Association Between Overt and Subtle Experiences of Discrimination and Violence and Mental Health in Homosexual and Bisexual Men in Mexico

2020 ◽  
pp. 088626051989842
Author(s):  
Juan C. Mendoza-Perez ◽  
Luis Ortiz-Hernandez
Keyword(s):  
Mental Health ◽  
Sexual Orientation ◽  
Health Outcomes ◽  
Physical Violence ◽  
Gender Nonconformity ◽  
Mental Health Outcomes ◽  
Bisexual Men ◽  
Cross Sectional Survey ◽  
Increased Risk ◽  
And Bisexual

The aim of this study was to determine whether the experiences of direct or subtle forms of discrimination and violence are associated with mental health in Mexican gay, homosexual, and bisexual (GHB) men. A cross-sectional survey was conducted online; the sample consisted of 4,827 GHB men. Ten forms of overt and subtle sexual orientation–based discrimination and violence (SO-DV) were assessed. Linear and logistic regression models were used to evaluate the association between SO-DV experiences and mental health outcomes. Physical violence was reported less frequently than the other forms of SO-DV. As the number of settings in which SO-DV were experienced increased, a stronger association with negative mental health outcomes was observed. Experiences of subtle SO-DV were associated with increased distress, lower vitality, and increased risk of suicidal ideation. Disapproval of gender nonconformity was associated with negative mental health outcomes independently of violence based on sexual orientation. Subtle forms of SO-DV are more common than direct and overt forms. Both types of SO-DV could negatively affect mental health. Studies investigating these negative experiences are required to gain an understanding of the health inequalities faced by non-heterosexual populations.

scholarly journals An empirical examination and extension of the psychological mediation framework among gay and bisexual men: a mixed methods study

2021 ◽  
Author(s):  
Danielle R. Schwartz
Keyword(s):  
Mental Health ◽  
Sexual Health ◽  
Health Outcomes ◽  
Minority Stress ◽  
Gay And Bisexual Men ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Bisexual Men ◽  
And Bisexual ◽  
The Relationship

Compared to heterosexual men, gay and bisexual men (GBM) are at an increased risk of adverse mental and sexual health outcomes. Minority Stress Theory (MST) proposes that GBM experience an increased prevalence of poor mental health outcomes as a result of minority stress. Building upon MST, the Psychological Mediation Framework (PMF) posits that minority stress leads to changes in general cognitive, affective, and social psychological processes, thereby leading to negative mental health outcomes. The present mixed methods study focused on three primary objectives in a sample of 261 GBM: (a) testing the indirect effects of general psychological processes in the relationship between minority stress and poor mental health outcomes; (b) evaluating whether these processes also account for the relationship between minority stress and poor sexual health outcomes; and (c) qualitatively exploring and further clarifying the PMF. Quantitative results provided support for the PMF by demonstrating that experiences of objective stigma were associated with elevations in psychological risk factors, which were in turn associated with adverse mental health outcomes. When each mediator was examined separately, affective processes had a significant effect on mental health outcomes whereas cognitive and social processes were non-significant. For sexual health, the total indirect effect of general psychological mediators in the relationship between stigma and sexual health outcomes was non-significant. However, when mediators were examined separately, cognitive processes did appear to have a significant indirect effect in this relationship, whereas affective and social processes were non-significant. Qualitative results provided partial support for the PMF; many, but not all, of the key components of the model were discussed by participants, and a number of novel themes emerged that expand beyond variables described in the PMF. These findings have important theoretical implications by helping to refine the PMF and future studies of minority stress. Further, by offering a better understanding of the mechanisms linking minority stress and poor health outcomes, this study may help guide future psychological interventions aimed at improving the health of GBM.

scholarly journals Verbal victimisation and mental health of sexual minority adults in France

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
F El-Khoury ◽  
K Marr ◽  
M Melchior ◽  
M Héron ◽  
Keyword(s):  
Mental Health ◽  
Sexual Orientation ◽  
Health Outcomes ◽  
Sexual Minority ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Mental Health Outcomes ◽  
Increased Risk ◽  
Verbal Violence

