Wang Jen, Häusermann Michael, Ambresin Anne-Emmanuelle
Interdisciplinary Division for Adolescent Health (DISA), Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Dialogai, Geneva, Switzerland.
Front Psychiatry. 2018 Aug 9;9:361. doi: 10.3389/fpsyt.2018.00361. eCollection 2018.
There is considerable evidence of health disparities among gay men characterized by higher levels of stress and distress. Psycho-social resources have been linked to numerous positive health outcomes and shown to act as buffers in the stress-distress pathway. With data from the 3rd Geneva Gay Men's Health Survey carried out in 2011 using time-space sampling ( = 428), a relatively elaborate profile of 14 psycho-social resources-including mindfulness-is presented. Using their original scores, latent class analysis created an index variable dividing the respondents into meaningful groups. Psycho-social resources-the index variable as well as each resource individually-were then compared to two recent outcomes-i.e., serious mental illness in the past 4 weeks and short-term disability in the past 2 weeks-using a series of logistic regression models, controlling for all other psycho-social resources and socio-demographic confounders. To assess their potential role as buffers, a similar series of logistic regression models were erected using victimization and three outcomes-i.e., major depression, suicidal ideation, and suicide attempt-in the past 12 months. According to the latent class analyses, (1) 5.1% of this sample had a low level of psycho-social resources (i.e., one standard deviation (SD) below the group means), (2) 25.2% a medium-low level, (3) 47.4% a medium level (i.e., at the group means), and (4) 22.2% a high level of psycho-social resources (i.e., one SD above the group means). Psycho-social resources appeared to strongly protect against recent mental morbidity and buffer against the impact of victimization on major depression and suicidality in the past 12 months, reducing the adjusted odds ratios below statistical significance. The explained variance and the individual psycho-social resources which remained independent in the models differed for each outcome. There may be disparities in several psycho-social resources among gay men, and as strong compensatory and protective factors, they may explain in part the well-established disparities in stress and distress in this population. While multiple psycho-social resources should be promoted in this population, gay men under 25 years should receive particular attention as all three disparities are most pronounced in this age group.
有大量证据表明男同性恋者存在健康差异，其特点是压力和痛苦程度较高。心理社会资源与众多积极的健康结果相关联，并被证明在压力 - 痛苦途径中起到缓冲作用。利用2011年采用时空抽样法进行的第三次日内瓦男同性恋者健康调查的数据（ = 428），呈现了包括正念在内的14种心理社会资源的相对详细概况。使用原始分数，潜在类别分析创建了一个指数变量，将受访者分为有意义的组。然后，使用一系列逻辑回归模型，将心理社会资源（指数变量以及每种资源单独）与两个近期结果进行比较，即过去4周内的严重精神疾病和过去2周内的短期残疾，并控制所有其他心理社会资源和社会人口学混杂因素。为了评估它们作为缓冲的潜在作用，使用过去12个月内的受害情况和三个结果（即重度抑郁、自杀意念和自杀未遂）建立了一系列类似的逻辑回归模型。根据潜在类别分析，（1）该样本中有5.1%的人心理社会资源水平较低（即低于群体均值一个标准差（SD）），（2）25.2%的人处于中低水平，（3）47.4%的人处于中等水平（即处于群体均值），（4）22.2%的人心理社会资源水平较高（即高于群体均值一个标准差）。心理社会资源似乎能有力地预防近期的精神疾病，并缓冲过去12个月内受害情况对重度抑郁和自杀倾向的影响，将调整后的优势比降低至统计学意义以下。每个结果的模型中解释方差和保持独立的个体心理社会资源各不相同。男同性恋者在几种心理社会资源方面可能存在差异，作为强大的补偿和保护因素，它们可能部分解释了该人群中既定的压力和痛苦差异。虽然应该在该人群中推广多种心理社会资源，但25岁以下的男同性恋者应受到特别关注，因为这三个差异在该年龄组中最为明显。
