IF 3.9 2区医学

LGBT health Pub Date : 2025-05-28 DOI: 10.1089/lgbt.2024.0319

Ben L Schwartz, Nguyen K Tran, Jonathan A Mayo, Sarah M Peitzmeier, Tonia C Poteat, Micah E Lubensky, Annesa Flentje, Juno Obedin-Maliver, Mitchell R Lunn

{"title":"Side Effect Profiles of Nonhormonal, Nonsurgical Gender-Affirming Body Modifications.","authors":"Ben L Schwartz, Nguyen K Tran, Jonathan A Mayo, Sarah M Peitzmeier, Tonia C Poteat, Micah E Lubensky, Annesa Flentje, Juno Obedin-Maliver, Mitchell R Lunn","doi":"10.1089/lgbt.2024.0319","DOIUrl":"https://doi.org/10.1089/lgbt.2024.0319","url":null,"abstract":"Purpose: Binding, packing, using stand-to-pee (STP) devices, and tucking are nonhormonal, nonsurgical gender-affirming body modifications (GABMs) that are used to affirm gender expression. This study sought to describe the sociodemographic characteristics of and side effects experienced by those using GABMs. Methods: We conducted a cross-sectional study of The Population Research in Identity and Disparities for Equality Study participants who completed the 2023 Annual Questionnaire. Data on sociodemographics and self-reported side effects were collected and analyzed using descriptive statistics. Results: Of 6296 participants, 1694 reported GABMs including binding (n = 995), packing (n = 590), using an STP device (n = 351), and tucking (n = 265). Each GABM had a distinct side effect profile. Pain (2.0%-48.2% past-year prevalence) and dermatologic concerns (0.5%-23.2% past-year prevalence) were reported across GABMs. Conclusion: While GABMs promote mental health and patient safety, they carry a risk of adverse physical health effects. Providers play a vital role in managing GABM-associated side effects to ensure patients can continue to affirm their gender identities.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Associations of Social Determinants of Health with Overall Health and Quality of Life Among Sexual and Gender Minority People in New York State. 纽约州性少数群体和性别少数群体健康的社会决定因素与整体健康和生活质量的关系。

IF 3.9 2区医学

LGBT health Pub Date : 2025-05-26 DOI: 10.1089/lgbt.2024.0209

Redd Driver, James M Tesoriero, Thea Shengelaia, Kraig Pannell

{"title":"Associations of Social Determinants of Health with Overall Health and Quality of Life Among Sexual and Gender Minority People in New York State.","authors":"Redd Driver, James M Tesoriero, Thea Shengelaia, Kraig Pannell","doi":"10.1089/lgbt.2024.0209","DOIUrl":"https://doi.org/10.1089/lgbt.2024.0209","url":null,"abstract":"Purpose: This study examined associations between social determinants of health (SDOH) and overall health and quality of life (QOL) among sexual and gender minority (SGM) people in New York State. Methods: SGM individuals (N = 2342) completed a community needs assessment survey in 2021. Among an analytic sample (N = 2279), hierarchical regression models examined the relative strength of the association between primary SDOH barriers (i.e., food insecurity, unstable housing, economic insecurity) and overall health and QOL relative to secondary SDOH barriers (i.e., medical mistrust, social isolation, SGM health-related structural barriers) and psychosocial barriers to engaging in care (i.e., depressive symptoms, lack of SGM community connectedness). Path models explored significant secondary barriers to care as potential explanatory mechanisms between primary SDOH barriers and outcomes. Results: In hierarchical regression models, depressive symptoms were most strongly associated with overall health, whereas primary SDOH barriers were associated with poor QOL over other factors considered. In path models, a statistically significant path for depressive symptoms was found for both overall health and QOL. Social isolation and SGM health related structural barriers were also significant paths between primary SDOH barriers and both outcomes. Conclusion: This study demonstrates the complex relationships that exist between SDOH-related barriers and critical health outcomes for SGM people. Entities seeking to improve these outcomes should focus attention on advancing structural competency to assess and address a broader than traditionally considered range of barriers that are likely present at elevated levels for SGM populations.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of a Social Media Campaign Promoting Pre-Exposure Prophylaxis for Young Black and Latino Men Who Have Sex with Men: Focus Group Findings from the Social Media and Sexual Health Campaign. 开展一项促进与男性发生性关系的年轻黑人和拉丁裔男性接触前预防的社会媒体运动：来自社会媒体和性健康运动的焦点小组调查结果。

