Peer social support moderates the impact of ethnoracial discrimination on mental health among young sexual minority men of color

Gabriel Robles, Yong Gun Lee, Joseph R Hillesheim, Daniel Brusche, Jonathan López-Matos, Demetria Cain, Tyrel J. Starks
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Abstract

Few studies have examined developmentally relevant sources of resilience, such as peer social support, among young sexual minority men (SMM) of color experiencing discrimination and mental health distress. To address this gap in the literature, we examined the role of peer social support in the association between discrimination and mental health distress in a sample of young SMM of color. Ninety-four cisgender young SMM of color (aged 16–29) were recruited through community-based organizations in the New York City metropolitan area as part of an effectiveness trial of a tailored Motivational Interviewing intervention. Participants completed a baseline survey that included measures of school/workplace ethnoracial discrimination, sexual orientation discrimination, peer social support, and symptoms of anxiety and depression. Results of multivariable models indicated some evidence of the stress-buffering effects of peer social support. School/workplace ethnoracial discrimination was negatively associated with symptoms of anxiety ( B = −0.12, SE = 0.03, p < .001) and depression ( B = 0.44, SE = 0.15, p = .005) among young SMM of color with lower levels of peer social support. Peer social support did not moderate the association between sexual orientation discrimination and either depression or anxiety. Findings provide some evidence of the protective role of peer social support. We discuss the implications of the results for practice with young SMM of color with mental health distress.
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同龄人的社会支持调节了种族歧视对有色人种年轻男性性少数群体心理健康的影响
很少有研究对遭遇歧视和心理健康困扰的有色人种年轻男性性少数群体(SMM)中与发展相关的复原力来源(如同伴社会支持)进行研究。为了填补这一文献空白,我们以有色人种青年性少数群体为样本,研究了同伴社会支持在歧视与心理健康困扰之间的关联中的作用。我们通过纽约市大都会地区的社区组织招募了 94 名有色人种的顺性别青年 SMM(16-29 岁),作为量身定制的动机访谈干预有效性试验的一部分。参与者完成了一项基线调查,其中包括对学校/工作场所种族歧视、性取向歧视、同伴社会支持以及焦虑和抑郁症状的测量。多变量模型的结果表明,同伴社会支持具有一定的压力缓冲作用。在同伴社会支持水平较低的有色人种青少年中,学校/工作场所的民族歧视与焦虑症状(B = -0.12,SE = 0.03,p < .001)和抑郁症状(B = 0.44,SE = 0.15,p = .005)呈负相关。同伴社会支持并没有缓和性取向歧视与抑郁或焦虑之间的关联。研究结果为同伴社会支持的保护作用提供了一些证据。我们讨论了这些结果对有心理健康困扰的有色人种青少年 SMM 的实践意义。
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