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首页> 外文期刊>Psychology of violence >The Effects of Intersecting Stigma: A Longitudinal Examination of Minority Stress, Mental Health, and Substance Use Among Black, Latino, and Multiracial Gay and Bisexual Men
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The Effects of Intersecting Stigma: A Longitudinal Examination of Minority Stress, Mental Health, and Substance Use Among Black, Latino, and Multiracial Gay and Bisexual Men

机译：相交污名的影响：黑人，拉丁裔和多种族男同性恋者和双性恋男人之间对少数族裔压力，心理健康和药物使用的纵向检查

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Objective: Although Black, Latino, and multiracial gay and bisexual men (GBM) are disproportionately affected by psychological and behavioral health inequities facing GBM more broadly in the United States (Centers for Disease Control & Prevention, 2017), there is a dearth of research examining how their experiences of intersectional stigma contribute to these trends. Based in minority stress and intersec-tionality theories, this study examined the main and intersectional effects of racial discrimination and gay rejection sensitivity on emotion regulation difficulties, depressive and anxiety symptoms, and later drug use and heavy drinking. Method: We collected longitudinal data from 170 GBM of Black, Latino, or multiracial descent. Measurements included baseline racial discrimination, gay rejection sensitivity, and emotion regulation difficulties, 6-month depressive and anxiety symptoms, and baseline to 12-month heavy drinking and drug use. We analyzed data using longitudinal structural equation models. Results: Our results indicated that racial discrimination and its interaction with gay rejection sensitivity were significantly associated with higher levels of emotion regulation difficulties, which predicted higher levels of depressive and anxiety symptoms at 6 months, which, in turn, predicted higher levels of heavy drinking, but not drug use, at 12 months. Moreover, the total indirect effect from the stigma variables to heavy drinking was statistically significant. Conclusions: These findings indicate that it is critical for researchers and clinicians to consider the effects of intersecting racial and sexual minority stigma on emotion regulation in the persistence of psychological and behavioral health inequities facing Black, Latino, and multiracial GBM.
机译：目的：尽管黑人，拉丁裔和多种族同性恋和双性恋男人（GBM）在美国更广泛地面临GBM面临的心理和行为健康不平等的影响不成比例地影响（疾病控制与预防中心，2017年），但研究匮乏，研究匮乏。检查他们的交叉污名经历如何促进这些趋势。这项研究基于少数族裔压力和互相理论，研究了种族歧视和同性恋排斥敏感性对情绪调节困难，抑郁和焦虑症状的主要和交叉影响，以及随后的药物使用和大量饮酒。方法：我们收集了170 GBM黑色，拉丁裔或多种族下降的纵向数据。测量包括基线种族歧视，同性恋排斥敏感性以及情绪调节困难，6个月的抑郁症和焦虑症状以及基线至12个月的重量饮酒和吸毒。我们使用纵向结构方程模型分析了数据。结果：我们的结果表明，种族歧视及其与同性恋拒绝敏感性的相互作用与较高的情绪调节困难显着相关，这预测了6个月时较高的抑郁症和焦虑症状水平，这反过来又预测了较高的重量饮酒水平，但不使用药物，在12个月时。此外，从污名变量到大量饮酒的总间接效应具有统计学意义。结论：这些发现表明，研究人员和临床医生要考虑与黑人，拉丁裔和多种族GBM面临的心理和行为健康不平等的持久性相交的种族和性少数族裔污名对情绪调节的影响。

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