IF 3.9 2区医学

LGBT health Pub Date : 2025-05-13 DOI: 10.1089/lgbt.2024.0002

Alan Chen, Tatiana Gonzalez-Argoti, Laurie J Bauman, Asa E Radix, William J Nazareth, Joanne E Mantell

{"title":"Development of a Social Media Campaign Promoting Pre-Exposure Prophylaxis for Young Black and Latino Men Who Have Sex with Men: Focus Group Findings from the Social Media and Sexual Health Campaign.","authors":"Alan Chen, Tatiana Gonzalez-Argoti, Laurie J Bauman, Asa E Radix, William J Nazareth, Joanne E Mantell","doi":"10.1089/lgbt.2024.0002","DOIUrl":"https://doi.org/10.1089/lgbt.2024.0002","url":null,"abstract":"Purpose: The Social Media and Sexual Health (SMASH) campaign, a multi-component study, aimed to address disparities in pre-exposure prophylaxis (PrEP) use among young Black and Latino men, ages 18-29, who have sex with men (YBLMSM) by using social media influencers and short videos to promote awareness and uptake. To inform the campaign's content and strategy, we conducted focus groups to explore YBLMSM's social media behaviors and perceptions of social influencers as PrEP messengers, including preferences for content, messaging, length, selection of appropriate influencers, and delivery methods that resonated with the target audience, and aligned with the SMASH campaign's goals. Methods: Between January and March 2021, we conducted five virtual focus groups with 22 YBLMSM to identify their preferred social media platforms, how they engage with social media, and their views on the potential of influencers to be effective PrEP messengers. Focus groups were audio-recorded, transcribed, and analyzed using template analysis. Results: Instagram was the most frequently used platform, considered a \"jack-of-all-trades,\" while Facebook was viewed as outdated, and TikTok as catering to a younger audience. Participants emphasized several key factors for effective messaging: (1) authenticity, (2) lived experience, (3) targeted marketing versus broad reach, (4) sex positivity, and (5) balance of humor with seriousness. Conclusions: These findings shaped the casting and content creation for the SMASH campaign, providing valuable guidance for health promotion initiatives aimed at engaging YBLMSM with PrEP through social media.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adverse Childhood Experiences, Perceived Discrimination, and Mental Health in Sexual and Gender Minoritized Adults: Comparing Stress Accumulation and Stress Sensitization Models. 性少数群体和性别少数群体成年人的不良童年经历、感知歧视和心理健康：比较压力积累模型和压力敏感化模型。

IF 3.9 2区医学

LGBT health Pub Date : 2025-05-01 Epub Date: 2024-10-03 DOI: 10.1089/lgbt.2023.0296

Phillip W Schnarrs, Armin A Dorri, Stephen T Russell, Timothy J Grigsby, Ruby Charak, Hayden Dawes, Amy L Stone, R Andrew Yockey, Joshua G Rosenberger

{"title":"Adverse Childhood Experiences, Perceived Discrimination, and Mental Health in Sexual and Gender Minoritized Adults: Comparing Stress Accumulation and Stress Sensitization Models.","authors":"Phillip W Schnarrs, Armin A Dorri, Stephen T Russell, Timothy J Grigsby, Ruby Charak, Hayden Dawes, Amy L Stone, R Andrew Yockey, Joshua G Rosenberger","doi":"10.1089/lgbt.2023.0296","DOIUrl":"10.1089/lgbt.2023.0296","url":null,"abstract":"Purpose: The purpose of this study was to assess the relationship between adverse childhood experiences (ACEs) exposure, perceived discrimination, and anxiety and depressive symptoms in sexual and gender minoritized (SGM) adults in the United States. Methods: Respondents (n = 4445) from a national Qualtrics research panel completed a web-based survey. Guided by the stress proliferation (mediation model) and stress sensitization (moderation model) models, we examined the relationships between ACEs and perceived discrimination and the severity of anxiety and depressive symptoms in adulthood. Results: Cumulative ACEs exposure was positively associated with everyday discrimination scale (EDS) scores. ACEs and EDS scores had a significant direct association with anxiety and depressive symptoms. We found support for EDS as a mediator for anxiety (β = 0.12, p < 0.001) and depressive symptoms (β = 0.14, p < 0.001) and for ACEs as a moderator of the relationship between EDS and anxiety (β = -0.04, p = 0.004) and depressive (β = -0.05, p = 0.001) symptoms. Conclusions: These findings suggest that both stress proliferation and stress sensitization likely contribute to disparities in anxiety and depressive symptoms in SGM adults. This finding supports the integration of social safety and minority stress perspectives regarding health disparities in SGM populations. Exposure to early life adversity likely alters neurodevelopment, which in turn increases awareness of the lack of social safety in adulthood, reduces capacity to cope with minority stress exposure, and ultimately contributes to increased anxiety and depressive symptoms. Prevention efforts should focus on building positive and compensatory childhood experiences.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"286-294"},"PeriodicalIF":3.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining the Associations of Family-Related Factors with Hypertension in Sexual Minority Women. 性少数女性高血压与家庭相关因素的关系研究。

