scholarly journals Testing Substance Use as a Mediator of Structural Stigma-Cardiovascular Health Associations in a Large Sample of Gay Men and Lesbian Women

2021 ◽  
Vol 2 (4) ◽  
pp. 256-278
Author(s):  
Kelly A. Manser ◽  
Steve N. Du Bois

Compared to heterosexual individuals, gay men and lesbian women experience multiple health inequities, including higher prevalence of substance use and cardiovascular disease (CVD). Gay men and lesbian women also face structural stigma, including laws that fail to protect or actively discriminate against them. These phenomena can be understood by considering two theories previously tested among gay men and lesbian women: minority stress and cognitive escape. Minority stress theory suggests being stigmatized for one's minority identity relates to negative health sequelae, while cognitive escape theory suggests escape-related behaviors may mediate links between chronic stress exposure and health. Using 2017 Behavioral Risk Factor Surveillance System data, we ran binary logistic regressions to test models in which binge drinking and cigarette smoking independently mediated links between structural stigma and health among gay men and lesbian women. Structural stigma was operationalized at the U.S. state level as number of sexual orientation anti-discrimination laws. Health was operationalized as presence of any CVD. Models were tested in an aggregated sample, and also in subsamples by sex. In bivariate and component-path analyses, structural stigma predicted smoking across samples. Structural stigma-binge drinking associations were more salient among lesbian women compared to gay men. Per Sobel test results, smoking mediated associations between structural stigma and CVD in the gay men sample, suggesting gay men may smoke to escape from structural stigma, with negative implications for cardiovascular health.

2010 ◽  
Vol 38 (3) ◽  
pp. 442-454 ◽  
Author(s):  
Ilan H. Meyer

The author addresses two issues raised in Moradi, DeBlaere, and Huang’s Major Contribution to this issue: the intersection of racial/ethnic and lesbian, gay, and bisexual (LGB) identities and the question of stress and resilience. The author expands on Moradi et al.’s work, hoping to encourage further research. On the intersection of identities, the author notes that LGB identities among people of color have been construed as different from the identities of White LGB persons, purportedly because of an inherent conflict between racial/ethnic and gay identities.The author suggests that contrary to this, LGB people of color can have positive racial/ethnic and LGB identities. On the question of stress and resilience, hypotheses have suggested that compared with White LGB individuals, LGB people of color have both more stress and more resilience. The author addresses the competing hypotheses within the larger perspective of minority stress theory, noting that the study of stress and resilience among LGB people of color is relevant to core questions about social stress as a cause of mental disorders.


Author(s):  
Anna Amodeo ◽  
Concetta Esposito ◽  
Vincenzo Bochicchio ◽  
Paolo Valerio ◽  
Roberto Vitelli ◽  
...  

Despite the rapid increase in lesbian and gay (LG) people who desire and decide to become parents, LG childless individuals may encounter serious obstacles in the parenthood process, such as minority stress. Notwithstanding, the psychological processes by which prejudice events might affect the desire to become parents are still understudied. As an extension of the minority stress theory, the psychological mediation framework sheds light on these psychological processes, as it encompasses a more clinical view of stress. Within this framework, the current study aimed at assessing the role of prejudice events in affecting parenting desire in 290 childless Italian LG individuals (120 lesbians and 170 gay men), as well as the role of internalized heterosexism and sexual orientation concealment in mediating the relationship between prejudice events and parenting desire. The results suggest that only in lesbians prejudice events were negatively associated with parenting desire, and that sexual orientation concealment and internalized heterosexism were also negatively associated with parenting desire. Furthermore, sexual orientation concealment, and not internalized heterosexism, mediated the relationship between prejudice events and parenting desire in lesbians, but not gay men. The findings have important implications for clinical practice.


2021 ◽  
pp. 0192513X2110309
Author(s):  
Jian Wang ◽  
Lijun Zheng

The current study aimed to explore the roles of traditional family values (specifically, filial piety and traditional gender stereotypes), minority stress, and parenting motivation in parenting desire among Chinese lesbian women and gay men. 1042 childless lesbian women and gay men between the ages of 18 and 46 were recruited to respond to an online survey, which covered measures assessing parenting desire, traditional family values, minority stress, and parenting motivation. The results indicated that traditional family values, minority stress, and parenting motivation each showed positive correlations with parenting desire. Additionally, minority stress alone mediated the relationship between filial piety/traditional gender stereotypes and parenting desire. However, minority stress was not significantly associated with parenting desire when controlling for parenting motivation. Parenting motivation mediated the associations between filial piety/traditional gender stereotypes, and parenting desire controlling for minority stress. The findings indicated that traditional family values, minority stress, and parenting motivation can be considered predictors of the desire to become a parent among Chinese lesbian women and gay men.


2019 ◽  
Vol 66 (4) ◽  
pp. 385-395 ◽  
Author(s):  
G. Tyler Lefevor ◽  
Caroline C. Boyd-Rogers ◽  
Brianna M. Sprague ◽  
Rebecca A. Janis

2006 ◽  
Author(s):  
Douglas M. Scheidt ◽  
Reginald R. Clark

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