Social Factors as Determinants of Mental Health Disparities in LGB Populations: Implications for Public Policy
Social Factors as Determinants of Mental Health Disparities in LGB Populations: Implications for Public Policy
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DOI：
10.1111/j.1751-2409.2010.01017.x
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发表时间：
2010-12-01
影响因子：
9.4
通讯作者：
Hatzenbuehler, Mark L.
中科院分区：
文献类型：
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作者：
Hatzenbuehler, Mark L.
事实证明，很少有辩论比针对女同性恋、男同性恋和双性恋（LGB）群体的社会政策更有争议。鉴于这些政策在公共话语中的突出地位，本文综合了社会政策与LGB人群不良心理健康结果之间关系的实证文献。本文的目的是：(a)审查社会政策可能直接导致LGB人群心理健康差异的证据；(b)审查这些政策如何也可能通过多种途径间接导致不利的心理健康结果，包括减少获得促进健康资源的机会，以及增加接触压力源和增加心理健康问题的心理风险因素；考虑心理学家在解决同性恋、双性恋和双性恋人群心理健康差异方面可以发挥的作用；(d)评价现有工作的局限性，并提出今后研究的几个领域；(e)讨论研究对针对LGB人群的社会政策的影响。有人认为，消除LGB人群的心理健康差异将需要整合多层次分析的研究和干预措施。
Few debates have proved more contentious than social policies targeting lesbian, gay, and bisexual (LGB) individuals. Given the prominence of these policies in the public discourse, this article provides a synthesis of the empirical literature on the relationship between social policies and adverse mental health outcomes in LGB populations. The aims of this article are to: (a) review evidence that social policies may directly contribute to mental health disparities in LGB populations; (b) examine how these policies may also indirectly lead to adverse mental health outcomes through multiple pathways, including decreased access to health-promoting resources, as well as increases in exposure to stressors and elevations in psychological risk factors for mental health problems; (c) consider the role that psychologists can play in addressing mental health disparities in LGB populations; (d) evaluate the limitations of existing work and propose several areas for future inquiry; and (e) discuss the implications of research for social policies targeting LGB populations. It is argued that eliminating mental health disparities in LGB populations will require research and interventions that integrate multiple levels of analysis.