Abstract Objectives Sexual minority individuals face minority stress, and specific discrimination and abuse that might increase their risk of having mental health problems. We examine associations between sexual orientation, experienced violence in the past year, and mental health outcomes in a representative sample of French adults aged 18 to 75 years. Methods Analyses were based on the “Health Barometer” (Baromètre Santé) a nationally representative, cross-sectional survey which recruited 25,198 adults in 2017. Data were weighted to be representative of the French adult population. Four mental health outcomes occurring in the preceding year or currently were examined: a) current depressive symptoms, b) having experienced a major depressive episode, c) suicidal ideation, and d) suicide attempt. We conducted mediation analysis using the counterfactual approach to evaluate the contribution that verbal violence victimisation experience in the preceding year has in the association between sexual orientation and mental health outcomes. Results Sexual minority adults were more likely to experience verbal violence in the last year compared to heterosexual individuals (22% vs 11.4%). They were also more likely to have experienced each of the four mental health outcomes. Verbal victimisation in the preceding was found to significantly mediate the association between sexual orientation and mental health outcome with mediated proportions varying between 15 to 22%. Discussion Initiatives that aim to structurally reduce stigma and victimisation against sexual minority individuals, but also improve social support and resilience, could have a significant impact on their mental health and well-being. Key messages Sexual minority adults are more likely to experience verbal violence, and mental health problems. Verbal victimisation partly explains the increased risk of having mental health problems among sexual minority individuals.

scholarly journals An empirical examination and extension of the psychological mediation framework among gay and bisexual men: a mixed methods study

2021 ◽  
Author(s):  
Danielle R. Schwartz
Keyword(s):  
Mental Health ◽  
Sexual Health ◽  
Health Outcomes ◽  
Minority Stress ◽  
Gay And Bisexual Men ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Bisexual Men ◽  
And Bisexual ◽  
The Relationship

Compared to heterosexual men, gay and bisexual men (GBM) are at an increased risk of adverse mental and sexual health outcomes. Minority Stress Theory (MST) proposes that GBM experience an increased prevalence of poor mental health outcomes as a result of minority stress. Building upon MST, the Psychological Mediation Framework (PMF) posits that minority stress leads to changes in general cognitive, affective, and social psychological processes, thereby leading to negative mental health outcomes. The present mixed methods study focused on three primary objectives in a sample of 261 GBM: (a) testing the indirect effects of general psychological processes in the relationship between minority stress and poor mental health outcomes; (b) evaluating whether these processes also account for the relationship between minority stress and poor sexual health outcomes; and (c) qualitatively exploring and further clarifying the PMF. Quantitative results provided support for the PMF by demonstrating that experiences of objective stigma were associated with elevations in psychological risk factors, which were in turn associated with adverse mental health outcomes. When each mediator was examined separately, affective processes had a significant effect on mental health outcomes whereas cognitive and social processes were non-significant. For sexual health, the total indirect effect of general psychological mediators in the relationship between stigma and sexual health outcomes was non-significant. However, when mediators were examined separately, cognitive processes did appear to have a significant indirect effect in this relationship, whereas affective and social processes were non-significant. Qualitative results provided partial support for the PMF; many, but not all, of the key components of the model were discussed by participants, and a number of novel themes emerged that expand beyond variables described in the PMF. These findings have important theoretical implications by helping to refine the PMF and future studies of minority stress. Further, by offering a better understanding of the mechanisms linking minority stress and poor health outcomes, this study may help guide future psychological interventions aimed at improving the health of GBM.

Evidence of sexual orientation and gender differences in mental health outcomes for violent crime victims

2012 ◽  
Author(s):  
Robert J. Cramer ◽  
Martha Shumway ◽  
Amanda M. Amacker ◽  
Dale E. McNiel ◽  
Sarah Holley ◽  
...  
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Sexual Orientation ◽  
Health Outcomes ◽  
Violent Crime ◽  
Crime Victims ◽  
Mental Health Outcomes ◽  
And Gender

scholarly journals Social services Interventions and the Mental Health and Mortality of care leavers: a population based data linkage study in Northern Ireland and Finland

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Aideen Maguire ◽  
Anne Kouvonen ◽  
Dermot O'Reilly ◽  
Hanna Remes ◽  
Joonas Pitkänen ◽  
...  
Keyword(s):  
Mental Health ◽  
Northern Ireland ◽  
Health Outcomes ◽  
Social Services ◽  
Psychiatric Hospital ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Care Intervention ◽  
Increased Risk ◽  
Self Harm

BackgroundResearch has highlighted the poor mental health of looked after children compared to those never in care. However, little is known on what becomes of these children and their mental health trajectories after they leave the care of social services. In addition, previous studies are limited in their ability to differentiate between type of social care intervention received; kinship care, foster care or residential care. AimTo utilise nationwide social services data from two countries (Northern Ireland (NI) and Finland), with similar populations but different intervention policies, linked to a range of demographic and health datasets to examine the mental health outcomes of young adults in the years following leaving care. MethodsData from both countries on children born 1991-2000 were linked to social services data, hospital admissions, prescribed medication data and death records. Mental health outcomes were defined after the age of 18years (when statutory care provision ends) examined by care intervention and included admissions to psychiatric hospital, for self-harm and death by suicide. ResultsThe gender split in care in Finland is reflective of the population but more males are in care in NI. Initial results from Finnish data suggest those exposed to care in childhood have an increased risk of self-harm, psychiatric hospital admission and suicide after the age of 18years compared to those never in care. After adjusting for gender, age of entry to care and deprivation at birth those exposed to any care intervention had 3 times the risk of suicide (HR=3.06, 95% CI 1.18,7.98). Risk increased with duration in care but was equivalent across care intervention types. Analysis on the NI data is underway. ConclusionFull results will be available December 2019 and will explore which care pathways are most associated with poor mental health outcomes informing discussion around intervention opportunities and policy.

