scholarly journals Assessing mental health signals among sexual and gender minorities using Twitter data

2019 ◽  
Vol 26 (2) ◽  
pp. 765-786 ◽  
Author(s):  
Yunpeng Zhao ◽  
Yi Guo ◽  
Xing He ◽  
Yonghui Wu ◽  
Xi Yang ◽  
...  

Sexual and gender minorities face extreme challenges that breed stigma with alarming consequences damaging their mental health. Nevertheless, sexual and gender minority people and their mental health needs remain little understood. Because of stigma, sexual and gender minorities are often unwilling to self-identify themselves as sexual and gender minorities when asked. However, social media have become popular platforms for health-related researches. We first explored methods to find sexual and gender minorities through their self-identifying tweets, and further classified them into 11 sexual and gender minority subgroups. We then analyzed mental health signals extracted from these sexual and gender minorities’ Twitter timelines using a lexicon-based analysis method. We found that (1) sexual and gender minorities expressed more negative feelings, (2) the difference between sexual and gender minority and non-sexual and gender minority people is shrinking after 2015, (3) there are differences among sexual and gender minorities lived in different geographic regions, (4) sexual and gender minorities lived in states with sexual and gender minority-related protection laws and policies expressed more positive emotions, and (5) sexual and gender minorities expressed different levels of mental health signals across different sexual and gender minority subgroups.

Author(s):  
Meredith R. Maroney ◽  
Mallaigh McGinley

This chapter explores the mental health experiences and needs of sexual and gender minority individuals with disabilities. The authors review the evidence-based research on mental health, highlighting the role of stigma, discrimination, and barriers to care. Autistic sexual and gender minority individuals are used to illustrate the unique experiences of subgroups. Much of the research on this topic is exploratory or descriptive in nature, focused on the experiences of and prevalence rates of individuals from sexual and gender minorities. The chapter concludes with a discussion of future directions for research, and the importance of centering the voices of sexual and gender minority individuals with disabilities in research and practice whenever possible.


The Oxford Handbook of Sexual and Gender Minority Mental Health provides an overview of the current research on the mental health of sexual and gender minority (SGM) populations. It is aimed at researchers conducting studies on the mental health of SGM populations, clinicians and researchers interested in psychiatric disorders that affect SGM populations, clinicians using evidence-based practice in the treatment of SGM patients/clients, students in mental health programs (clinical psychology, psychiatry, clinical social work, and psychiatric nursing), and policy makers. The twenty-first century has seen improvements in sampling, use of longitudinal research, mixed methods research, statistical methods for research, and funding opportunities for research with SGM populations. Nevertheless, the purpose of this Handbook is to point out the gaps in the research as well as the advances, in order to motivate future researchers to expand knowledge about SGM mental health. As this volume goes to press, the current socio-political context in many nations includes both progress and backlash, with laws and policies including protections for SGM individuals in some countries, and laws and policies denying protections in others. All of these changes will impact SGM individuals, mental health researchers, and especially young people coming of age in this era.


2020 ◽  
Vol 10 (5) ◽  
pp. 1200-1210 ◽  
Author(s):  
Eric K Layland ◽  
Joseph A Carter ◽  
Nicholas S Perry ◽  
Jorge Cienfuegos-Szalay ◽  
Kimberly M Nelson ◽  
...  

Abstract Stigma against sexual and gender minorities is a major driver of health disparities. Psychological and behavioral interventions that do not address the stigma experienced by sexual and gender minorities may be less efficacious. We conducted a systematic review of existing psychological and behavioral health interventions for sexual and gender minorities to investigate how interventions target sexual and gender minority stigma and consider how stigma could affect intervention efficacy. Preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines were followed. Eligible studies were peer reviewed and published in English between January 2003 and July 2019 and reported empirical results of behavioral or psychological interventions implemented among sexual and gender minorities. All interventions addressed stigma. We identified 37 eligible interventions. Most interventions targeted sexual minority men. Interventions were frequently developed or adapted for implementation among sexual and gender minorities and addressed multiple levels and types of stigma. Interventions most frequently targeted proximal stressors, including internalized and anticipated stigma. HIV and mental health were the most commonly targeted health outcomes. A limited number of studies investigated the moderating or mediating effects of stigma on intervention efficacy. The application of an intersectional framework was frequently absent and rarely amounted to addressing sources of stigma beyond sexual and gender minority identities. A growing number of interventions address sexual and gender minority stigma in an effort to prevent deleterious health effects. Future research is needed to assess whether stigma modifies the effectiveness of existing psychological and behavioral interventions among sexual and gender minorities. Further, the application of intersectional frameworks is needed to more comprehensively intervene on multiple, intersecting sources of stigma faced by the diverse sexual and gender minority community.


Author(s):  
Julie Prud’homme ◽  
Christina L. Robillard ◽  
Brianna J. Turner

Research examining the prevalence, impact, and course of personality disorders in sexual and gender minority populations is sparse; however, the available literature suggests that personality pathology is more prevalent in sexual and gender minorities compared to those who identify as heterosexual and/or cisgender. Although research is limited, several competing hypotheses have attempted to explain this disparity, including environmental, developmental, minority stress, and dual marginalization theories, as well as critical theories that point to possible roles of diagnostic, clinician, and cultural biases. This chapter highlights three critical future directions. First, rigorous longitudinal research needs to be conducted to evaluate competing etiological hypotheses of personality disorders in sexual and gender minorities. Second, future personality research should examine through an intersectional lens how additional aspects of one’s identity (e.g., ethnicity, class) interact with sexual orientation and gender to influence the experiences of these groups. Finally, clinicians and researchers must be sensitive to both the need to accurately document personality pathology, and the need to avoid unnecessarily pathologizing the experiences of sexual and gender minorities. Ultimately, addressing these future directions would enhance clinicians’ and researchers’ understanding of and ability to respond to the mental health needs of sexual and gender minority populations.


