Depressive Symptoms among Latino Sexual Minority Men and Latina Transgender Women in a New Settlement State: The Role of Perceived Discrimination

Background.Little is known about the role of discrimination on depression among Latino sexual and gender identity minorities. This manuscript examined the relationship between ethnic/racial discrimination and sexual discrimination on clinically significant depressive symptoms among Latino sexual minority men (i.e., gay and bisexual men and other men who have sex with men) and Latina transgender women.Methods.A community-based participatory research partnership recruited participants (N= 186; 80.6% cisgender men) in North Carolina to a social network-based HIV intervention. Using baseline data, we quantified the amount of perceived discrimination and conducted mixed-effects logistic regression analyses to examine correlates of clinically significant depressive symptoms.Results.A high percentage of participants reported ethnic/racial discrimination (73.7%) and sexual discrimination (53.8%). In the multivariable models, ethnic/racial discrimination, sexual discrimination, masculinity, fatalism, and social support were significantly associated with clinically significant depressive symptoms.Discussion.Improving mental health requires multilevel interventions that address pertinent individual, interpersonal, and system level factors.

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Racial Discrimination, Sexual Partner Race/Ethnicity, and Depressive Symptoms Among Black Sexual Minority Men

Archives of Sexual Behavior ◽

10.1007/s10508-020-01647-5 ◽

2020 ◽

Vol 49 (5) ◽

pp. 1799-1809

Author(s):

Devin English ◽

DeMarc A. Hickson ◽

Denton Callander ◽

Melody S. Goodman ◽

Dustin T. Duncan

Keyword(s):

Depressive Symptoms ◽

Racial Discrimination ◽

Sexual Minority ◽

Sexual Partner ◽

Sexual Minority Men ◽

Race Ethnicity ◽

Minority Men

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Does Socio-structural Context Matter? A Multilevel Test of Sexual Minority Stigma and Depressive Symptoms in Four Asia-Pacific Countries

Journal of Health and Social Behavior ◽

10.1177/0022146519877003 ◽

2019 ◽

Vol 60 (4) ◽

pp. 416-433

Author(s):

Stephanie Spaid Miedema ◽

Regine Haardörfer ◽

Corey L. M. Keyes ◽

Kathryn M. Yount

Keyword(s):

Depressive Symptoms ◽

Sexual Minority ◽

Asia Pacific ◽

Future Research ◽

Sexual Minority Men ◽

Individual Level ◽

Sexual Stigma ◽

Minority Men ◽

Cluster Unit

In the Asia-Pacific region, individual sexual stigma contributes to elevated rates of depression among sexual minority men. Less well understood is the role of socio-structural sexual stigma despite evidence that social context influences the experience of stigma. We use data from the United Nations Multi-country Study on Men and Violence to conduct a multilevel test of associations between individual- and cluster unit–level indicators of sexual stigma and depressive symptoms among sexual minority men ( n = 562). In the full model, individual-level sexual stigma is not associated with depressive symptoms, although there is significant variation in the association between individual stigma and depressive symptoms across clusters. Contrary to expectation, at the community level, homophobic injunctive norms are negatively associated with depressive symptoms. We discuss the implications for policies, programs, and future research to improve mental health among sexual minority men in the region.

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Disparity in depressive symptoms between heterosexual and sexual minority men in China: The role of social support

PLoS ONE ◽

10.1371/journal.pone.0226178 ◽

2020 ◽

Vol 15 (1) ◽

pp. e0226178

Author(s):

Jingchu Hu ◽

Ling Tan ◽

Gang Huang ◽

Wenjun Yu

Keyword(s):

Social Support ◽

Depressive Symptoms ◽

Sexual Minority ◽

Sexual Minority Men ◽

Minority Men

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Exploring the role of LGBT-affirming churches in health promotion for Black sexual minority men

Culture Health & Sexuality ◽

10.1080/13691058.2019.1666429 ◽

2019 ◽

Vol 22 (10) ◽

pp. 1191-1206 ◽

Cited By ~ 1

Author(s):

Jordan J. White ◽

Derek T. Dangerfield ◽

Erin Donovan ◽

Derek Miller ◽

Suzanne M. Grieb

Keyword(s):

Health Promotion ◽

Sexual Minority ◽

Sexual Minority Men ◽

Minority Men

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Understanding Social and Sexual Networks of Sexual Minority Men and Transgender Women in Guatemala City to Improve HIV Prevention Efforts

Journal of Health Care for the Poor and Underserved ◽

10.1353/hpu.2014.0163 ◽

2014 ◽

Vol 25 (4) ◽

pp. 1698-1717 ◽

Cited By ~ 11

Author(s):

C. Tucker ◽

C. Galindo Arandi ◽

J. Herbert Bolaños ◽

G. Paz-Bailey ◽

C. Barrington

Keyword(s):

Hiv Prevention ◽

Sexual Minority ◽

Transgender Women ◽

Sexual Networks ◽

Guatemala City ◽

Sexual Minority Men ◽

Minority Men ◽

Social And Sexual Networks

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Rapid mixed-methods assessment of COVID-19 impact on Latinx sexual minority men and Latinx transgender women

PLoS ONE ◽

10.1371/journal.pone.0244421 ◽

2020 ◽

Vol 15 (12) ◽

pp. e0244421

Author(s):

Sarah MacCarthy ◽

Max Izenberg ◽

Joanna L. Barreras ◽

Ron A. Brooks ◽

Ana Gonzalez ◽

...

