肯尼亚基苏木年轻男同性恋者、双性恋者和其他男男性行为者(GBMSM)的近端和远端少数群体压力与心理健康。

IF 3.4 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY American journal of community psychology Pub Date : 2024-11-04 DOI:10.1002/ajcp.12767
Gary W Harper, Chenglin Hong, Juan C Jauregui, Elijah Ochieng Odhiambo, Laura Jadwin-Cakmak, Kennedy Olango, K Rivet Amico, Heather M Tucker, Myla Lyons, Wilson Odero, Susan M Graham
{"title":"肯尼亚基苏木年轻男同性恋者、双性恋者和其他男男性行为者(GBMSM)的近端和远端少数群体压力与心理健康。","authors":"Gary W Harper, Chenglin Hong, Juan C Jauregui, Elijah Ochieng Odhiambo, Laura Jadwin-Cakmak, Kennedy Olango, K Rivet Amico, Heather M Tucker, Myla Lyons, Wilson Odero, Susan M Graham","doi":"10.1002/ajcp.12767","DOIUrl":null,"url":null,"abstract":"<p><p>Young gay and bisexual men and other men who have sex with men (GBMSM) in Kenya experience pervasive intersectional stigma and discrimination, contributing to elevated levels of negative mental health symptoms. Grounded in the Minority Stress Model, this paper explores associations of proximal and distal minority stressors with three types of negative mental health outcomes among young HIV-negative GBMSM (n = 63) between the ages of 19-34 who participated in a pilot trial of a sexual health intervention. Using the PHQ-9, GAD-7, and PC-PTSD-5 screening measures, levels of clinically significant symptoms were reported as follows: 15.8% depressive symptoms, 12.7% anxiety symptoms, 31.7% posttraumatic stress symptoms. Results from stepwise linear regression analyses suggest that GBMSM-related stigma (distal stressor) was the strongest correlate for all three mental health outcomes, and concealment motivation (proximal stressor) was an additional significant correlate only in the depressive symptoms model. These findings should be viewed with caution and seen as initial observations given the small sample which limits our interpretations of the findings. Structural-level interventions are needed to decrease GBMSM's exposure to intersectional stigma and discrimination, such as decriminalization of same-sex sexual activity, as well as individual and group-level interventions that assist GBMSM with improving their adaptive coping strategies.</p>","PeriodicalId":7576,"journal":{"name":"American journal of community psychology","volume":null,"pages":null},"PeriodicalIF":3.4000,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Proximal and distal minority stressors and mental health among young gay and bisexual men and other men who have sex with men (GBMSM) in Kisumu, Kenya.\",\"authors\":\"Gary W Harper, Chenglin Hong, Juan C Jauregui, Elijah Ochieng Odhiambo, Laura Jadwin-Cakmak, Kennedy Olango, K Rivet Amico, Heather M Tucker, Myla Lyons, Wilson Odero, Susan M Graham\",\"doi\":\"10.1002/ajcp.12767\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Young gay and bisexual men and other men who have sex with men (GBMSM) in Kenya experience pervasive intersectional stigma and discrimination, contributing to elevated levels of negative mental health symptoms. Grounded in the Minority Stress Model, this paper explores associations of proximal and distal minority stressors with three types of negative mental health outcomes among young HIV-negative GBMSM (n = 63) between the ages of 19-34 who participated in a pilot trial of a sexual health intervention. Using the PHQ-9, GAD-7, and PC-PTSD-5 screening measures, levels of clinically significant symptoms were reported as follows: 15.8% depressive symptoms, 12.7% anxiety symptoms, 31.7% posttraumatic stress symptoms. Results from stepwise linear regression analyses suggest that GBMSM-related stigma (distal stressor) was the strongest correlate for all three mental health outcomes, and concealment motivation (proximal stressor) was an additional significant correlate only in the depressive symptoms model. These findings should be viewed with caution and seen as initial observations given the small sample which limits our interpretations of the findings. Structural-level interventions are needed to decrease GBMSM's exposure to intersectional stigma and discrimination, such as decriminalization of same-sex sexual activity, as well as individual and group-level interventions that assist GBMSM with improving their adaptive coping strategies.</p>\",\"PeriodicalId\":7576,\"journal\":{\"name\":\"American journal of community psychology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2024-11-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American journal of community psychology\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1002/ajcp.12767\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of community psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1002/ajcp.12767","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0

