Multiple minority stress: The role of proximal and distal stress on mental health outcomes among lesbian, gay, and bisexual people of color

Ramirez, Johanna L.; Galupo, M. Paz

doi:10.1080/19359705.2019.1568946

Cited by 130 publications

(104 citation statements)

References 77 publications

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“…As this study was conducted in 2017, it could be assumed that the stress of Korean SMW was elevated when they encountered negative remarks about homosexuality during the Korean presidential election campaign [ 50 ]. Moreover, some previous studies pointed out the role of distal stress [ 3 , 49 ] when, for example, frequent exposure to negative media messages about sexual minorities were associated with greater psychological distress [ 2 ]. The results of our study showed that even if discrimination was not experienced physically, hearing that others were being discriminated against could impact mental health in the same way as experiencing it firsthand.…”

Section: Discussionmentioning

confidence: 99%

“…Another important point when describing the health of SMW is the difference between inner groups. In previous studies, bisexual women reported poorer health than lesbians [ 1 , 3 , 15 , 22 , 23 ]. However, most of these findings were reported in Western countries [ 11 , 12 , 13 , 14 , 15 , 21 ].…”

Section: Introductionmentioning

confidence: 98%

“…Health inequities among sexual minority women (SMW) are well-established. Compared with heterosexual women, SMW experience worse mental health outcomes [ 1 , 2 , 3 , 4 , 5 ], including anxiety and depression, and have poor physical health [ 1 , 6 , 7 ], including high-risk health-related lifestyle factors [ 8 , 9 ] such as smoking and alcohol abuse. Furthermore, SMW’s health-related quality of life (HRQoL) is lower than their heterosexual counterparts [ 10 , 11 , 12 , 13 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…According to Minority Stress Theory [ 5 , 17 ], stress from stigmatized identity status or stigmatizing societal structure negatively affects health. Previous studies [ 3 , 5 ] reported that distal stress, such as violence or victimization against sexual identity, was related to the poor mental health of sexual minority people. Proximal stress-vigilance or internalized homophobia also related to an individual’s perceptions and predicted adverse health outcomes [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies [ 3 , 5 ] reported that distal stress, such as violence or victimization against sexual identity, was related to the poor mental health of sexual minority people. Proximal stress-vigilance or internalized homophobia also related to an individual’s perceptions and predicted adverse health outcomes [ 3 , 4 ]. On the other hand, in the Psychological Mediation Framework, stress could result in maladaptive coping and emotion regulation that increases the risk of poor mental health [ 16 , 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Physical and Mental Health Related Quality of Life and Their Influencing Factors on Sexual Minority Women in Korea

Kim

Choi-Kwon

2021

IJERPH

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Korean sexual minority women (SMW) often experience discrimination, but their health-related quality of life (HRQoL) remains to be investigated. Therefore, we aimed to assess the levels of mental and physical HRQoL of Korean SMW and their influencing factors using data from the Korean Sexual Minority Women’s Health Study (2017) in a cross-sectional study, which included lesbian and bisexual females (N = 736; age ≥19 years). The HRQoL was measured using SF-36v2®; moreover, separate multiple linear regression analyses were conducted to identify the factors influencing mental and physical HRQoL. The physical and mental HRQoL scores were average (52.38 ± 7.65) and low (38.33 ± 12.64), respectively. Significant factors influencing the physical HRQoL were bisexuality, minority stress, perceived social support, and physical activity. The same factors—apart from physical activity—were associated with mental HRQoL. Therefore, to improve the HRQoL of SMW, it is necessary to lower their minority stress and increase social support. Moreover, special attention is needed regarding bisexual women in Korea.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Physical and Mental Health Related Quality of Life and Their Influencing Factors on Sexual Minority Women in Korea

Kim

Choi-Kwon

2021

IJERPH

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Ecological Momentary Assessment and Machine Learning for Predicting Suicidal Ideation Among Sexual and Gender Minority Individuals

