scholarly journals Mechanisms of Mental-Health Disparities Among Minoritized Groups: How Well Are the Top Journals in Clinical Psychology Representing This Work?

2021 ◽  
pp. 216770262110269
Author(s):  
Leah M. Adams ◽  
Adam Bryant Miller
Keyword(s):  
Mental Health ◽  
Health Disparities ◽  
Clinical Psychology ◽  
Minority Stress ◽  
Biopsychosocial Model ◽  
Future Research ◽  
Mental Health Disparities ◽  
Sexual Identities ◽  
Race Ethnicity ◽  
Minority Stress Model

It has been known for decades that mental-health disparities exist among minoritized groups, including race, ethnicity, sexual identities, gender identity and expression, ability, and others. Theories and frameworks that incorporate stressors unique to the experiences of minoritized groups, such as the biopsychosocial model of racism and minority-stress model, offer testable mechanisms that may help explain, in part, mental-health disparities. However, research addressing mechanisms of these disparities is still scarce and is not well represented in top clinical psychology journals. In this review, we critically examine the extent to which top-tier clinical psychology journals publish work examining mechanisms of mental-health disparities among minoritized populations. We found that very few studies that address mechanisms of mental-health disparities have been published in top clinical psychology journals. We examine potential reasons for this and discuss recommendations for future research.

scholarly journals “Here in the Bible Belt, It’s Predominantly Negative”: Sexual Identity Stigma in the American South, 50 Years After Stonewall

2021 ◽  
Vol 12 ◽  
Author(s):  
Joseph J. Frey ◽  
William J. Hall ◽  
Jeremy T. Goldbach ◽  
Paul Lanier
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Disparities ◽  
Sexual Identity ◽  
Minority Stress ◽  
The United States ◽  
Mental Health Disparities ◽  
Structured Interviews ◽  
United States South ◽  
The Impact

Lesbian, gay, bisexual, and pansexual (LGB+) individuals have disproportionate rates of mental illness. Minority stress and sexual identity stigma are posited as the primary social determinants of LGB+ mental health disparities. Discussions in the literature have questioned the impact of sexual identity stigma in a world increasingly accepting of sexual minorities. Additionally, the LGB+ population in the United States South is often overlooked in American research. This article details a qualitative study exploring experiences related to sexual identity stigma among adults who identify as LGB+ in the United States South. Semi-structured interviews with 16 individuals were analyzed using content analysis. Six thematic categories of stigma emerged from participants’ experiences: (a) navigating an LGB+ identity, (b) social acceptability of an LGB+ identity, (c) expectation of LGB+ stigma, (d) interpersonal discrimination and harassment, (e) structural stigma, and (f) relationship with the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community. Findings suggest that sexual identity stigma remains a common experience among these Southern United States participants. Further, thematic categories and subcategories primarily aligned with extant theory with one exception: Intracommunity stigma, a form of stigma emanating from the LGBTQ community, emerged as a stigma type not currently accounted for in theoretical foundations underpinning mental health disparities in this population.

LGBTI and mental health

2018 ◽  
pp. 225-234
Author(s):  
Martin Plöderl ◽  
Lieselotte Mahler ◽  
Timo O. Nieder ◽  
Götz Mundle
Keyword(s):  
Mental Health ◽  
Health Disparities ◽  
Gender Roles ◽  
Minority Stress ◽  
Mental Health Problems ◽  
Health Problems ◽  
Explanatory Models ◽  
Evidence Based ◽  
Mental Health Disparities ◽  
Prevention And Intervention

Lesbian, gay, bisexual, transgender, and intersex (LGBTI) individuals face specific mental health challenges, as will be described in this chapter. Many studies reported elevated mental health problems for LGB individuals compared with their heterosexual counterparts. Fewer studies are available for trans(-gender) and inter(-sex) individuals, but the majority reported increased levels of mental health problems compared with their cisgendered or non-inter counterparts. Current explanatory models centre on the pathogenic effect of homonegativity, transnegativity, and internegativity, as well as the underlying rigid gender roles, resulting in minority stressors that LGBTI individuals and those who are perceived as LGBTI are faced with. Such experienced or internalized minority stress can explain mental health disparities well. This contrasts with the long-standing medical view that LGBTI conditions are inherently pathological. Evidence-based LGBTI-specific prevention and intervention programmes are emerging.

scholarly journals Digital Technologies as a Means to Reducing Mental Health Disparities: The Role of Ethnicity, SES, and Geography

