scholarly journals The Influence of Minority Stress on Level of Depression among Thai LGBT Adults

Author(s):  
Priyoth Kittiteerasack ◽  
Alana Steffen ◽  
Alicia Matthews

In the US, lesbian, gay, bisexual, and transgender (LGBT) individuals report higher rates of depression compared with heterosexual and cisgender persons. To date, little is known about the mental health of LGBT adults in Thailand. Here, we examined rates and correlates of depression among a volunteer sample of Thai LGBTs. Data were collected as part of a larger cross-sectional survey study. Standardized measures of sexual orientation and gender identity, stress, coping style, and minority stressors were completed. Of the 411 participants, 40.3% met the criteria for depression. In multivariate analyses, the combined influences of sociodemographic factors, general stress, coping strategies, and minority-specific stress variables explained 47.2% of the variance in depression scores (F[16,367]= 20.48, p<.001). Correlates of depression included coping strategies and minority-specific stressors, including experiences of victimization, discrimination, and level of identity concealment. Study findings have implications for psychiatric nursing practice and the development of intervention research. Abstrak Di AS, individu lesbian, gay, biseksual, dan transgender (LGBT) melaporkan tingkat depresi yang lebih tinggi dibandingkan dengan orang heteroseksual dan cisgender. Saat ini, sedikit yang diketahui tentang kesehatan mental pada orang dewasa dengan LGBT di Thailand. Di sini, kami meneliti tingkat dan korelasi depresi di antara sampel sukarelawan LGBT Thailand. Data dikumpulkan sebagai bagian dari studi survei cross-sectional yang lebih besar. Pengukuran terstandar terhadap orientasi seksual dan identitas gender, stres, koping, dan stresor minoritas telah selesai. Dari 411 peserta, 40,3% memenuhi kriteria untuk depresi. Dalam analisis multivariat, pengaruh gabungan faktor sosiodemografi, stres umum, strategi koping, dan variabel stres spesifik-minoritas menjelaskan 47,2% dari varians dalam skor depresi (F [16,367]= 20,48, p< 0,001). Korelasi depresi termasuk strategi koping dan stres spesifik-minoritas, termasuk pengalaman viktimisasi, diskriminasi, dan tingkat penyembunyian identitas. Temuan penelitian memiliki implikasi untuk praktik keperawatan psikiatris dan pengembangan penelitian intervensi. Kata kunci: depresi, LGBT, minoritas seksual dan gender; stres minoritas, Thailand

2020 ◽  
Vol 23 (1) ◽  
pp. 74-84 ◽  
Author(s):  
Priyoth Kittiteerasack ◽  
Alana Steffen ◽  
Alicia Matthews

In the US, lesbian, gay, bisexual, and transgender (LGBT) individuals report higher rates of depression compared with heterosexual and cisgender persons. To date, little is known about the mental health of LGBT adults in Thailand. Here, we examined rates and correlates of depression among a volunteer sample of Thai LGBTs. Data were collected as part of a larger cross-sectional survey study. Standardized measures of sexual orientation and gender identity, stress, coping style, and minority stressors were completed. Of the 411 participants, 40.3% met the criteria for depression. In multivariate analyses, the combined influences of sociodemographic factors, general stress, coping strategies, and minority-specific stress variables explained 47.2% of the variance in depression scores (F[16,367]= 20.48, p<.001). Correlates of depression included coping strategies and minority-specific stressors, including experiences of victimization, discrimination, and level of identity concealment. Study findings have implications for psychiatric nursing practice and the development of intervention research. Abstrak Di AS, individu lesbian, gay, biseksual, dan transgender (LGBT) melaporkan tingkat depresi yang lebih tinggi dibandingkan dengan orang heteroseksual dan cisgender. Saat ini, sedikit yang diketahui tentang kesehatan mental pada orang dewasa dengan LGBT di Thailand. Di sini, kami meneliti tingkat dan korelasi depresi di antara sampel sukarelawan LGBT Thailand. Data dikumpulkan sebagai bagian dari studi survei cross-sectional yang lebih besar. Pengukuran terstandar terhadap orientasi seksual dan identitas gender, stres, koping, dan stresor minoritas telah selesai. Dari 411 peserta, 40,3% memenuhi kriteria untuk depresi. Dalam analisis multivariat, pengaruh gabungan faktor sosiodemografi, stres umum, strategi koping, dan variabel stres spesifik-minoritas menjelaskan 47,2% dari varians dalam skor depresi (F [16,367]= 20,48, p< 0,001). Korelasi depresi termasuk strategi koping dan stres spesifik-minoritas, termasuk pengalaman viktimisasi, diskriminasi, dan tingkat penyembunyian identitas. Temuan penelitian memiliki implikasi untuk praktik keperawatan psikiatris dan pengembangan penelitian intervensi. Kata kunci: depresi, LGBT, minoritas seksual dan gender; stres minoritas, Thailand


