交叉压迫与肯定与拉丁裔性少数男性心理健康的关系

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH LGBT health Pub Date : 2023-11-01 Epub Date: 2023-07-19 DOI:10.1089/lgbt.2022.0212
Daniel Mayo, Alyssa Lozano, Renessa S Williams, Steven A Safren, Audrey Harkness
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Logistic and linear regressions examined associations between class membership and anxious, depressive, post-traumatic stress, somatic symptoms, and overall MH burden. <b><i>Results:</i></b> The LCA revealed a three-class solution: (1) affirmed LSMM (73.8%), (2) LSMM with intersectional oppression (21.7%), and (3) LSMM with immigration stress (4.5%). The three classes varied in terms of multiple identity discrimination, sexual orientation stigma/affirmation, and migration-related stress. Compared with Class 1, Class 2 had greater conditional probabilities of reporting clinically significant depressive (<i>p</i> = 0.033) and post-traumatic stress symptoms (<i>p</i> = 0.031), and at least one MH concern (<i>p</i> = 0.018). 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引用次数: 0

摘要

目的:拉丁裔性少数男性(LSMM)可能会因为他们的种族、性取向和移民身份而受到压迫,然而科学文献才刚刚开始探索这些经历的交集。本研究探讨了心理健康与低龄女大学生交叉压抑与肯定体验的关系。方法:我们对一项队列研究的基线数据进行了二次分析,该研究检查了2020年2月至9月在佛罗里达州迈阿密的LSMM (n = 290)的医疗保健参与情况。潜在类别分析(LCA)基于自我报告的多重身份歧视(如种族、民族和肤色)、性取向污名/肯定和移民相关压力来识别类别。逻辑回归和线性回归检验了班级成员与焦虑、抑郁、创伤后应激、躯体症状和总体MH负担之间的关系。结果:LCA显示了三类解决方案:(1)肯定LSMM(73.8%),(2)交叉压迫LSMM(21.7%)和(3)移民压力LSMM(4.5%)。这三个类别在多重身份歧视、性取向污名/肯定和移民相关压力方面存在差异。与1类患者相比,2类患者报告临床显著抑郁(p = 0.033)和创伤后应激症状(p = 0.031)的条件概率更大,并且至少有一个MH担忧(p = 0.018)。2类患者的抑郁症状(p = 0.007)、创伤后应激症状(p = 0.049)、躯体症状(p = 0.024)和临床显著MH担忧(p = 0.018)明显高于1类患者。结论:研究结果根据LSMM的交叉压迫和肯定经历划分了三组LSMM。在多重身份、性取向污名/肯定和移民相关压力的交叉点上的歧视与LSMM的MH结果有关,特别是在移民中。
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The Relationship Between Intersectional Oppression and Affirmation and Latino Sexual Minority Men's Mental Health.

Purpose: Latino sexual minority men (LSMM) may experience oppression based on their ethnicity, sexual orientation, and migratory status, yet scientific literature is only beginning to explore the intersection of these experiences. This study examined mental health (MH) in relation to LSMM's experiences of intersectional oppression and affirmation. Methods: We conducted a secondary analysis of baseline data from a cohort study examining LSMM's (n = 290) health care engagement in Miami, FL, from February to September 2020. Latent class analysis (LCA) identified classes based on self-reported multiple identity discrimination (e.g., race, ethnicity, and skin color), sexual orientation stigma/affirmation, and migration-related stress. Logistic and linear regressions examined associations between class membership and anxious, depressive, post-traumatic stress, somatic symptoms, and overall MH burden. Results: The LCA revealed a three-class solution: (1) affirmed LSMM (73.8%), (2) LSMM with intersectional oppression (21.7%), and (3) LSMM with immigration stress (4.5%). The three classes varied in terms of multiple identity discrimination, sexual orientation stigma/affirmation, and migration-related stress. Compared with Class 1, Class 2 had greater conditional probabilities of reporting clinically significant depressive (p = 0.033) and post-traumatic stress symptoms (p = 0.031), and at least one MH concern (p = 0.018). Greater depressive symptoms (p = 0.007), post-traumatic stress symptoms (p = 0.049), somatic symptoms (p = 0.024), and clinically significant MH concerns (p = 0.018) were found among Class 2 than among Class 1. Conclusion: Findings identified three groups of LSMM based on their experiences of intersectional oppression and affirmation. Discrimination at the intersection of multiple identities, sexual orientation stigma/affirmation, and migration-related stress were associated with LSMM's MH outcomes, particularly among immigrants.

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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
期刊最新文献
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