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medRxiv PreprintsInternational31 October 2026

Sexual identity and seeking mental healthcare in young adults: A national cohort study

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Aim: Most evidence on sexual minority health focuses on quantifying mental health inequalities with limited evidence on differences in accessing and receiving mental healthcare. This study examined associations between sexual identity and self-reported seeking and receiving mental healthcare in young adults from a population-based cohort study. Methods: 12,782 individuals (22% LGBQ+) aged 23 from the UK wide Millennium Cohort Study. Associations between sexual identity (heterosexual [reference category], mainly heterosexual, gay/lesbian and other sexual identities[LGBQ+]) assessed at age 17 an
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