scholarly journals Considerations for the Stressors of Sexual Minority Identity and How It Affects Mental Health for Those Who Identify as LBGTQ+

Author(s):  
Lorin A. Cartwright ◽  
Timothy Neal

An area that has not been closely considered in the sporting world is the mental health effects on the competitive athletes who identify as Lesbian, bisexual, gay, transgender, queer/questioning (LBGTQ+) and thus, experience discrimination because of their sexual identity. Considerations include concepts an athletic trainer should keep in mind when caring for patients/athletes who identify as LBGTQ+. This article reviews the mental health impact of sexual minority identity stress on LBGTQ+ individuals, steps to address discrimination for those in athletics who identify as LBGTQ+, legal ramifications in the workplace for the LBGTQ+ individual, and the tragic consequences when LBGTQ+ individuals lack coping skills for stress and pursue suicide as a way to cope. Strategies are provided to improve the outcomes, prevent suicide, and create an environment of inclusivity.

2019 ◽  
Vol 35 (4) ◽  
pp. 807-833
Author(s):  
James M. Dahlhamer ◽  
Adena M. Galinsky ◽  
Sarah S. Joestl

Abstract Privacy, achieved through self-administered modes of interviewing, has long been assumed to be a necessary prerequisite for obtaining unbiased responses to sexual identity questions due to their potentially sensitive nature. This study uses data collected as part of a split-ballot field test embedded in the National Health Interview Survey (NHIS) to examine the association between survey mode (computer-assisted personal interviewing (CAPI) versus audio computer-assisted self-interviewing (ACASI)) and sexual minority identity reporting. Bivariate and multivariate quantitative analyses tested for differences in sexual minority identity reporting and non-response by survey mode, as well as for moderation of such differences by sociodemographic characteristics and interviewing environment. No significant main effects of interview mode on sexual minority identity reporting or nonresponse were found. Two significant mode effects emerged in subgroup analyses of sexual minority status out of 35 comparisons, and one significant mode effect emerged in subgroup analyses of item nonresponse. We conclude that asking the NHIS sexual identity question using CAPI does not result in estimates that differ systematically and meaningfully from those produced using ACASI.


2021 ◽  
Author(s):  
Sumin Tan ◽  
Ping Cen ◽  
Ting Fang ◽  
Xing Yang ◽  
Yun Zhang ◽  
...  

Abstract Introduction: This study aimed to investigate sexual orientation disclosure and mental health among young men who have sex with men (YMSMs). To this end, we constructed a chained multimediator model of sexual minority stigma, sexual minority identity, social support, and resilience, with the moderator of sexual orientation disclosure. Methods: We conducted a cross-sectional survey of 345 YMSMs in Nanning, China. Univariate analysis was used to evaluate factors associated with sexual orientation disclosure. Sexual minority stigma was used to predict identity, with social support as the step 1 mediator and resilience as the step 2 mediator. Sexual minority identity was analyzed using a chained moderated mediation model; sexual orientation disclosure was included as a moderator in all models to control its confounding effect. Results: The average age of YMSMs was 20.0 ± 1.3 years. Univariate analysis indicated that YMSMs who disclosed sexual orientation may have experienced less stigma (15.49 ± 3.02 vs 16.21 ± 2.74), obtained more social support (65.98 ± 11.18 vs 63.19 ± 11.13), had strong psychological resilience (37.40 ± 8.57 vs 35.39 ± 7.73), and had a more positive self-identity (104.12 ± 21.10 vs 95.35 ± 16.67); differences between subgroups were statistically significant (p < 0.05). Sexual minority stigma, perceived stigma, and enacted stigma were significantly associated with social support and resilience. The association between sexual minority stigma and sexual minority identity was significantly mediated by social support (indirect effect [95% CI] = −3.307 [−4.782, −1.907]). Resilience significantly mediated the same association for identity (−2.544 [−4.052, −1.114]). The chained relationship from sexual minority stigma to social support, resilience, and identity was also significant, with an indirect effect of −0.404 [−0.621, −0.249]. Conclusion: Among YMSMs in China, sexual minority stigma affects sexual minority identity through social support and resilience. Given the psychological effects of stigma, social support and resilience must be considered to better promote positive self-identity and mental health among YMSMs.


Author(s):  
Cassandra R. Homick ◽  
Lisa F. Platt

Gender and sexual identity play a significant role in the lives of developing youth. The developments of gender and sexual identities are shaped by a variety of factors including, but not limited to, biological, cognitive, and social elements. It is crucial to consider that gender and sexual minority individuals face additional complexities in the two processes of gender identity and sexual identity development. Cisgender identity development is most commonly understood with the help of early cognitive and social theories, although biological components play a part as well. Specifically, the theories of Lawrence Kohlberg, Sandra Bem, Alfred Bandura, and David Buss have made significant contributions to the understanding of cisgender identity development. Modern transgender identity development models are helpful in exploring transgender identity formation with the most popular being the Transgender Emergence Model founded by Arlene Lev. Similar to cisgender identity development, heterosexual identity development is typically understood with the help of early psychosocial theories, namely that of Erik Erikson. Sexual minority identity development is often comprehended using stage models and life-span models. Sexual minority stage models build off the work of Erik Erikson, with one of the most popular being the Cass Model of Gay and Lesbian Identity Development. Offering more flexibility than stage models and allowing for fluid sexual identity, life-span models, like the D’Augelli model, are often more popular choices for modern exploration of sexual minority identity development. As both sexual and gender identity spectrums are continuing to expand, there also comes a need for an exploration of the relationship between sexual and gender identity development, particularly among sexual minority populations.


2020 ◽  
Vol 37 (3) ◽  
pp. 156-158 ◽  
Author(s):  
B. Gavin ◽  
J. Lyne ◽  
F. McNicholas

With the advent of the COVID-19 pandemic, we have witnessed the greatest global challenge in a generation. The full extent of the mental health impact is, as yet, unknown, but is anticipated to be severe and enduring. In this Special Issue dedicated to mental health and the COVID-19 pandemic, we aim to lay the foundation for an improved understanding of how COVID-19 is affecting mental health services both in Ireland and globally. This Special Issue highlights how the mental health effects of COVID-19 stretch to almost every element of society. The issue includes perspectives from several countries across multiple disciplines and healthcare settings. The drive for rapid innovation and service development is clearly evident throughout and provides hope that by working collaboratively we can positively impact population mental health in the months and years ahead.


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