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S238-S239
Author(s):  
Mohammed Binnwejim ◽  
Atheer Alhumade

AimsThe present study aims at investigating the level of stress among Saudi healthcare workers during COVID-19 pandemic. In addition, the present study sought to identify the coping strategies adopted by Saudi healthcare workers to alleviate the stress related to COVID-19 pandemic.MethodA descriptive cross-sectional study was performed in the period between September and November/2020. A sample of 381 healthcare workers (Physicians, nurses, and technicians) were recruited from King Saud Medical City (KSMC). Both Perceived Stress Scale-4 (PSS-4) and BRIEF-COPE scale were used to assess the levels of stress and the stress coping strategies, respectively. Descriptive statistics were used to analyze the healthcare workers’ responses about the COVID-19 related stress and their adopted coping strategiesResultThe results of the study showed that there was a moderate to high level of COVID-19 related stress (11.64 ± 0.73) among the Saudi healthcare workers. In addition, it was found that planning (3.89 ± 0.61), positive reframing (3.69 ± 0.77), venting (3.39 ± 1.01), and emotional support (3.27 ± 0.63) were the most adopted coping strategies by the healthcare workers to overcome and reduce the stress levelsConclusionThe study concluded that both problem-focused and emotion-focused stress coping strategies were the most commonly adopted coping strategies among Saudi healthcare workers in KSMC. The study recommends increasing the number of the healthcare workers in the KSMC, in addition to increasing the healthcare workers’ knowledge, awareness and practice of the stress coping strategies, especially in crisis events, such as COVID-19 pandemic.


2021 ◽  
Vol 9 (2) ◽  
pp. 789-802
Author(s):  
Vanita Mann, Dr. G.N. Tiwari, Prof. Loknath Mishra

Aims: To study the sources of stress of the medical and engineering competitive entrance exam aspirants attending coaching institutes in Delhi. Second, to study stress coping strategies used by the medical and engineering competitive entrance exams aspirants attending coaching institutes in Delhi. Third, to suggest some more stress coping strategies to parents and teachers. Methods: The study was descriptive in nature and cross-sectional study design was used. The study was conducted in August 2019.The population of the study consisted of the students preparing for medical and engineering competitive entrance exams who attend full time coaching institutes in Delhi and also attend their school. The sample of the study was 400 students, 200 each from medical and engineering coaching institutes in Delhi.  A self -designed questionnaire was used to collect data. The questionnaire consisted of two sections, the first section consisted of questions related to sources of stress and the second section comprised of questions related to stress coping strategies practice by the  medical and engineering competitive entrance exam aspirants attending coaching institutes in Delhi .The questions were open ended based on 4 point Likert Scale.The questionnaire was administered to  students and they were asked to fill the questionnaire. A total of 380 students out of 400 completed the questionnaire. The data was analysed using descriptive statistics. Frequency and Percentage analysis of each item of the questionnaire was done. Mean score and standard deviation of each item of the questionnaire was compiled.  Findings: The study findings indicated that majority of the students reported academic (48%) and parental (39%) stressors as sources of stress. However personal (8%) and environmental stressors (5%) also contributed as the sources of stress to the medical and engineering competitive entrance exams aspirants attending coaching institutes in Delhi. The aspirants cope stress by using strategies such as practising yoga , listening music, surfing the internet , talking to like –minded people , playing outdoor games , communicating with parents and doing meditation. Some other coping strategies suggested by the researcher are practice visualization, taking calming breathe, practice progressive muscle relaxation, get organised, trying self- hypnosis. Novelty: The study investigates stress and coping strategies in competitive entrance exams aspirants attending medical and engineering coaching institutes in Delhi . It throws light on adolescent’s stress and the coping strategies used by these adolescents; hence the study contributes in providing remedies to handle stress by the parents, students and teachers. The study also provides basis to researchers for further in depth study of stress faced by students preparing for other competitive entrance exams and also to those students who do not attend coaching institutes and still aspires to prepare for competitive exams.