Mental Health Literacy, Help-Seeking, and Mental Health Outcomes in Women Rugby Players

2021 ◽  
pp. 1-10
Author(s):  
Shakiba Oftadeh-Moghadam ◽  
Paul Gorczynski
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
Health Outcomes ◽  
Help Seeking ◽  
Mental Health Literacy ◽  
Well Being ◽  
Mental Health Outcomes ◽  
Multidisciplinary Teams ◽  
And Bisexual ◽  
Rugby Players

Within rugby, a plethora of research has focused on male rugby players, with some recent attention being directed to examining their mental health. Such attention has not been evident for their female rugby counterparts. The aims of this study were to ascertain levels of mental health literacy (MHL) and explore demographic differences in United Kingdom semielite rugby players who identified as women, and examine whether MHL is associated with better mental health outcomes and general help-seeking intentions. In total, 208 semielite women rugby players completed an online multisection questionnaire measuring MHL, general help-seeking intentions, distress, and well-being. Overall, most players scored a low rating of well-being; however, those who indicated a previous mental health problem exhibited significantly higher levels of MHL. Players were more likely to display general help-seeking intentions toward an intimate partner or a friend than a health care professional. High levels of distress were reported in 64.4% of players, particularly those who had been previously medically diagnosed with a mental disorder and bisexual rugby players. MHL was significantly, positively correlated with general help-seeking intentions, but not significantly correlated with distress or well-being. This study is the first to examine MHL in women rugby players and suggests that strategies devised by multidisciplinary teams of experts to help promote, engage, and offer tailored mental health support to women rugby players would be beneficial. Further investigations exploring the determinants of, and barriers to, MHL among women rugby players would be worthwhile to better understand and support players throughout their sporting career.

scholarly journals The impact of COVID-19 on mental health outcomes among hospital fever clinic attendants across Nepal: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248684
Author(s):  
Hridaya Raj Devkota ◽  
Tula Ram Sijali ◽  
Ramji Bogati ◽  
Meraj Ahmad ◽  
Karuna Laxmi Shakya ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Health Outcomes ◽  
Psychological Impact ◽  
Cross Sectional Study ◽  
Mental Health Outcomes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Mental Health Programs ◽  
The Impact

Background The COVID-19 pandemic has been creating a panic and distressing situations among the entire population globally including Nepal. No study has been conducted assessing the psychological impact of this pandemic on the general public in Nepal. The objective of this study is to assess the mental health status during COVID-19 outbreak and explore the potential influencing factors among the population attending the hospital fever clinics with COVID–19 symptoms. Methods A cross-sectional survey was conducted between May—June, 2020 with a sample of 645 participants aged 18 and above in 26 hospitals across Nepal. Telephone interviews were conducted using a semi-structured questionnaire along with a validated psychometric tool, the Depression, Anxiety and Stress (DASS-21) scale. The metrics and scores of symptoms and their severity were created and analyzed. Multivariate logistic regression was used to determine the association of potential covariates with outcome variables. Results The prevalence of anxiety, depression and stress were 14%, 7% and 5% respectively. In reference to Karnali, participants from Bagmati province reported higher level of anxiety (OR 3.44, 95% CI 1.31–9.06), while stress (OR 4.27, 95% CI 1.09–18.32) and depressive symptoms (OR 3.11, 95% CI 1.05–9.23) observed higher among the participants in Province 1. Women were more at risk of anxiety (OR 3.41, 95% CI 1.83–6.36) than men. Similarly, people currently living in rented houses reported more stress (OR 2.97, 95% CI 1.05–8.43) and those living far from family reported higher rates of depressive symptoms (OR 3.44, 95% CI 1.03–11.46). Conclusion The study identified increased prevalence of stress, anxiety and depressive symptoms during the initial stage of COVID-19 pandemic in Nepal. Considering the findings, there is urgent need to develop and implement appropriate community-based mental health programs targeting individuals who have had COVID-19 symptoms and who are prone to develop adverse mental health outcomes.

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