The impact of minority stress on mental health and substance use among sexual minority women.
The impact of minority stress on mental health and substance use among sexual minority women.
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DOI：
10.1037/a0022839
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发表时间：
2011-04
影响因子：
5.9
通讯作者：
Simoni, Jane M.
中科院分区：
文献类型：
--
作者：
Lehavot, Keren;Simoni, Jane M.
我们研究了少数民族压力对性少数妇女心理健康和药物使用的直接和间接影响。结合滚雪球和有针对性的抽样策略，招募女同性恋和双性恋妇女（N = 1，381）的横断面，在线调查。参与者（M年龄= 33.54岁; 74%白色）完成了一份问卷，评估性别表达、少数民族压力源（即，受害，内化的同性恋恐惧症，和隐瞒），社会心理资源（即，社会支持，精神）和健康相关的结果。我们使用结构方程模型来测试这些因素之间的关联，性别表达作为前因，社会心理资源作为少数民族压力和健康之间的中介。最终模型显示出可接受的拟合，χ2（79）= 414.00，p < .05，验证性拟合指数= .93，Tucker-Lewis指数= .91，标准化均方根残差= .05，近似均方根误差= .06，解释了心理健康问题（56%）和物质使用（14%）的显著方差部分，以及社会心理资源的中介（24%）。除了少数群体压力对健康结果的间接影响外，受害与药物使用之间以及内化的同性恋恐惧症与药物使用之间也出现了直接联系。研究结果表明，少数民族的压力和社会心理资源对心理健康和药物使用的性少数民族妇女的显着影响。研究结果提高了对各种少数民族压力源及其对健康结果的机制的独特作用的理解。卫生保健专业人员应评估少数民族的压力和应对资源，并参考循证心理治疗。
We examined the direct and indirect impact of minority stress on mental health and substance use among sexual minority women. A combination of snowball and targeted sampling strategies was used to recruit lesbian and bisexual women (N = 1,381) for a cross-sectional, online survey. Participants (M age = 33.54 years; 74% White) completed a questionnaire assessing gender expression, minority stressors (i.e., victimization, internalized homophobia, and concealment), social–psychological resources (i.e., social support, spirituality), and health-related outcomes. We used structural equation modeling to test associations among these factors, with gender expression as an antecedent and social–psychological resources as a mediator between minority stress and health. The final model demonstrated acceptable fit, χ2(79) = 414.00, p < .05, confirmatory fit index = .93, Tucker–Lewis index = .91, standardized root-mean-square residual = .05, root-mean-square error of approximation = .06, accounting for significant portions of the variance in mental health problems (56%) and substance use (14%), as well as the mediator social–psychological resources (24%). Beyond indirect effects of minority stress on health outcomes, direct links emerged between victimization and substance use and between internalized homophobia and substance use. Findings indicate a significant impact of minority stressors and social–psychological resources on mental health and substance use among sexual minority women. The results improve understanding of the distinct role of various minority stressors and their mechanisms on health outcomes. Health care professionals should assess for minority stress and coping resources and refer for evidence-based psychosocial treatments.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
5.9
作者：
Herek, GM;Gillis, JR;Cogan, JC
通讯作者：
Cogan, JC
影响因子：
4.4
作者：
Halkitis, PN;Shrem, MT
通讯作者：
Shrem, MT
影响因子：
4.4
作者：
Heffernan, K
通讯作者：
Heffernan, K
影响因子：
4.4
作者：
Amadio, Dean M.
通讯作者：
Amadio, Dean M.