Community, Health Outcomes and Intervention Research Program, The Saban Research Institute, Children's Hospital Los Angeles, 4650 Sunset Blvd. Mailstop #30, Los Angeles, 90027, CA, USA,
Prev Sci. 2014 Feb;15(1):44-55. doi: 10.1007/s11121-012-0348-4.
African American young men who have sex with men (AAYMSM) from the House and Ball communities are at high risk for HIV infection. Because these communities are not only sources of risk but also support for AAYMSM, researchers must also consider the resources these communities possess. This knowledge will assist in the formulation of more effective prevention strategies and intervention approaches. Using minority stress theory as a framework, the current study illustrates the impact minority stress has on the psychological well-being of a sample of MSM from the Los Angeles House and Ball communities and investigates how these factors affect the relationship between minority stress and psychological well-being. Surveys were administered to participants over the course of a year. Structural equation modeling was used to estimate a model of the associations between minority stressors, support, connection to social network, and psychological well-being/distress (N = 233). The results indicated significant associations between different sources of minority stress, including distal minority stress (e.g., racism, homophobia), gay identification, and internalized homophobia. Minority stressors were in turn significantly associated with greater distress. However, greater instrumental support significantly reduced the effects of distal minority stress on distress. Greater connection to social network also significantly reduced stress associated with gay identification on distress. The findings captured the diverse sources of minority stress faced by this population and how these stressors are interrelated to impact mental health. The results also illustrate how support from and connection to social networks can reduce the negative impact of minority stress experiences.
美国非裔男男性行为者（AAYMSM）来自 House 和 Ball 社区，他们感染艾滋病毒的风险很高。由于这些社区不仅是风险的来源，也是 AAYMSM 的支持来源，因此研究人员还必须考虑这些社区拥有的资源。这些知识将有助于制定更有效的预防策略和干预方法。本研究以少数群体应激理论为框架，说明了少数群体应激对洛杉矶 House 和 Ball 社区男男性行为者（MSM）样本心理健康的影响，并探讨了这些因素如何影响少数群体应激与心理健康之间的关系。在一年的时间里，向参与者发放了调查问卷。使用结构方程模型来估计少数群体应激源、支持、与社交网络的联系以及心理健康/困扰之间关联的模型（N=233）。结果表明，不同的少数群体应激源之间存在显著关联，包括远端少数群体应激源（如种族主义、恐同症）、同性恋认同和内化的恐同症。少数群体应激源反过来与更大的困扰显著相关。然而，更多的工具支持显著降低了远端少数群体应激对困扰的影响。与社交网络的更紧密联系也显著降低了与同性恋认同相关的应激对困扰的影响。研究结果捕捉到了该人群所面临的多种少数群体应激源，以及这些应激源如何相互关联以影响心理健康。结果还说明了来自社交网络的支持和与社交网络的联系如何减少少数群体应激体验的负面影响。
