Loneliness and lack of social connection are widespread and negatively affect physical and mental health and well-being. Data are limited for persons disproportionately affected by social disconnection, especially those who do not identify as heterosexual and cisgender. Using data from the 2022 Behavioral Risk Factor Surveillance System in 26 U.S. states, CDC examined associations of loneliness and lack of social and emotional support to mental health variables. Prevalence estimates for the mental health variables were significantly higher among adults who reported loneliness and lack of social and emotional support than among those adults who did not. The prevalence of loneliness was highest among respondents who identified as bisexual (56.7%) and transgender (range = 56.4%-63.9%). Prevalence of lack of social and emotional support was highest among those who identified as transgender female (44.8%), transgender gender nonconforming (41.4%), and those with household income below $25,000 (39.8%). Prevalences of stress, frequent mental distress, and history of depression were highest among bisexual (34.3%-54.4%) and transgender adults (36.1%-67.2%). Addressing the threat to mental health among sexual and gender minority groups should include consideration of loneliness and lack of social and emotional support. Providing access to health services that are affirming for sexual and gender minority groups and collecting data to address health inequities might help improve the delivery of culturally competent care.

中文翻译：

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孤独、缺乏社交和情感支持以及心理健康问题 - 美国，2022 年。


孤独和缺乏社会联系普遍存在，并对身心健康和福祉产生负面影响。对于受社会脱节影响尤其严重的人来说，数据有限，尤其是那些不认为自己是异性恋和顺性别的人。 CDC 利用美国 26 个州 2022 年行为风险因素监测系统的数据，研究了孤独感以及缺乏社会和情感支持与心理健康变量之间的关联。报告感到孤独和缺乏社会和情感支持的成年人中，心理健康变量的患病率估计明显高于那些没有感到孤独和缺乏社会和情感支持的成年人。双性恋（56.7%）和跨性别者（范围 = 56.4%-63.9%）的受访者中孤独感最高。在跨性别女性 (44.8%)、跨性别性别不合格 (41.4%) 和家庭收入低于 25,000 美元 (39.8%) 的人群中，缺乏社会和情感支持的比例最高。双性恋（34.3%-54.4%）和变性成年人（36.1%-67.2%）中压力、频繁精神困扰和抑郁症患病率最高。解决性少数群体心理健康面临的威胁应包括考虑孤独感以及缺乏社会和情感支持。提供对性少数群体和性别少数群体的肯定的医疗服务，并收集数据以解决健康不平等问题，可能有助于改善文化上合格的护理的提供。