When connecting with LGBTQ+ communities helps and why it does: A meta-analysis of the relationship between connectedness and health-related outcomes.

IF 17.3 1区 心理学 Q1 PSYCHOLOGY Psychological bulletin Pub Date : 2024-11-01 DOI:10.1037/bul0000447
G Tyler Lefevor, Sydney A Sorrell, Samuel J Skidmore, Kiet D Huynh, Rachel M Golightly, Eleanor Standifird, Kyrstin Searle, Madelyn Call
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Abstract

We conducted a multilevel meta-analysis of 390 effect sizes from 167 studies with 157,923 participants examining the relationship between connectedness with lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) communities and health-related outcomes, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We conducted our initial search in January 2023 in APA PsycInfo, ERIC, Medline, and Open Dissertations, selecting studies that (a) measured LGBTQ+ community connectedness, (b) measured health, and (c) provided an estimate of the relationship between LGBTQ+ community connectedness and health. We found that connectedness with LGBTQ+ communities promotes mental health (r = .11), well-being (r = .17), and physical health (r = .09). Conversely, we found that connectedness with LGBTQ+ communities promotes substance use among younger participants, likely through behavioral engagement with LGBTQ+ others. We found that connectedness with LGBTQ+ communities was related to less mental health and more suicidality for younger people, likely because younger LGBTQ+ people seek out connectedness in response to this psychological distress. We also found that connectedness was not as health-promoting for LGBTQ+ individuals with multiple marginalized identities and that psychological feelings of belongingness with LGBTQ+ communities are generally more health-promoting than behavioral community engagement. Results from a narrative review and moderation meta-analyses suggested that, contrary to predictions made by minority stress theory, connectedness with LGBTQ+ communities does not buffer the relationship between minority stressors and health. Rather, meta-analytic mediation analyses suggested that proximal minority stressors negatively impact health-related outcomes by reducing connectedness with LGBTQ+ communities and that distal minority stressors are often less impactful on health-related outcomes because they promote connectedness with LGBTQ+ communities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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与 LGBTQ+ 社区的联系何时有帮助,为什么会有帮助?联系与健康相关结果之间关系的荟萃分析。
我们根据《系统综述和元分析首选报告项目》指南,对 167 项研究中的 390 个效应大小进行了多层次元分析,这些研究涉及 157923 名参与者,考察了与女同性恋、男同性恋、双性恋、跨性别者和同性恋者/质疑者(LGBTQ+)社区的联系与健康相关结果之间的关系。我们于 2023 年 1 月在 APA PsycInfo、ERIC、Medline 和 Open Dissertations 中进行了初步检索,选择了以下研究:(a)测量 LGBTQ+ 社区关联性;(b)测量健康状况;(c)提供 LGBTQ+ 社区关联性与健康状况之间关系的估计值。我们发现,与 LGBTQ+ 社区的联系可促进心理健康(r = .11)、幸福感(r = .17)和身体健康(r = .09)。相反,我们发现与 LGBTQ+ 社区的联系会促进年轻参与者使用药物,这可能是通过与 LGBTQ+ 他人的行为接触实现的。我们发现,与 LGBTQ+ 社区的联系与年轻人较低的心理健康水平和较高的自杀倾向有关,这可能是因为年轻的 LGBTQ+ 人寻求联系来应对这种心理困扰。我们还发现,对于具有多重边缘化身份的 LGBTQ+ 个人来说,联系性对健康的促进作用并不明显,而对 LGBTQ+ 社区的心理归属感通常比行为上的社区参与更能促进健康。叙述性综述和调节荟萃分析的结果表明,与少数群体压力理论的预测相反,与 LGBTQ+ 社区的联系并不能缓冲少数群体压力因素与健康之间的关系。相反,荟萃分析的中介分析表明,近端少数群体压力因素会降低与 LGBTQ+ 社区的联系,从而对健康相关结果产生负面影响,而远端少数群体压力因素通常对健康相关结果的影响较小,因为它们会促进与 LGBTQ+ 社区的联系。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
Psychological bulletin
Psychological bulletin 医学-心理学
CiteScore
33.60
自引率
0.90%
发文量
21
期刊介绍: Psychological Bulletin publishes syntheses of research in scientific psychology. Research syntheses seek to summarize past research by drawing overall conclusions from many separate investigations that address related or identical hypotheses. A research synthesis typically presents the authors' assessments: -of the state of knowledge concerning the relations of interest; -of critical assessments of the strengths and weaknesses in past research; -of important issues that research has left unresolved, thereby directing future research so it can yield a maximum amount of new information.
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