IF 3.9 2区医学

LGBT health Pub Date : 2025-05-01 Epub Date: 2025-04-14 DOI: 10.1089/lgbt.2024.0170

Yashika Sharma, Billy A Caceres, Jacquelyn Y Taylor, Bethany Everett, Nour Makarem, Tonda L Hughes

{"title":"Examining the Associations of Family-Related Factors with Hypertension in Sexual Minority Women.","authors":"Yashika Sharma, Billy A Caceres, Jacquelyn Y Taylor, Bethany Everett, Nour Makarem, Tonda L Hughes","doi":"10.1089/lgbt.2024.0170","DOIUrl":"10.1089/lgbt.2024.0170","url":null,"abstract":"Purpose: We examined the association between family-related factors (i.e., sexual identity disclosure to family and family social support) and hypertension (HTN) among sexual minority women (SMW; i.e., lesbian/gay, bisexual, or another sexual identity). Methods: We analyzed data from Waves 3 (2010-2012) and 4 (2017-2019) of the Chicago Health and Life Experiences of Women study. Using multiple logistic regression, we examined the cross-sectional and longitudinal associations of family-related factors with self-reported HTN (diagnosis of HTN at Wave 3 and newly diagnosed HTN at Wave 4) among SMW. We also explored whether race/ethnicity and sexual identity moderated these associations. Analyses were adjusted for relevant covariates (e.g., age, tobacco use). Results: Cross-sectional analyses included 651 SMW with a mean age of 40.2 (±13.8) years, 58% of whom identified as Black/African American or Hispanic. Family social support was inversely associated with the diagnosis of HTN (adjusted odds ratio: 0.85, 95% confidence interval: 0.75-0.97). Longitudinal analyses included 377 SMW (mean age of 38.8 [±13.0] years) with 51% identifying as Black/African American or Hispanic. Family social support was not associated with newly diagnosed HTN. Neither the cross-sectional nor longitudinal associations between sexual identity disclosure to family and HTN were significant. Neither race/ethnicity nor sexual identity were significant moderators. Conclusions: Family social support was associated with lower odds of HTN diagnosis among SMW. Families and clinicians should be educated about the protective role of family social support for sexual minority adults. Further research is needed to identify factors that contribute to HTN disparities observed among these populations.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"258-267"},"PeriodicalIF":3.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Scoping Review of Trends in the Size of Lesbian, Gay, and Bisexual Tobacco Use Disparities, 1996-2020, United States and Canada. 1996-2020 年美国和加拿大女同性恋、男同性恋和双性恋烟草使用差异大小趋势的范围研究》（A Scoping Review of Trends in the Size of Lesbian, Gay, and Bisexual Tobacco Use Disparities, 1996-2020, United States and Canada）。

IF 3.9 2区医学

LGBT health Pub Date : 2025-05-01 Epub Date: 2024-05-27 DOI: 10.1089/lgbt.2023.0309

Josephine T Hinds, Abdul G Zahra, Raymond A Ruiz, Carol A Johnston, Kerry B Sewell, Joseph G L Lee

