Sexual orientation disparities in mental health and substance use among Black American young people in the USA: effects of cyber and bias-based victimisation.
Sexual orientation disparities in mental health and substance use among Black American young people in the USA: effects of cyber and bias-based victimisation.
复制标题
美国黑人年轻人心理健康和药物使用方面的性取向差异：网络和偏见受害的影响。
DOI：
10.1080/13691058.2018.1532113
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Goldbach,JeremyT
中科院分区：
文献类型：
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作者：
Mereish,EthanH;Sheskier,Mikela;Hawthorne,DavidJ;Goldbach,JeremyT
很少有研究探索性取向在少数族裔心理健康和物质使用结果方面的差异。这项研究调查了美国黑人年轻人在抑郁、自杀和药物使用方面的性取向差异，以及网络和基于偏见的受害者在解释这些差异方面的中介作用。对在美国东南部一个学区收集的年轻人(N= 1,129)的概率样本的数据进行了二次分析。参与者报告了社会人口学、抑郁症状、自杀、药物使用以及基于偏见和网络受害者的经历。除了一些例外，女同性恋者、男同性恋者、双性恋者或主要是异性恋者的黑人参与者报告的抑郁、自杀意念、自杀计划和药物使用的比率高于黑人异性恋者参与者。黑人女同性恋者、男同性恋者、双性恋者和主要是异性恋者的参与者报告说，与黑人异性恋者参与者相比，他们更多地受到网络和基于偏见的伤害。心理健康和某种程度上的物质使用方面的性取向差异可以部分解释这两种形式的受害。需要进行进一步的研究，以解决基于偏见和网络受害者在黑人性少数群体年轻人的心理健康和物质使用方面的差异所起的作用。本研究对种族多元化的性少数群体的预防和治疗工作具有影响。
Few studies have explored sexual orientation disparities in mental health and substance use outcomes among racial minorities. This study examined sexual orientation disparities in depression, suicidality and substance use among Black American young people in the USA, and the mediating role of cyber and bias-based victimisation in accounting for these disparities. Secondary analyses were performed on data from a probability sample of young people (N= 1,129) collected in a school district in the south-eastern USA. Participants reported socio-demographics, depressive symptoms, suicidality, substance use and experiences of bias-based and cyber victimisation. With some exceptions, Black participants who were lesbian, gay, bisexual or mostly heterosexual reported higher rates of depression, suicidal ideation, suicide planning and substance use than Black heterosexual participants. Black lesbian, gay, bisexual and mostly heterosexual participants reported more cyber and bias-based victimisation than Black heterosexual participants. Sexual orientation disparities in mental health and, to some extent, substance use were partially explained by both forms of victimisation. Further research is needed to address the role of bias-based and cyber victimisation in disparities in mental health and substance use among Black sexual minority young people. The present study carries implications for prevention and treatment efforts for racially diverse sexual minorities.