摘要

在肯尼亚,年轻的男同性恋、双性恋和其他男男性行为者(GBMSM)普遍遭受交叉污名化和歧视,导致其负面心理健康症状水平升高。本文以 "少数群体压力模型"(Minority Stress Model)为基础,探讨了近端和远端少数群体压力因素与三种负面心理健康结果之间的关联,研究对象是参加性健康干预试点试验的 19-34 岁 HIV 阴性年轻 GBMSM(n = 63)。通过使用 PHQ-9、GAD-7 和 PC-PTSD-5 筛查量表,报告的具有临床意义的症状水平如下:抑郁症状占 15.8%,焦虑症状占 12.7%,创伤后应激症状占 31.7%。逐步线性回归分析的结果表明,与 GBMSM 相关的污名化(远端压力源)是所有三种心理健康结果的最强相关因素,而隐瞒动机(近端压力源)仅在抑郁症状模型中是一个额外的显著相关因素。鉴于样本较少,我们对这些发现的解释受到限制,因此应谨慎看待这些发现,并将其视为初步观察结果。我们需要采取结构性干预措施来减少同性恋、双性恋和变性者遭受的交叉性污名化和歧视,如将同性性行为非刑罪化,以及采取个人和团体干预措施来帮助同性恋、双性恋和变性者改善其适应性应对策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Proximal and distal minority stressors and mental health among young gay and bisexual men and other men who have sex with men (GBMSM) in Kisumu, Kenya.

Young gay and bisexual men and other men who have sex with men (GBMSM) in Kenya experience pervasive intersectional stigma and discrimination, contributing to elevated levels of negative mental health symptoms. Grounded in the Minority Stress Model, this paper explores associations of proximal and distal minority stressors with three types of negative mental health outcomes among young HIV-negative GBMSM (n = 63) between the ages of 19-34 who participated in a pilot trial of a sexual health intervention. Using the PHQ-9, GAD-7, and PC-PTSD-5 screening measures, levels of clinically significant symptoms were reported as follows: 15.8% depressive symptoms, 12.7% anxiety symptoms, 31.7% posttraumatic stress symptoms. Results from stepwise linear regression analyses suggest that GBMSM-related stigma (distal stressor) was the strongest correlate for all three mental health outcomes, and concealment motivation (proximal stressor) was an additional significant correlate only in the depressive symptoms model. These findings should be viewed with caution and seen as initial observations given the small sample which limits our interpretations of the findings. Structural-level interventions are needed to decrease GBMSM's exposure to intersectional stigma and discrimination, such as decriminalization of same-sex sexual activity, as well as individual and group-level interventions that assist GBMSM with improving their adaptive coping strategies.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
6.30
自引率
9.70%
发文量
55
期刊介绍: The American Journal of Community Psychology publishes original quantitative, qualitative, and mixed methods research; theoretical papers; empirical reviews; reports of innovative community programs or policies; and first person accounts of stakeholders involved in research, programs, or policy. The journal encourages submissions of innovative multi-level research and interventions, and encourages international submissions. The journal also encourages the submission of manuscripts concerned with underrepresented populations and issues of human diversity. The American Journal of Community Psychology publishes research, theory, and descriptions of innovative interventions on a wide range of topics, including, but not limited to: individual, family, peer, and community mental health, physical health, and substance use; risk and protective factors for health and well being; educational, legal, and work environment processes, policies, and opportunities; social ecological approaches, including the interplay of individual family, peer, institutional, neighborhood, and community processes; social welfare, social justice, and human rights; social problems and social change; program, system, and policy evaluations; and, understanding people within their social, cultural, economic, geographic, and historical contexts.
期刊最新文献
Proximal and distal minority stressors and mental health among young gay and bisexual men and other men who have sex with men (GBMSM) in Kisumu, Kenya. Social ecological predictors and correlates of Latinos' IPV behaviors: A systematic review and critique of the research literature. Applying a community-engaged participatory machine learning model Issue Information Future considerations for implementation and impact of community narrative initiatives
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1