10.2196/20453 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e20453
Author(s):  
Keeho Park

Background If there are people who do not want to use the internet despite having the circumstances and conditions for using it, another policy consideration will be needed. Objective The purpose of this study was to explore the factors related to the behavior of people who do not voluntarily use the internet. Methods A cross-sectional survey was conducted in 2018. It used a proportional quota random sampling design to select a representative sample of Koreans. Accordingly, 6150 participants were included in the study. Multiple logistic regression methods were used to explore the predicting factors of the act of voluntarily not using the internet. Results Age, education level, bonding and bridging social capitals, and daily life satisfaction for health status were found to be factors related to the behavior of not voluntarily using the internet. However, gender, household income, occupation, family size, and community type were not related to voluntary nonuse of the internet. Conclusions It was found that sociodemographic factors, such as age and education level, which are difficult to modify, along with psychosocial factors located deeper than the visible living conditions, such as social capital and life satisfaction, are involved in voluntary internet nonuse. These results also suggest that it is not desirable to proceed with policies related to information and communications technology on a separate track, but rather that they should be comprehensively approached with other social policies that design various social interventions in order to enhance equity within the society.


Author(s):  
Olusola Ayandele ◽  
Rotimi Oguntayo ◽  
P O Olapegba

In this cross-sectional survey study, we investigated gambling characteristics (“quick” money syndrome, frequency of gambling, preferred gambling products and platforms) and demographic (age and gender) differences as determinants of attitudes towards gambling among youths in Lagos. We used a purposive snowball technique to recruit 179 respondents in Lagos (men: n = 165 [83.8% of participants]; women: n = 32) with a history of gambling activities. Gambling characteristics, demographics, and attitudes towards gambling were measured by using a gambling characteristics profile, the bio-data of the respondents, and the short form of the Attitudes Towards Gambling Scale (ATGS-8), respectively. The results showed that respondents believed that to make quick money, one needed to gamble once a week or more (67%), wager on sports betting (37.1%), and bet online (65.5%). The mean ATGS-8 composite score (28.2 ± 4.75) indicated overall positive attitudes among respondents. Independent sample t tests showed a significant difference between older (24–34 years) and younger (18–23 years) youths in their attitudes towards gambling (t = -2.30, p < .05) but no significant gender differences (t = 0.06, p > .05). One-way analysis of variance revealed a significant difference in attitudes towards gambling based on gambling frequency, F(3, 196) = 6.86, p < .05, with those who gamble monthly having the highest score. Participants displayed the belief that the easiest way to quick money is to gamble at least once weekly and to bet online. Younger participants and those who gamble at least once a month reported more positive attitudes towards gambling. Youths need to be made aware that gambling is not a viable source of income.RésuméCette étude s’est penchée sur les caractéristiques de la pratique des jeux de hasard (syndrome de l’argent « facile », fréquence du jeu, produits et plateformes des jeux de choix) et les différences démographiques (âge et genre) en tant que déterminants des attitudes envers le jeu chez les jeunes au Lagos. Un échantillon de 197 joueurs (hommes; n = 165 [83,8% des participants], femmes ; n = 32) a été choisi à dessein à l’aide d’un