Lei,

Qu,

Liu

et al. 2023

JAMA Netw Open

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ImportanceSuicidality poses a serious global health concern, particularly in the sexual and gender minority population. While various studies have focused on investigating chronic stressors, the precise prediction effect of daily experiences on suicide ideation remains uncertain.ObjectiveTo test the extent to which mood fluctuations and contextual stressful events experienced by sexual and gender minority individuals may predict later short- and long-term suicide ideation.Design, Setting, and ParticipantsThis diagnostic study collected twice-daily data on mood states and stressful events from sexual and gender minority individuals over 25 days throughout 3 waves of the Chinese Lunar New Year (before, during, and after), and follow-up surveys assessing suicidal ideation were conducted 1, 3, and 8 months later. Online recruitment advertisements were used to recruit young adults throughout China. Eligible participants were self-identified as sexual and gender minority individuals aged 18 to 29 years. Those who were diagnosed with psychotic disorders (eg, schizophrenia spectrum or schizotypal disorder) or prevented from objective factors (ie, not having a phone or having an irregular sleep rhythm) were excluded. Data were collected from January to October 2022.Main Outcomes and MeasuresTo predict short-term (1 month) and longer-term (3 and 8 months) suicidal ideation, the study tested several approaches by using machine learning including chronic stress baseline data (baseline approach), dynamic patterns of mood states and stressful events (ecological momentary assessment [EMA] approach), and a combination of baseline data and dynamic patterns (EMA plus baseline approach).ResultsA total of 103 sexual and gender minority individuals participated in the study (mean [SD] age, 24.2 [2.5] years; 72 [70%] female). Of these, 19 (18.4%; 95% CI, 10.9%-25.9%), 25 (24.8%; 95% CI, 16.4%-33.2%), 30 (29.4%; 95% CI, 20.6%-38.2%), and 32 (31.1%; 95% CI, 22.2%-40.0%) reported suicidal ideation at baseline, 1, 3, and 8 months follow-up, respectively. The EMA approach showed better performance than the baseline and baseline plus EMA approaches at 1-month follow-up (area under the receiver operating characteristic curve [AUC], 0.80; 95% CI, 0.78-0.81) and slightly better performance on the prediction of suicidal ideation at 3 and 8 months’ follow-up. In addition, the best approach predicting suicidal ideation was obtained during Lunar New Year period at 1-month follow-up, which had a mean AUC of 0.77 (95% CI, 0.74-0.79) and better performance at 3 and 8 months’ follow-up (AUC, 0.74; 95% CI, 0.72-0.76 and AUC, 0.72; 95% CI, 0.69-0.74, respectively).Conclusions and RelevanceThe findings in this study emphasize the importance of contextual risk factors experienced by sexual and gender minority individuals at different stages. The use of machine learning may facilitate the identification of individuals who are at risk and aid in the development of personalized process-based early prevention programs to mitigate future suicide risk.

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The Impact of Research Culture on Mental Health & Diversity in STEM

Limas

Corcoran²,

Baker

et al. 2022

Chemistry A European J

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The onset of COVID-19, coupled with the finer lens placed on systemic racial disparities within our society, has resulted in increased discussions around mental health. Despite this, mental health struggles in research are still often viewed as individual weaknesses and not the result of a larger dysfunctional research culture. Mental health interventions in the science, technology, engineering, and mathematics (STEM) academic community often focus on what individuals can do to improve their mental health instead of focusing on improving the research environment. In this paper, we present four aspects of research that may heavily impact mental health based on our experiences as research scientists: bullying and harassment; precarity of contracts; diversity, inclusion, and accessibility; and the competitive research landscape. Based on these aspects, we propose systemic changes that institutions must adopt to ensure their research culture is supportive and allows everyone to thrive.

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Multiple minority stress: The role of proximal and distal stress on mental health outcomes among lesbian, gay, and bisexual people of color

Cited by 130 publications

References 77 publications

Physical and Mental Health Related Quality of Life and Their Influencing Factors on Sexual Minority Women in Korea

Physical and Mental Health Related Quality of Life and Their Influencing Factors on Sexual Minority Women in Korea

Ecological Momentary Assessment and Machine Learning for Predicting Suicidal Ideation Among Sexual and Gender Minority Individuals

The Impact of Research Culture on Mental Health & Diversity in STEM

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