Sexual minoritized (SM) adults experience health disparities and report higher rates of trauma history compared to heterosexual adults. This scoping review synthesizes the extant literature that investigates associations between trauma and physical health among SM adults. It also describes research instruments utilized to assess trauma in relation to health outcomes among SM adults. We searched CINAHL, LGBT+ Life, PsycINFO, and PubMed to identify studies meeting inclusion criteria: peer-reviewed, English, assessed trauma as an independent variable, and assessed health behaviors or outcomes among SM adults. From 587 nonduplicate articles, 69 full texts were reviewed; 18 met criteria and were included in this review. To enhance rigor, we utilized the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Scoping Reviews checklist. Most ( n = 12) of the included studies were cross-sectional. Trauma was assessed 16 different ways, including 9 validated measures, in relation to 5 health behaviors and 17 health conditions. Trauma was operationalized by history of childhood sexual abuse, adverse childhood experiences, lifetime rape, current symptoms of post-traumatic stress disorder, and lifetime victimization among SM adults. All but one study found associations between trauma and one or more unfavorable health behaviors or outcomes. Studies used widely heterogeneous instruments to assess trauma, health, and SM identity. Greater specification and standardization of measurement is needed, along with contextualized assessments of trauma and its impact on health such as sexual minority stress-related victimization and resilience, and post-traumatic growth and recovery processes.

中文翻译：

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性少数成年人的创伤与健康行为和结果之间的关联：范围界定审查

与异性恋成年人相比，性少数（SM）成年人的健康状况存在差异，并且报告的创伤史比例更高。本范围综述综合了现有文献，研究了 SM 成年人创伤与身体健康之间的关联。它还描述了用于评估与 SM 成年人健康结果相关的创伤的研究工具。我们检索了 CINAHL、LGBT+ Life、PsycINFO 和 PubMed，以确定符合纳入标准的研究：同行评审、英语、将创伤评估为自变量，并评估 SM 成年人的健康行为或结果。从 587 篇非重复文章中，审阅了 69 篇全文；18 家符合标准并纳入本次审查。为了提高严谨性，我们利用了系统评价的首选报告项目和荟萃分析范围界定评价清单。大多数（n = 12）纳入的研究都是横断面的。通过 16 种不同的方式评估创伤，包括 9 种经过验证的措施，涉及 5 种健康行为和 17 种健康状况。创伤是由童年性虐待史、不良童年经历、终生强奸、目前的创伤后应激障碍症状以及 SM 成年人终生受害造成的。除一项研究外，所有研究都发现创伤与一种或多种不利健康行为或结果之间存在关联。研究使用广泛异质的工具来评估创伤、健康和 SM 身份。需要更规范和标准化的测量，以及对创伤及其对健康影响的情境评估，例如性少数群体压力相关的受害和恢复力，以及创伤后的成长和恢复过程。