sondage en boule de neige aux endroits suivants :  guichets de paris sportifs, kiosques de loterie, centres de visualisation de matches de football, centres commerciaux, centres de détente et parcs de sport automobile à Lagos, au Nigeria. Les attitudes ont été mesurées à l’aide de l’échelle des attitudes envers les jeux de hasard (ATGS-8). Les résultats montraient que les répondants croyaient que pour gagner de l’argent facilement aux jeux de hasard, il fallait jouer au moins une fois par semaine (67 %), faire des paris sportifs (37,1%), et parier en ligne (65,5 %). Le pointage combiné moyen de l’ATGS-8 (2,2 ± 4,75) indiquait dans l’ensemble des attitudes positives chez les répondants; un test t sur échantillon indépendant a révélé une différence importante dans l’attitude envers les jeux de hasard entre les joueurs jeunes plus âgés et plus jeunes (t =-2.30, p < 0.05), mais aucune différence significative entre les genres (t = 0.06, p > 0.05). L’analyse de variance à un critère de classification révèle des différences importantes dans les attitudes envers les jeux de hasard en fonction de la fréquence de la pratique de ces jeux (F (3 196) =6.86, p < 0.05); et ceux qui jouent tous les mois obtenaient le pointage le plus élevé. Les participants démontraient irréfutablement la conviction selon laquelle le moyen le plus facile de faire de l’argent facile est de jouer à des jeux de hasard au moins une fois par semaine et de parier en ligne. Les participants plus jeunes et ceux qui s’adonnent aux jeux de hasard au moins une fois par mois faisaient preuve d’attitudes plus positives à l’égard des jeux de hasard. Il faut faire comprendre aux jeunes que la pratique des jeux de hasard ne représente pas une source de revenu viable.


2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 161-161 ◽  
Author(s):  
Ryan David Nipp ◽  
Leah L. Zullig ◽  
Gregory Samsa ◽  
Jeffrey M. Peppercorn ◽  
Deborah Schrag ◽  
...  

161 Background: Growing evidence suggests that financial distress is a side effect of cancer care needing attention. Little is known about how patients cope with treatment-related financial distress. This study describes how patients with cancer cope with treatment-related costs and identifies those at greatest risk for using potentially harmful cost-coping strategies. Methods: Eligible patients for this cross-sectional, survey study were adults being treated for solid malignancies enrolled June 2010 to May 2011 in a national copay assistance program. Coping strategies were grouped as lifestyle-altering or care-altering. Descriptive statistics and analysis of variance assessed coping strategies and relationships between covariates. Results: Among 174 participants, 89% used at least one lifestyle-altering strategy to cope with costs, while 39% used a care-altering strategy. Most common care-altering coping strategies included: not filling a prescription (28%); and taking less medication than prescribed (23%). Lifestyle-altering strategies included: spending less on leisure activities (77%); spending less on basics (57%); borrowing money (54%); and spending savings (50%). The mean number of coping strategies was higher for patients < 65 than for those ≥ 65 (Table). Lower-income patients used more care-altering strategies than higher-income patients. Patients with more education and shorter duration of chemotherapy adopted more lifestyle-altering strategies than their counterparts. Conclusions: Patients were generally more likely to use lifestyle-altering approaches to cope with treatment-related financial burden, but more than one-third adopted care-altering strategies. Younger patients and those with lower incomes were more likely to alter their care. Screening for and anticipating potentially harmful cost-coping behavior in the oncology clinic is important to reduce patient distress and promote optimal care. [Table: see text]


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