Disparities in self-reported mental health, physical health, and substance use across sexual orientations in Canada.

Another related issue is that even when a study disaggregates gays/lesbians from bisexuals, men and women may be aggregated into a single group, and gender/sex is typically used as an adjustment variable in these studies [ 33 – 35 ], which can lead to misestimations since there may be significant gender/sex differences within a given sexual orientation (e.g. gay men vs. lesbians).

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