拉丁美洲性少数成年人的歧视、心理健康和自杀意念:考虑社会支持和宗教信仰的作用

Richard S. Henry, Cosima Hoetger, A. Rabinovitch, A. A. Arelis, B. Barajas, P. Perrin
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引用次数: 9

摘要

尽管在国际层面上,女同性恋、男同性恋、双性恋和跨性别(LGBT)成年人遭受歧视和心理健康问题的比例很高,但很少有研究关注拉丁美洲的这一人群。因此,本研究的目的是探讨拉丁美洲LGBT成年人的歧视经历、心理健康(即焦虑和抑郁症状)、自杀意念、宗教信仰和社会支持之间的关系。来自该地区的99名参与者完成了一项在线调查,评估了这些概念。结果表明,51.5%的样本报告终身自杀意念。遭受骚扰/拒绝型歧视可预测自杀意念,而工作/学校型歧视可预测心理健康问题(焦虑和抑郁)。抑郁症状预示着自杀意念,而焦虑症状本身并没有。此外,抑郁症状介导了工作/学校歧视与自杀意念之间的关系,以及骚扰/拒绝歧视与自杀意念之间的关系。有调节的中介分析表明,在拉丁美洲,高而不是低或中等水平的社会支持和宗教信仰缓冲了LGBT成年人免受歧视的影响,特别是通过削弱歧视、抑郁症状和自杀意念之间的联系。拉丁美洲LGBT成年人的临床干预研究应侧重于增加这一人群的社会支持网络,并帮助LGBT成年人调和宗教身份与性或性别少数群体身份之间的冲突,因为健康的宗教信仰可能是防止心理健康问题的保护因素,特别是自杀意念。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Discrimination, Mental Health, and Suicidal Ideation among Sexual Minority Adults in Latin America: Considering the Roles of Social Support and Religiosity
Despite the high rates of discrimination and mental health issues experienced by lesbian, gay, bisexual, and transgender (LGBT) adults at an international level, very little research has focused on this population in Latin America. As a result, the purpose of this study was to explore relationships among discrimination experiences, mental health (i.e., anxiety and depressive symptoms), suicidal ideation, religiosity, and social support in LGBT adults in Latin America. A sample of 99 participants from the region completed an online survey assessing these constructs. Results suggested that 51.5% of the sample reported lifetime suicidal ideation. Experiences with harassment/rejection-type discrimination predicted suicidal ideation, while work/school-type discrimination predicted mental health problems (anxiety and depression). Depressive symptoms predicted suicidal ideation, while anxiety symptoms alone did not. Further, depressive symptoms mediated relationships between work/school discrimination and suicidal ideation, as well as between harassment/rejection discrimination and suicidal ideation. Moderated mediation analyses suggested that high, but not low or moderate levels of social support and religiosity buffered LGBT adults in Latin America against discrimination, specifically by weakening links among discrimination, depressive symptoms, and suicidal ideation. Clinical intervention research with LGBT adults in Latin America should focus on increasing social support networks for this population and on helping LGBT adults reconcile conflicts between religious identities and sexual or gender minority identities, as healthy religiosity may serve as a protective factor against mental health problems generally, and suicidal ideation specifically.
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