Examining the Performance of the Sexual Minority Adolescent Stress Inventory with Transgender and Gender-Diverse Youth and Sexual Minority Emerging Adults: A Methodological Study.

IF 3.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

LGBT health Pub Date : 2024-05-27 DOI:10.1089/lgbt.2023.0253

Manuel A Ocasio, Ahnalee M Brincks, M Isabel Fernandez

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Abstract

Purpose: We examined the psychometric properties and criterion validity of the Sexual Minority Adolescent Stress Inventory (SMASI) among 730 sexual minority (SM) and transgender and gender-diverse (TGD) youth aged 14 to 24 years who participated in a human immunodeficiency virus study. Methods: We tested the factor structure of the global scale and subscales and measurement invariance across age, gender identity, sex assigned at birth, sexual identity, ethnoracial identity, and city. For criterion validity, we regressed mental health and substance use measures on the global scale. Results: The global scale had excellent fit (comparative fit index = 0.95) and high reliability (omega = 0.89). Subscale model fit was adequate. We confirmed invariance by gender identity and age and established criterion validity. Conclusion: The SMASI exhibits strong psychometric properties among SM emerging adults and TGD youth. Modifications could enhance the SMASI to better capture both sexual and gender minority stress among ethnoracial minority youth.

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对变性和性别多元化青少年以及性少数群体新成人的性少数群体青少年压力量表表现进行研究：方法论研究。

目的：我们研究了性少数群体青少年压力量表（SMASI）的心理测量特性和标准效度，研究对象是参与人类免疫缺陷病毒研究的 730 名 14 至 24 岁的性少数群体（SM）和变性及性别多样化（TGD）青少年。方法：我们测试了总量表和分量表的因子结构，以及不同年龄、性别认同、出生时性别、性认同、种族认同和城市的测量不变性。为了验证标准效度，我们将心理健康和药物使用测量结果与总体量表进行了回归分析。结果显示总体量表具有极佳的拟合度（比较拟合指数 = 0.95）和较高的可靠性（ω = 0.89）。子量表模型的拟合度也很高。我们确认了性别认同和年龄的不变性，并确定了标准效度。结论：SMASISMASI在SM新成人和TGD青年中表现出很强的心理测量特性。对 SMASI 进行修改可以更好地捕捉少数族裔青年在性和性别方面的压力。

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来源期刊

LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -

CiteScore

6.60

自引率

6.20%

发文量

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.