Minority stress experiences and psychological well-being: the impact of support from and connection to social networks within the Los Angeles House and Ball communities.

Minority stress experiences and psychological well-being: the impact of support from and connection to social networks within the Los Angeles House and Ball communities.
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DOI:
10.1007/s11121-012-0348-4
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发表时间:
2014-02
期刊:
影响因子:
3.5
通讯作者:
Kipke, Michele D.
Kipke, Michele D.
中科院分区:
医学2区
文献类型:
--
作者:
Wong, Carolyn F.;Schrager, Sheree M.;Holloway, Ian W.;Meyer, Ilan H.;Kipke, Michele D.

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来自众议院和鲍尔社区的男男性行为者 (AAYMSM) 的非裔美国年轻男性感染艾滋病毒的风险很高。由于这些社区不仅是风险来源,而且也是 AAYMSM 的支持者,因此研究人员还必须考虑这些社区拥有的资源。这些知识将有助于制定更有效的预防策略和干预方法。本研究以少数群体压力理论为框架,阐述了少数群体压力对来自洛杉矶 House and Ball 社区的 MSM 样本的心理健康的影响,并调查了这些因素如何影响少数群体压力与心理健康之间的关系。对参与者进行了为期一年的调查。使用结构方程模型来估计少数群体压力源、支持、社交网络连接和心理健康/痛苦之间的关联模型 (N=233)。结果表明,少数群体压力的不同来源之间存在显着关联,包括远端少数群体压力(例如种族主义、恐同症)、同性恋认同和内在的恐同症。少数人的压力源又与更大的痛苦显着相关。然而,更多的仪器支持显着减少了远端少数压力对痛苦的影响。与社交网络的更多联系也显着减少了与同性恋认同相关的压力。研究结果揭示了该人群面临的少数族裔压力的多种来源,以及这些压力源如何相互关联以影响心理健康。结果还说明了社交网络的支持和联系如何可以减少少数群体压力经历的负面影响。
African American young men who have sex with men (AAYMSM) from the House and Ball communities are at high risk for HIV infection. Because these communities are not only sources of risk, but also support for AAYMSM, researchers must also consider the resources these communities possess. This knowledge will assist in the formulation of more effective prevention strategies and intervention approaches. Using Minority Stress Theory as a framework, the current study illustrates the impact minority stress has on the psychological well-being of a sample of MSM from the Los Angeles House and Ball communities and investigates how these factors affect the relationship between minority stress and psychological well-being. Surveys were administered to participants over the course of a year. Structural equation modeling was used to estimate a model of the associations between minority stressors, support, connection to social network, and psychological well-being/distress (N=233). Results indicated significant associations between different sources of minority stress, including distal minority stress (e.g., racism, homophobia), gay identification, and internalized homophobia. Minority stressors were in turn significantly associated with greater distress. However, greater instrumental support significantly reduced the effects of distal minority stress on distress. Greater connection to social network also significantly reduced stress associated with gay identification on distress. Findings captured the diverse sources of minority stress faced by this population and how these stressors are interrelated to impact mental health. Results also illustrate how support from and connection to social networks can reduce the negative impact of minority stress experiences.
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