a Department of Health Studies , American University , Washington , DC , USA.
b Department of Psychology , American University , Washington , DC , USA.
Cult Health Sex. 2019 Sep;21(9):985-998. doi: 10.1080/13691058.2018.1532113. Epub 2019 Jan 2.
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 ( = 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.
很少有研究探讨少数族裔群体中心理健康和物质使用结果方面的性取向差异。本研究考察了美国黑人青年在抑郁、自杀意念和物质使用方面的性取向差异，以及网络和基于偏见的受害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进行的一项概率性青年样本（n=1129）的数据进行了二次分析。参与者报告了社会人口统计学特征、抑郁症状、自杀意念、物质使用以及基于偏见和网络的受害经历。除了一些例外，与黑人异性恋参与者相比，黑人同性恋、双性恋或主要异性恋参与者报告的抑郁、自杀意念、自杀计划和物质使用发生率更高。黑人同性恋、双性恋和主要异性恋参与者报告的网络和基于偏见的受害比黑人异性恋参与者更多。心理健康方面的性取向差异，在一定程度上，物质使用的差异部分由这两种形式的受害解释。需要进一步研究，以确定基于偏见和网络的受害在黑人性少数青年心理健康和物质使用差异中的作用。本研究对预防和治疗不同种族的性少数群体具有启示意义。