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 662-663
Author(s):  
Giyeon Kim
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Disparities ◽  
Digital Technology ◽  
Technology Use ◽  
Digital Technologies ◽  
Current Status ◽  
Future Research ◽  
Mental Health Disparities

Abstract This presentation discusses the importance of using digital technologies on reducing mental health disparities among older adults from diverse backgrounds. This talk primarily focuses on the role of ethnicity, socioeconomic status and geography. First, the speaker presents the current status of digital technology use among older adults and how different levels of digital technology use affect mental health disparities by ethnicity, SES, and place of residence. Second, the speaker introduces a recently funded government project on developing an IoT-based home system (Internet of Things) to screen mild cognitive function for Korean older adults. Lastly, the speaker discusses potential implications, as well as directions for future research on using digital technologies to reduce mental health disparities among diverse populations.

scholarly journals Exploring Discrimination and Mental Health Disparities Faced By Black Sexual Minority Women Using a Minority Stress Framework

2014 ◽  
Vol 39 (3) ◽  
pp. 287-304 ◽  
Author(s):  
Sarah K. Calabrese ◽  
Ilan H. Meyer ◽  
Nicole M. Overstreet ◽  
Rahwa Haile ◽  
Nathan B. Hansen
Keyword(s):  
Mental Health ◽  
Health Disparities ◽  
Sexual Minority ◽  
Minority Stress ◽  
Minority Women ◽  
Mental Health Disparities ◽  
Sexual Minority Women

scholarly journals Sexual Minority Mental Health

2021 ◽  
Author(s):  
Brooke G. Rogers ◽  
Audrey Harkness ◽  
Craig Anthony Rodriguez-Seijas
Keyword(s):  
Mental Health ◽  
Health Disparities ◽  
Emotional Disorders ◽  
Sexual Minority ◽  
Minority Stress ◽  
Mental Health Disparities ◽  
Minority Communities ◽  
Minority Mental Health ◽  
The Social ◽  
Evidence Based Treatments

Sexual minority clients are more likely to experience emotional disorders and other psychiatric conditions than the general population. This health disparity is not attributable to an individual's sexual minority identity, but rather, the social milieu that produces a unique set of stigma-related stressors. Therefore, mental health disparities affecting sexual minority communities are best understood through a minority stress framework. This chapter outlines mental health disparities affecting sexual minority communities, tailored evidence-based treatments, and clinical considerations for working with sexual minority clients. We hope this chapter can offer pragmatic guidance on how best to tailor intervention approaches given the unique needs and lived experiences of this population.

Research on psychotic disorders in rural areas: Recent advances and ongoing challenges

2021 ◽  
pp. 002076402110194
Author(s):  
Vaios Peritogiannis ◽  
Maria Samakouri
Keyword(s):  
Mental Health ◽  
Health Disparities ◽  
Rural Areas ◽  
Urban Areas ◽  
Psychotic Disorders ◽  
Social Inequalities ◽  
Future Research ◽  
Mental Health Disparities ◽  
The Impact ◽  
Rural Patients

Background: Research on patients with chronic psychotic disorders in rural areas is scarce. Those patients may not receive adequate mental health care. Mental health disparities among rural and urban areas have been recognized. Aims: This review aims to present the most recent research on psychotic disorders in rural areas. Method: We conducted a search in the PubMed and Scopus databases. The search involved articles published over the last decade (2011–2020). All types of research design were included, if studies had used a controlled group of urban patients and reported on the differences among rural/urban residents with psychotic disorders. The focus of the review was on outcome and treatment. Results: A total of 12 studies were included in this review. Most have been conducted in China or India. Reports from Western countries are rare. Outcome studies showed that employment rates are significantly higher in rural patients, as well as rates of marriage in women. It is not clear what is the impact of those outcomes on patients’ lives. The finding of lower cost of psychotic disorders in some rural areas, should be viewed with scepticism. Studies on treatment aspects suggested that rural patients were less likely to receive antipsychotics, antipsychotic combination or clozapine. Those results were attributed to limited access to specialized treatment. When rural patients receive specialized community care they seem to have better outcomes than urban patients. Conclusion: There is an ongoing, but still scarce research on patients with chronic psychotic disorders in rural areas. Researchers pointed out the impact of socioeconomic inequalities on outcome and treatment, and stressed the importance of minimizing mental health disparities. These findings may have potential implications for future research; for the introduction of accessible, locally based mental health services in rural areas; and for political initiatives that would address poverty and social inequalities.

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