The influence of structural stigma and rejection sensitivity on young sexual minority men's daily tobacco and alcohol use.
The influence of structural stigma and rejection sensitivity on young sexual minority men's daily tobacco and alcohol use.
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DOI：
10.1016/j.socscimed.2013.10.005
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发表时间：
2014-03
期刊：
影响因子：
--
通讯作者：
Starks TJ
中科院分区：
文献类型：
--
作者：
Pachankis JE;Hatzenbuehler ML;Starks TJ
成见既发生在个人层面，也发生在结构层面，但现有的研究倾向于孤立地考察成见的个人和结构形式的影响，而不是考虑潜在的协同效应。为了解决这一差距，我们的研究探讨了在个人层面上的耻辱，即同性恋相关的拒绝敏感性，与结构性耻辱相互作用，以预测年轻的性少数男性的物质使用。性少数（n = 119）参与者完成了我们的结构的在线测量（例如，抑制灵敏度）。参与者目前居住在广泛的地理区域（即，24个州），并在28个州上过高中，使我们能够捕捉到当前和过去形式的结构性耻辱的足够差异，定义为（1）缺乏州一级的政策，为异性恋和性少数群体提供平等的机会，（2）对性少数群体的负面态度。为了衡量每日物质使用情况，我们采用了每日日记的方法，即要求所有参与者表明他们是否连续九天使用烟草或酒精。结果表明，结构性耻辱与拒绝敏感性相互作用，预测烟草和酒精的使用，这种关系依赖于发展的时间暴露于结构性耻辱。与此相反，拒绝敏感性没有调解结构性耻辱和物质使用之间的关系。这些结果表明，心理倾向，如拒绝敏感性，与社会环境的功能，如结构性的耻辱，预测年轻的性少数男性的重要健康行为。这些结果增加了越来越多的研究记录的多层次的耻辱相互作用，产生负面的健康结果之间的性少数群体的个人。
Stigma occurs at both individual and structural levels, but existing research tends to examine the effect of individual and structural forms of stigma in isolation, rather than considering potential synergistic effects. To address this gap, our study examined whether stigma at the individual level, namely gay-related rejection sensitivity, interacts with structural stigma to predict substance use among young sexual minority men. Sexual minority (n = 119) participants completed online measures of our constructs (e.g., rejection sensitivity). Participants currently resided across a broad array of geographic areas (i.e., 24 U.S. states), and had attended high school in 28 states, allowing us to capture sufficient variance in current and past forms of structural stigma, defined as (1) a lack of state-level policies providing equal opportunities for heterosexual and sexual minority individuals and (2) negative state-aggregated attitudes toward sexual minorities. To measure daily substance use, we utilized a daily diary approach, whereby all participants were asked to indicate whether they used tobacco or alcohol on nine consecutive days. Results indicated that structural stigma interacted with rejection sensitivity to predict tobacco and alcohol use, and that this relationship depended on the developmental timing of exposure to structural stigma. In contrast, rejection sensitivity did not mediate the relationship between structural stigma and substance use. These results suggest that psychological predispositions, such as rejection sensitivity, interact with features of the social environment, such as structural stigma, to predict important health behaviors among young sexual minority men. These results add to a growing body of research documenting the multiple levels through which stigma interacts to produce negative health outcomes among sexual minority individuals.
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