Socioecological Predictors of Resilience in Sexual and Gender Minority Individuals.

IF 3.9 3区 医学 Q1 HEALTH POLICY & SERVICES
Journal of Community Health Pub Date : 2025-02-01 Epub Date: 2024-09-05 DOI:10.1007/s10900-024-01398-7
Dana L Surwill, Jennifer R Pharr
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Abstract

Many factors affect an individual's resilience. Low resilience has been attributed to increased stress, anxiety, depression, and suicidality within the LGBTQIA + population, which is heightened compared to different populations. This study identifies predictors of resilience in the LGBTQIA + population and aims to identify predicting factors at all levels of the socioecological model. This was a cross-sectional study of data from a web-based survey that was conducted from January to February 2022. A national sample of 1033 LGBTQIA + adults was utilized for hierarchical regression analysis. Hierarchical regression analyses were performed for total resilience, which had an average score of 143.66 (SD = 33.88) and accounted for 53.4% of resiliency variance. Factors that were found to decrease an individuals resiliency score were depression, stress, suicidality, and isolation discrimination distress. Factors found to increase an individuals resiliency scores are college graduate 4 years+, married, outness, personal comfortability with being SGM, gender expression discrimination distress, and vicarious discrimination distress. Understanding the factors that influence resilience is vital to improving the resilience of the LGBTQIA + communities. Interventions that focus on decreasing depression, stress, and suicidality may be particularly impactful for all types of resilience.

Abstract Image

性与性别少数群体复原力的社会生态预测因素。
影响个人复原力的因素很多。LGBTQIA +人群的压力、焦虑、抑郁和自杀率都会增加,与不同人群相比,他们的抗压能力更强。本研究确定了 LGBTQIA +人群复原力的预测因素,旨在确定社会生态模型各个层面的预测因素。这是一项横断面研究,数据来自 2022 年 1 月至 2 月进行的一项网络调查。研究利用了 1033 个 LGBTQIA + 成人的全国样本进行分层回归分析。对总复原力进行了分层回归分析,其平均得分为 143.66(SD = 33.88),占复原力变异的 53.4%。研究发现,抑郁、压力、自杀和孤立歧视困扰是降低个人复原力得分的因素。提高个人复原力得分的因素包括大学毕业 4 年以上、已婚、性格外向、个人对作为 SGM 的舒适度、性别表达歧视困扰和替代性歧视困扰。了解影响复原力的因素对于提高 LGBTQIA + 群体的复原力至关重要。以减少抑郁、压力和自杀为重点的干预措施可能会对所有类型的复原力产生特别大的影响。
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来源期刊
CiteScore
10.80
自引率
1.70%
发文量
113
期刊介绍: The Journal of Community Health is a peer-reviewed publication that offers original articles on research, teaching, and the practice of community health and public health. Coverage includes public health, epidemiology, preventive medicine, health promotion, disease prevention, environmental and occupational health, health policy and management, and health disparities. The Journal does not publish articles on clinical medicine. Serving as a forum for the exchange of ideas, the Journal features articles on research that serve the educational needs of public and community health personnel.
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