Author(s):  
Alicia K. Matthews ◽  
Cherdsak Duangchan ◽  
Chien-Ching Li

The prevalence of tobacco use disorders among sexual and gender minorities remains consistently high despite the overall reduction of tobacco use in the United States and other parts of the world. This chapter begins by describing the criteria for tobacco use disorders in the fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders. The authors discuss rates of tobacco use based on sexual orientation and gender identity and summarize the literature describing risk and protective factors for tobacco use among sexual and gender minorities. Strategies are highlighted for reducing the overall public health threat of tobacco use in sexual and gender minority populations.


Author(s):  
Jessica N. Fish ◽  
Laura Baams ◽  
Jenifer K. McGuire

Sexual and gender minority (SGM) young people are coming of age at a time of dynamic social and political changes with regard to LGBTQ rights and visibility around the world. And yet, contemporary cohorts of SGM youth continue to evidence the same degree of compromised mental health demonstrated by SGM youth of past decades. The authors review the current research on SGM youth mental health, with careful attention to the developmental and contextual characteristics that complicate, support, and thwart mental health for SGM young people. Given a large and rapidly growing body of science in this area, the authors strategically review research that reflects the prevalence of these issues in countries around the world but also concentrate on how mental health concerns among SGM children and youth are shaped by experiences with schools, families, and communities. Promising mental health treatment strategies for this population are reviewed. The chapter ends with a focus on understudied areas in the SGM youth mental health literature, which may offer promising solutions to combat SGM population health disparities and promote mental health among SGM young people during adolescence and as they age across the life course.


Author(s):  
Esther D. Rothblum

The Oxford Handbook of Sexual and Gender Minority Mental Health provides an overview of the current research on the mental health of sexual and gender minority (SGM) populations. It is aimed at researchers conducting studies on the mental health of SGM populations, clinicians and researchers interested in psychiatric disorders that affect SGM populations, clinicians using evidence-based practice in the treatment of SGM patients/clients, students in mental health programs (clinical psychology, psychiatry, clinical social work, and psychiatric nursing), and policymakers. This chapter defines some terms and provides an overview of current and past SGM research methods.


Author(s):  
Gary W. Harper ◽  
Jessica Crawford ◽  
Katherine Lewis ◽  
Caroline Rucah Mwochi ◽  
Gabriel Johnson ◽  
...  

Background: Sexual and gender minority (SGM) people in Kenya face pervasive socio-cultural and structural discrimination. Persistent stress stemming from anti-SGM stigma and prejudice may place SGM individuals at increased risk for negative mental health outcomes. This study explored experiences with violence (intimate partner violence and SGM-based violence), mental health outcomes (psychological distress, PTSD symptoms, and depressive symptoms), alcohol and other substance use, and prioritization of community needs among SGM adults in Western Kenya. Methods: This study was conducted by members of a collaborative research partnership between a U.S. academic institution and a Kenyan LGBTQ civil society organization (CSO). A convenience sample of 527 SGM adults (92.7% ages 18–34) was recruited from community venues to complete a cross-sectional survey either on paper or through an online secure platform. Results: For comparative analytic purposes, three sexual orientation and gender identity (SOGI) groups were created: (1) cisgender sexual minority women (SMW; 24.9%), (2) cisgender sexual minority men (SMM; 63.8%), and (3) gender minority individuals (GMI; 11.4%). Overall, 11.7% of participants reported clinically significant levels of psychological distress, 53.2% reported clinically significant levels of post-traumatic stress disorder (PTSD) symptoms, and 26.1% reported clinically significant levels of depressive symptoms. No statistically significant differences in clinical levels of these mental health concerns were detected across SOGI groups. Overall, 76.2% of participants reported ever using alcohol, 45.6% home brew, 43.5% tobacco, 39.1% marijuana, and 27.7% miraa or khat. Statistically significant SOGI group differences on potentially problematic substance use revealed that GMI participants were less likely to use alcohol and tobacco daily; and SMM participants were more likely to use marijuana daily. Lifetime intimate partner violence (IPV) was reported by 42.5% of participants, and lifetime SGM-based violence (SGMV) was reported by 43.4%. GMI participants were more likely than other SOGI groups to have experienced both IPV and SGMV. Participants who experienced SGMV had significantly higher rates of clinically significant depressive and PTSD symptoms. Conclusions: Despite current resilience demonstrated by SGM adults in Kenya, there is an urgent need to develop and deliver culturally appropriate mental health services for this population. Given the pervasiveness of anti-SGM violence, services should be provided using trauma-informed principles, and be sensitive to the lived experiences of SGM adults in Kenya. Community and policy levels interventions are needed to decrease SGM-based stigma and violence, increase SGM visibility and acceptance, and create safe and affirming venues for mental health care. Political prioritization of SGM mental health is needed for sustainable change.


Sign in / Sign up

Export Citation Format

Share Document