Hoy-Ellis Charles P, Fredriksen-Goldsen Karen I
a College of Social Work, University of Utah , Salt Lake City , UT , USA.
b School of Social Work, University of Washington , Seattle , WA , USA.
Aging Ment Health. 2016 Nov;20(11):1119-1130. doi: 10.1080/13607863.2016.1168362. Epub 2016 Apr 6.
This study aims to: (1) test whether the minority stressors disclosure of sexual orientation; and (2) internalized heterosexism are predictive of chronic physical health conditions; and (3) depression; (4) to test direct and indirect relationships between these variables; and (5) whether chronic physical health conditions are further predictive of depression, net of disclosure of sexual orientation and internalized heterosexism.
Secondary analysis of national, community-based surveys of 2349 lesbian, gay, and bisexual adults aged 50 and older residing in the US utilizing structural equation modeling.
Congruent with minority stress theory, disclosure of sexual orientation is indirectly associated with chronic physical health conditions and depression, mediated by internalized heterosexism with a suppressor effect. Internalized heterosexism is directly associated with chronic physical health conditions and depression, and further indirectly associated with depression mediated by chronic physical health conditions. Finally, chronic physical health conditions have an additional direct relationship with depression, net of other predictor variables.
Minority stressors and chronic physical health conditions independently and collectively predict depression, possibly a synergistic effect. Implications for depression among older sexual minority adults are discussed.
本研究旨在：（1）测试少数群体压力源——性取向的披露；以及（2）内化的异性恋主义是否可预测慢性身体健康状况；以及（3）抑郁症；（4）测试这些变量之间的直接和间接关系；以及（5）在性取向披露和内化的异性恋主义之外，慢性身体健康状况是否进一步可预测抑郁症。
利用结构方程模型对居住在美国的2349名年龄在50岁及以上的女同性恋、男同性恋和双性恋成年人进行全国性社区调查的二次分析。
与少数群体压力理论一致，性取向的披露与慢性身体健康状况和抑郁症间接相关，以内化的异性恋主义为中介，具有抑制效应。内化的异性恋主义与慢性身体健康状况和抑郁症直接相关，并通过慢性身体健康状况进一步与抑郁症间接相关。最后，在其他预测变量之外，慢性身体健康状况与抑郁症还有额外的直接关系。
少数群体压力源和慢性身体健康状况独立且共同预测抑郁症，可能存在协同效应。讨论了对老年性少数群体成年人抑郁症的影响。
