioral Studies, Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY 10032 ; New York State Psychiatric Institute, New York, NY 10032.
authors.forename: Theo G M
authors.initials: TG
authors.lastname: Sandfort
authors.affiliation: Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands.
authors.forename: Ron
authors.initials: R
authors.lastname: de Graaf
authors.affiliation: Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands.
authors.forename: Margreet
authors.initials: M
authors.lastname: Ten Have
authors.affiliation: Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Ransome
authors.affiliation: The Netherlands Institute for Social Research, The Hague, the Netherlands.
authors.forename: Paul
authors.initials: P
authors.lastname: Schnabel
keywords: Netherlands; Sexual orientation; epidemiology; health status disparities; mental disorders