Keyword(s):

Mixed Methods ◽

Sexual Minority ◽

Healthcare Access ◽

Transgender Women ◽

Medical Attention ◽

Computer Assisted ◽

Hiv Knowledge ◽

Sexual Minority Men ◽

Minority Men ◽

The Impact

We conducted a rapid, mixed-methods assessment to understand how COVID-19 affected Latinx sexual minority men (LSMM) and transgender women (LTGW). Using a computer-assisted telephone interviewing software, one interviewer called 52 participants (randomly sampled from a larger HIV prevention pilot study aiming to increase HIV knowledge and testing frequency; n = 36 LSMM and n = 16 LTGW) between 04/27/20-05/18/20. We quantified core domains using the Epidemic-Pandemic Impacts Inventory scale and provided important context through open-ended qualitative questions assessing: 1) COVID-19 infection history and experiences with quarantine; 2) Health and healthcare access; 3) Employment and economic impact of COVID-19. Participants reported increases in physical conflict or verbal arguments with a partner (13.5%) or other adult(s) (19.2%) due to stressors associated with the safer-at-home order. Participants also reported increased alcohol consumption (23.1%), problems with sleep (67.3%) and mental health (78.4%). Further, disruptions in access to Pre-Exposure Prophylaxis or PrEP–a daily pill to prevent HIV–occurred (33.3% of 18 participants who reported being on PrEP). Many said they received less medical attention than usual (34.6%), and LTGW reported delays in critical gender-affirming hormones/procedures. Half of the participants lost their jobs (50.0%); many undocumented participants relayed additional financial concerns because they did not qualify for financial assistance. Though no COVID-19 infections were noted, COVID-19 dramatically impacted other aspects of health and overall wellbeing of LSMM and LTGW. Public health responses should address the stressors faced by LSMM and LTGW during the COVID-19 pandemic and the impact on wellbeing.

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The moderating role of resilience resources in the association between crime exposure and substance use among young sexual minority men

Substance Use & Misuse ◽

10.1080/10826084.2019.1610447 ◽

2019 ◽

Vol 54 (11) ◽

pp. 1787-1798

Author(s):

Kristi E. Gamarel ◽

Kimberly M. Nelson ◽

Justin Heinze ◽

Danielle M. Chiaramonte ◽

Robin L. Miller ◽

...

Keyword(s):

Substance Use ◽

Sexual Minority ◽

Sexual Minority Men ◽

Minority Men ◽

Moderating Role

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“I Do Not Like Being Me”: the Impact of Self-hate on Increased Risky Sexual Behavior in Sexual Minority People

Sexuality Research and Social Policy ◽

10.1007/s13178-021-00590-x ◽

2021 ◽

Author(s):

Maria Rosaria Nappa ◽

Maria Giuseppina Bartolo ◽

Jessica Pistella ◽

Nicola Petrocchi ◽

Angela Costabile ◽

...

Keyword(s):

Sexual Orientation ◽

Positive Affect ◽

Sexual Minority ◽

Risky Sexual Behavior ◽

Sexual Minority Men ◽

Minority Men ◽

Minority Participants ◽

The Impact ◽

Minority People

Abstract Background Increased risky sexual behaviors (RSB) in sexual minority people relative to heterosexual individuals are well documented. However, the role of trans-diagnostic factors that are not sexual orientation-specific, such as self-criticism, in predicting RSB was understudied. The present study aimed to test participants’ gender and sexual orientation as moderators between self-criticism and RSB. Methods Data were collected during 2019. The total sample included 986 sexual minority people (Nwomen = 51%) and 853 heterosexual people (Nwomen = 46%), ranging from 18 to 35 years of age. Self-criticism dimensions (self-hate, self-inadequacy, self-reassurance), types of positive affect (relaxed, safe/content, and activated affect), and RSB were assessed. Bivariate, multivariate analyses, and moderated regression analyses were conducted. Results Sexual minority participants showed higher levels of RSB, self-hate, and self-inadequacy than heterosexual people. Only in sexual minority men, RSB correlated positively with self-hate and negatively with safe/content positive affect. Moderated regressions showed that only for sexual minority participants, higher RSB were predicted by higher levels of self-hate. At the same time, this association was not significant for heterosexual people controlling the effects of age, presence of a stable relationship, other self-criticism dimensions, and activation safe/content affect scale. The two-way interaction between sexual orientation and gender was significant, showing that regardless of self-hate, the strength of the association between sexual orientation and RSB is stronger for sexual minority men than sexual minority women and heterosexual participants. Conclusions Findings highlight the distinctive role of self-hate in the occurrence of RSB in sexual minority people and support the usefulness of developing a compassion-focused intervention to target self-hate in sexual minority people.

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