Mediating effect of loneliness on the associations of perceived and internalized sexual stigma with suicide in gay and bisexual men.

IF 2.6 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of the Formosan Medical Association Pub Date : 2024-09-05 DOI:10.1016/j.jfma.2024.08.030
Po-Chun Lin, Yu-Ping Chang, Yi-Lung Chen, Cheng-Fang Yen
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Abstract

Background/purpose: Loneliness is prevalent among gay and bisexual men (GBM). This study evaluated the mediating effect of loneliness on the associations of perceived sexual stigma (PSS) and internalized sexual stigma (ISS) with suicide in 400 GBM.

Methods: A moderated mediation model was used to test the mediating effects of loneliness between the associations of PSS from family members and ISS with suicide and the moderating effects of sexual orientation, age, and education level on the mediating effects.

Results: The results indicated that both PSS and ISS were positively associated with suicide through the full mediation of loneliness. The association of ISS with loneliness was stronger in older GBM.

Conclusions: Intervention programs promoting changes in attitudes toward GBM are warranted to prevent the development of PSS and ISS, loneliness, and suicide in this population.

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孤独感对男同性恋者和双性恋者感知到的和内在化的性污名与自杀之间关系的中介效应。
背景/目的:孤独感在男同性恋者和双性恋者(GBM)中十分普遍。本研究评估了孤独感对感知到的性污名(PSS)和内化的性污名(ISS)与 400 名男同性恋者自杀之间关系的中介效应:方法:采用调节中介模型检验孤独感在家庭成员的性鄙视(PSS)和内化性鄙视(ISS)与自杀之间的中介效应,以及性取向、年龄和教育水平对中介效应的调节作用:结果表明,通过孤独感的完全中介作用,PSS 和 ISS 均与自杀呈正相关。ISS与孤独感的关系在年龄较大的GBM中更为密切:结论:有必要制定干预计划,促进改变对 GBM 的态度,以防止该人群出现 PSS 和 ISS、孤独和自杀。
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来源期刊
CiteScore
6.50
自引率
6.20%
发文量
381
审稿时长
57 days
期刊介绍: Journal of the Formosan Medical Association (JFMA), published continuously since 1902, is an open access international general medical journal of the Formosan Medical Association based in Taipei, Taiwan. It is indexed in Current Contents/ Clinical Medicine, Medline, ciSearch, CAB Abstracts, Embase, SIIC Data Bases, Research Alert, BIOSIS, Biological Abstracts, Scopus and ScienceDirect. As a general medical journal, research related to clinical practice and research in all fields of medicine and related disciplines are considered for publication. Article types considered include perspectives, reviews, original papers, case reports, brief communications, correspondence and letters to the editor.
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