How do Sexual Identity, and Coming Out Affect Stress, Depression, and Suicidal Ideation and Attempts Among Men Who Have Sex With Men in South Korea?

Cho, Byonghee; Sohn, Aeree

doi:10.1016/j.phrp.2016.09.001

Cited by 20 publications

(21 citation statements)

References 21 publications

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“…Another point that should be noted is that some studies have targeted the HIV-positive (HP) MSM population to explore their mental health,27 28 while others have not distinguished HP MSM from HIV-negative (HN) MSM populations 15 29. The levels of mental health in these two MSM populations with different HIV serological status may be different.…”

Section: Introductionmentioning

confidence: 99%

Comparison of depression and anxiety between HIV-negative men who have sex with men and women (MSMW) and men who have sex with men only (MSMO): a cross-sectional study in Western China

Zhong

Peng

et al. 2019

BMJ Open

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ObjectiveTo compare the prevalence of depression, anxiety and comorbidity between HIV-negative men who have sex with men and women (MSMW) and men who have sex with men only (MSMO) and examine the associated factors with depression and anxiety separately.DesignA cross-sectional study.SettingThe study was conducted in Western China.ParticipantsFrom April 2013 to October 2014, 2422 participants aged 18–65 years, who were male at birth, had engaged in sex with male partners in the past 6 months, self-reported negative or unknown HIV status, were willing to participate and provided informed consent were recruited using non-probability sampling. An anonymous self-administered questionnaire was used to collect the data. A total of 1809 HIV-negative men who have sex with men (MSM) were eligible for the final analysis.ResultsOf 1809 MSM, 16.1% were MSMW and 83.9% were MSMO. The prevalence of depression, anxiety and comorbidity was 50.86%, 36.43% and 32.65%, respectively, for MSMW; these results were higher than those for MSMO (35.18%, 23.52% and 18.91%, respectively). After adjusting for potential confounding factors, the prevalence of depression and anxiety was higher among MSMW than among MSMO. The prevalence of depression and/or anxiety was associated with young age, lower educational level, lower monthly income, lower HIV score and some risky sexual behaviour (had never engaged in HIV counselling, had obtained commercial sexual services in the past 6 months and sometimes/always looked for sexual partners through the internet). The prevalence of depression and anxiety was lower for those who drank less than once a week than for those who never drank.ConclusionOur findings suggest the need to address mental health among MSMW. Future health intervention strategies should integrate mental health services and traditional HIV prevention programmes and should consider the differences between MSMW and MSMO.Trial registration numberChiCTR-TRC-13003849; Pre-results.

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Section: Introductionmentioning

confidence: 99%

Comparison of depression and anxiety between HIV-negative men who have sex with men and women (MSMW) and men who have sex with men only (MSMO): a cross-sectional study in Western China

Zhong

Peng

et al. 2019

BMJ Open

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“…There are three domains of stigma: perceived stigma, enacted stigma, and internalized stigma (Berger, Ferrans, & Lashley, ; Phillips, Moneyham, & Tavakoli, ). Studies among sexual minorities suggest that exposure to any of these three types of stigma is associated with higher rates of suicide and attempted suicide (Cho & Sohn, ; Hatzenbuehler et al., ; Perez‐Brumer, Hatzenbuehler, Oldenburg, & Bockting, ). As stigma marginalizes an individual or a population, those belonging to a stigmatized group cease to be regarded as “normal” (Goffman, ), effectively exposing them to social rejection because of belonging to the stigmatized group (Goffman, ).…”

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confidence: 99%

Transgender Women's Experiences with Stigma, Trauma, and Attempted Suicide in the Dominican Republic

