Mediation Analysis of Internalized Homophobia, Self-esteem and Mental Health in Adolescent Sexual Minority Men: A Repeated Measures Study.

IF 1.9 3区社会学 Q2 SOCIAL ISSUES

Youth & Society Pub Date : 2025-09-01 Epub Date: 2025-05-09 DOI:10.1177/0044118x251338311

Hyunmin Yu, Jennifer T Tran, Stephen Bonett, James R Wolfe, Keith J Horvath, Amanda D Castel, Lisa B Hightow-Weidman, Patrick Sullivan, José A Bauermeister

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Abstract

Internalized homophobia (IH) negatively impacts the mental health of adolescent sexual minority men (ASMM), while self-esteem is posited to bolster their mental health. In a repeated-measures study with 599 ASMM (Mean age = 16.2 [SD = 1.3]; 75.6% racial and ethnic minorities), longitudinal structural equation models investigated the relationships among IH, self-esteem, and mental health (depression and anxiety), as well as the mediating role of self-esteem. Higher self-esteem at earlier time points was significantly associated with lower anxiety and depressive symptoms. The hypothesized mediation pathways were not statistically significant. Subgroup analyses revealed that the protective effect of self-esteem against anxiety was significant for racial and ethnic minority ASMM but not for their non-Hispanic White counterparts. These findings highlight the need for tailored interventions that address the unique experiences of ASMM from diverse racial and ethnic backgrounds.

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性少数青少年男性内化同性恋恐惧症、自尊与心理健康的中介分析：一项重复测量研究

内化同性恋恐惧症（IH）对青春期性少数男性的心理健康有负面影响，而自尊对其心理健康有促进作用。在599名ASMM（平均年龄= 16.2 [SD = 1.3]； 75.6%的种族和少数民族）的重复测量研究中，纵向结构方程模型探讨了IH、自尊和心理健康（抑郁和焦虑）之间的关系，以及自尊的中介作用。较早时间点较高的自尊与较低的焦虑和抑郁症状显著相关。假设的中介途径没有统计学意义。亚组分析显示，自尊对焦虑的保护作用在种族和少数民族ASMM中是显著的，但对非西班牙裔白人ASMM则没有。这些发现强调需要针对不同种族和民族背景的ASMM的独特经历进行量身定制的干预。

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Youth & Society Multiple-

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5.30

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0.00%

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