Within-person associations between romantic involvement and mental health among sexual and gender minorities assigned female-at-birth.
Within-person associations between romantic involvement and mental health among sexual and gender minorities assigned female-at-birth.
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DOI：
10.1037/fam0000835
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发表时间：
2021-08
期刊：
影响因子：
--
通讯作者：
Newcomb ME
中科院分区：
文献类型：
--
作者：
Whitton SW;Dyar C;Godfrey LM;Newcomb ME
出生时被指定为女性的性少数群体和性别少数群体(SGM-AFAB)经历了严重的心理健康差距，因此必须确定这一群体中针对心理和物质使用问题的保护因素。我们研究了恋爱关系参与，一个公认的异性恋成年人心理健康的保护因素，是否对SGM-AFAB年轻人具有保护作用。使用来自488个不同种族的SGM-AFAB(基线年龄为16-31岁)的五波数据，我们评估了人际关系参与与抑郁症状、焦虑症状以及有问题的酒精和大麻使用之间的内部联系。我们根据年龄、性别、性别和种族认同、关系状态和伴侣性别来测试这些关联中的差异，以及浪漫参与是否缓冲了反SGM受害者的负面影响。多水平模型表明，参与者在恋爱时报告的抑郁症状、酒精使用问题和大麻使用问题比单身时要少。只有拉丁裔参与者的恋情与较少的焦虑症状有关。关联没有年龄差异，在性别、性别和种族认同上总体上是一致的(除了一些例外)。与约会关系相比，长期承诺对物质使用的影响更大。参与者报告说，与顺性别女性恋爱时，与顺性别男性或少数性别伴侣相比，较少的抑郁和焦虑，但更多的酒精或大麻使用。综上所述，研究结果表明，关系参与对SGM-AFAB的心理健康具有广泛的保护作用，尽管它可能不会缓冲SGM受害的负面影响。减少SGM-AFAB精神健康差距的努力应考虑包括支持健康关系参与的战略。
Sexual and gender minorities assigned female at birth (SGM-AFAB) experience significant mental health disparities, making it important to identify protective factors against psychological and substance use problems in this population. We examined whether romantic relationship involvement, a well-established protective factor for mental health in heterosexual adults, is protective for SGM-AFAB young people. Using five waves of data from 488 racially-diverse SGM-AFAB (ages 16-31 years at baseline), we assessed within-person associations between relationship involvement and depressive symptoms, anxiety symptoms, and problematic alcohol and cannabis use. We tested for differences in these associations by age; sexual, gender, and racial identity; relationship status; and partner gender, and whether romantic involvement buffers the negative effects of anti-SGM victimization. Multilevel models indicated that participants reported fewer depressive symptoms, alcohol use problems, and cannabis use problems when romantically involved than when single. Romantic involvement was associated with fewer anxiety symptoms for Latinx participants only. Associations did not differ by age and were generally consistent (with some exceptions) across sexual, gender, and racial identity. Effects on substance use were stronger for long-term commitments than dating relationships. Participants reported less depression and anxiety, but more alcohol or cannabis use, when romantically involved with cisgender women than with cisgender men or gender minority partners. Together, findings suggest that relationship involvement is broadly protective of mental health among SGM-AFAB, though it may not buffer the negative effects of SGM victimization. Efforts to reduce SGM-AFAB mental health disparities should consider including strategies to support healthy relationship involvement.
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