{"title":"A Scoping Review of Trends in the Size of Lesbian, Gay, and Bisexual Tobacco Use Disparities, 1996-2020, United States and Canada.","authors":"Josephine T Hinds, Abdul G Zahra, Raymond A Ruiz, Carol A Johnston, Kerry B Sewell, Joseph G L Lee","doi":"10.1089/lgbt.2023.0309","DOIUrl":"10.1089/lgbt.2023.0309","url":null,"abstract":"Purpose: Tobacco use is a major health disparity for lesbian, gay, bisexual, and transgender (LGBT) populations compared with heterosexual/cisgender populations. In this scoping review, we aimed to determine if LGBT tobacco use disparities are improving or worsening over time and if trends in disparities differed across subgroups. Methods: We included articles that longitudinally explored youth and adult LGB tobacco use in the United States and Canada after searching four databases and capturing records through July 2022. Two reviewers independently screened the title/abstract and full text of 2326 and 45 articles, respectively. Eleven articles from 18 larger assessments met inclusion criteria, spanning data collection from 1996 to 2020. Results: All studies consistently demonstrated tobacco disparities for LGB populations. No articles examined longitudinal transgender tobacco disparities. Most studies focused on smoking combustible cigarettes. Disparities in heavy or daily use for all LGB youth subgroups compared with heterosexual samples appear to be shrinking longitudinally. Results for early-onset, current, and lifetime smoking were less consistent. Adult evidence was relatively sparse; however, after 2010, studies show diminishing disparities over time, except for current smoking by bisexual women. Conclusions: Large tobacco use disparities persist for LGB populations, although the size of disparities may be decreasing for some groups. Initiatives for lesbian and bisexual women and girls should be prioritized, in addition to interventions addressing LGB smoking broadly. Surveillance instruments should uniformly and consistently assess LGBT identities and tobacco use behaviors.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"237-248"},"PeriodicalIF":3.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Evaluation of Resilience as a Protective Factor for Mental Health Among Sexual and Gender Minority Young People. 对作为性与性别少数群体年轻人心理健康保护因素的复原力进行评估。

IF 3.9 2区医学

LGBT health Pub Date : 2025-05-01 Epub Date: 2024-10-28 DOI: 10.1089/lgbt.2024.0135

Charlie Giraud, Michael E Newcomb, Sarah W Whitton

{"title":"An Evaluation of Resilience as a Protective Factor for Mental Health Among Sexual and Gender Minority Young People.","authors":"Charlie Giraud, Michael E Newcomb, Sarah W Whitton","doi":"10.1089/lgbt.2024.0135","DOIUrl":"10.1089/lgbt.2024.0135","url":null,"abstract":"Purpose: Sexual and gender minority (SGM) individuals often face minority stressors that negatively affect their mental health, making it important to identify protective factors against the adverse psychological effects of minority stress. We investigated the potential protective effect of trait resilience in SGM individuals assigned female at birth (SGM-AFAB), who are understudied despite being at particularly high risk for mental health problems. Methods: As part of an ongoing longitudinal cohort study, 452 SGM-AFAB young people (age 16-31 years) completed measures of resilience, minority stressors (victimization, microaggressions, internalized heterosexism, and cisgenderism), and mental health (depression, anxiety, suicidal ideation) in 2017-2018. Moderating effects of resilience on associations between the minority stressors and mental health outcomes were tested using regression analyses. Results: Resilience attenuated the positive associations of microaggressions with both depression and anxiety and of internalized cisgenderism with depression (in transgender and gender-diverse participants), suggesting protective effects. Resilience did not moderate any other associations. Conclusion: These findings suggest that resilience serves as a protective factor against depressive and anxiety symptoms following experiences of microaggressions and against depressive symptoms following internalized cisgenderism among diverse SGM-AFAB individuals. These results underscore the importance of identifying factors that bolster resilience and developing intervention strategies aimed at promoting resilience within SGM-AFAB individuals, especially following experiences of microaggressions and internalized cisgenderism.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"278-285"},"PeriodicalIF":3.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of Cardiac Arrhythmias in Transgender and Nonbinary Adult Community Health Center Patients. 变性和非二元成人社区医疗中心患者心律失常的患病率。

IF 3.9 2区医学

LGBT health Pub Date : 2025-05-01 Epub Date: 2024-11-08 DOI: 10.1089/lgbt.2024.0151

Ayelet Shapira-Daniels, Dana S King, Sari L Reisner, Lauren B Beach, Oseiwe Benjamin Eromosele, Sandhiya Ravichandran, Robert H Helm, Emelia J Benjamin, Carl G Streed