Budhwani

Hearld

Milner

et al. 2017

Suicide & Life Threat Behav

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Studies on attempted suicide in transgender populations, particularly those in resource-limited settings, are scarce. We examined the relationships between stigma, trauma, and suicide attempts in a national sample of transgender women from the Dominican Republic. Bivariate analysis examined differences between suicide attempters and nonattempters (n = 298). Multivariate analysis reported odds ratios with attempted suicide as the outcome (n = 260). About a quarter of respondents (23.9%) experienced sexual abuse, 12.3% were tortured, and 20.3% experienced a murder attempt. More than a quarter reported using illegal drugs. Independent sample t tests found significant differences between suicide attempters and nonattempters. Attempters were more likely to have experienced sexual abuse, psychological abuse, torture, and a murder attempt (p < .001 for all). Respondents who experienced psychological abuse had over three times higher odds of attempting suicide, compared to respondents who had not (OR = 3.203, p < .01). Experience with torture and attempted murder were associated with higher odds of attempting suicide (OR = 2.967, p < .05 and OR = 2.894, p < .05, respectively). Although some nations have implemented antidiscrimination policies protecting transgender citizens, these policies are often not consistently enforced. Eliminating stigmatizing policies may reduce rates of negative health outcomes and subsequently improving population health.

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“…Interestingly, sexual identity was not directly related to depression in the current sample, which differs from previous studies among MSM living with HIV. Cho and Sohn (2016) illustrated that MSM who self-identified as gay reported significantly fewer depressive symptoms than those who were self-identified as bisexual/heterosexual and others. In contrast, Hylton et al (2017) displayed that the odds of probable depression were significantly lower among MSM who self-identified as bisexual than those who self-identified as homosexual ( Hylton et al, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

“…Although the impacts of sexual identity, HIV-related stigma, and age on depressive symptoms among MSM were previously reported ( Cho & Sohn, 2016 ; Hylton et al, 2017 ; Logie et al, 2012 ; Wohl et al, 2013 ), little is known about the potential mediating and moderating mechanisms behind the associations. We examined the underlying mechanisms of sexual identity, HIV-related stigma, and age on depressive symptoms among 203 MSM living with HIV recruited from Guangxi, China.…”

Section: Introductionmentioning

confidence: 99%

HIV-Related Stigma, Sexual Identity, and Depressive Symptoms Among MSM Living With HIV in China: A Moderated Mediation Modeling Analysis

Lan

Yang

et al. 2022

Am J Mens Health

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Depression is one of the biggest health issues among men who have sex with men (MSM) living with HIV, where sexual identity might play an intricate role. Yet, findings of the relationship between sexual identity and depression were mixed and few studies explored its underlying mechanisms. This study aimed to examine the association between sexual identity and depression, and the potential mediating role of HIV-related stigma and moderating role of age. A cross-sectional survey was conducted among 203 MSM living with HIV in Guangxi, China. Participants provided information on sexual identity, depression, HIV-related stigma, and background information. Descriptive statistics, bivariate analysis, and path analysis were applied to examine our hypotheses. Bivariate analysis demonstrated that participants who self-identified as gay reported a lower level of HIV-related stigma and depression. Path analysis revealed an insignificant direct effect of identifying as gay on depression. Yet, the indirect pathway was significant, with identifying as gay being associated with a lower level of HIV stigma and thus a lower level of depression. This indirect effect was moderated by age. The conditional indirect effect was significant in the younger group yet ceased in the older group. The study provided information to better understand the effect of sexual identity on mental health among stigmatized sexual and gender minorities by highlighting the mediating effect of HIV-related stigma and the protective effect of age. Interventions targeting mental health of MSM living with HIV might consider placing greater emphasis on addressing HIV-related stigma among younger MSM.

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How do Sexual Identity, and Coming Out Affect Stress, Depression, and Suicidal Ideation and Attempts Among Men Who Have Sex With Men in South Korea?

Cited by 20 publications

References 21 publications

Comparison of depression and anxiety between HIV-negative men who have sex with men and women (MSMW) and men who have sex with men only (MSMO): a cross-sectional study in Western China

Comparison of depression and anxiety between HIV-negative men who have sex with men and women (MSMW) and men who have sex with men only (MSMO): a cross-sectional study in Western China

Transgender Women's Experiences with Stigma, Trauma, and Attempted Suicide in the Dominican Republic

HIV-Related Stigma, Sexual Identity, and Depressive Symptoms Among MSM Living With HIV in China: A Moderated Mediation Modeling Analysis

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