{"title":"Prevalence of Cardiac Arrhythmias in Transgender and Nonbinary Adult Community Health Center Patients.","authors":"Ayelet Shapira-Daniels, Dana S King, Sari L Reisner, Lauren B Beach, Oseiwe Benjamin Eromosele, Sandhiya Ravichandran, Robert H Helm, Emelia J Benjamin, Carl G Streed","doi":"10.1089/lgbt.2024.0151","DOIUrl":"10.1089/lgbt.2024.0151","url":null,"abstract":"Purpose: Sex differences in cardiac arrhythmias are well established. This study aimed to explore the prevalence of arrhythmias in transgender and nonbinary (TGNB) adults. Methods: This cross-sectional study utilized electronic medical records from a center specializing in TGNB care. Adults aged ≥18 years with ≥2 medical visits between January 1, 2010, and December 31, 2021, were categorized into self-reported gender groups: TGNB (transgender men, transgender women, nonbinary [NB]-assigned male at birth, NB-assigned female at birth), cisgender men, and cisgender women. The primary outcome was any arrhythmia using age- and race-adjusted regression models comparing transgender patients with cisgender men and cisgender women. Prevalence of arrhythmias was explored in transgender people with a gender-affirming hormone therapy (GAHT) prescription. Results: The sample included 49,862 adults, with 7121 (14%) TGNB persons. Median age was 28 years. Prevalence of arrhythmias was low (0.7-1.4% NB persons, 1.4-1.5% transgender persons). After adjustment, transgender women and transgender men had similar odds of any arrhythmia compared with cisgender men (transgender women: adjusted odds ratio [aOR] 0.89, 95% confidence interval [CI] 0.63-1.24, p = 0.52; transgender men: aOR 1.17, 95% CI 0.82-1.62, p = 0.37), but higher odds of any arrhythmia compared with cisgender women (transgender women: aOR 1.65, 95% CI 1.13-2.34, p = 0.01; transgender men: aOR 2.15, 95% CI 1.48-3.04, p < 0.001). Prevalence of arrhythmias appeared similar among transgender adults regardless of GAHT use (transgender men: 1.5% vs 1.9%, transgender women: 1.2% vs 2.1%). Conclusion: Further research examining arrhythmias in TGNB patients and across gender minority subgroups is warranted, including longitudinal studies evaluating the potential impact of GAHT.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"249-257"},"PeriodicalIF":3.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gender Nonconformity, Minority Stress, and Psychological Distress Among Sexual Minority Adolescents. 性少数群体青少年中的性别不一致、少数群体压力和心理困扰》（Gender Nonconformity, Minority Stress, and Psychological Distress Among Sexual Minority Adolescents.

IF 3.9 2区医学

LGBT health Pub Date : 2025-05-01 Epub Date: 2024-10-28 DOI: 10.1089/lgbt.2024.0059

Brian C Thoma, Candice L Biernesser, Emma Win

{"title":"Gender Nonconformity, Minority Stress, and Psychological Distress Among Sexual Minority Adolescents.","authors":"Brian C Thoma, Candice L Biernesser, Emma Win","doi":"10.1089/lgbt.2024.0059","DOIUrl":"10.1089/lgbt.2024.0059","url":null,"abstract":"Purpose: Sexual minority adolescents (SMAs) have disproportionate experiences of mental health symptoms during adolescence, and minority stress contributes to mental health inequities among SMAs. Gender nonconformity (GNC) could place SMAs at higher risk for minority stress and subsequent mental health symptoms. The current study was designed to examine associations between GNC, minority stress, and psychological distress among SMAs. Method: SMAs ages 12-17 years (n = 455; mean age = 15.52 years) in the United States completed a cross-sectional online survey from February to July 2022, including measures of GNC, peer victimization, family rejection, negative expectations, negative disclosure experiences, internalized homonegativity, and psychological distress. We conducted path analysis to examine associations between GNC, minority stressors, and psychological distress, including indirect effects of GNC on psychological distress via minority stress. Results: In multivariable path analysis adjusted for demographic characteristics, GNC was associated with higher levels of peer victimization and negative expectations and lower internalized homonegativity among SMAs. Higher levels of peer victimization and negative expectations were associated with higher psychological distress. GNC was indirectly related to higher levels of psychological distress via higher peer victimization. Conclusions: The current study is the first to document associations between GNC and multiple minority stress experiences among SMAs, and GNC was indirectly related to psychological distress among SMAs via peer victimization. Although all SMAs would benefit from interventions designed to reduce peer victimization and increase their capacity to cope with minority stress, such interventions may be particularly beneficial for SMAs who are gender nonconforming.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"268-277"},"PeriodicalIF":3.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing Behavioral Health of Lesbian, Gay, Bisexual, Questioning, and Heterosexual Middle School Students. 比较女同性恋、男同性恋、双性恋、质疑者和异性恋中学生的行为健康状况。

IF 3.9 2区医学

LGBT health Pub Date : 2025-05-01 Epub Date: 2024-11-06 DOI: 10.1089/lgbt.2023.0477

Alena Kuhlemeier, Daniel G Shattuck, Cathleen E Willging, Mary M Ramos

引用次数: 0

LGBT health最新文献