Department of Criminal Justice and Sociology, University of Wyoming , Laramie, Wyoming, USA.
Social Economic and Housing Statistics Division, U.S. Census Bureau , Washington, DC, USA.
J Homosex. 2021 Jan 28;68(2):269-289. doi: 10.1080/00918369.2019.1651112. Epub 2019 Aug 14.
This study examines how social support and perceived discrimination influence depressive symptoms of sexual minorities (including, lesbian, gay, bisexual-identifying individuals, and others with same-sex sexual partners) relative to heterosexual peers, while considering the role of HIV-positive status. We surveyed low-income, predominantly Hispanic/Latino/as residents receiving STI-testing and/or HIV/AIDS care in the lower Rio Grande Valley of southernmost Texas. Respondents aged 18+ took a self-administered survey in English or Spanish in a clinic waiting room (= 273). Based on OLS regression, HIV-positive status (OLS coefficient = 2.54, < .01) and social support (OLS coefficient = -0.17, < .001) were significant predictors of depressive symptoms among sexual minorities, but not those who identified as heterosexual. Perceived discrimination was uniquely associated with increased depressive symptoms among sexual minorities (interaction coefficient = 0.21, < .05). Clinicians treating sexual minority patients for depression should consider developing and applying resources tailored to individuals' level of social support and ongoing experiences of social discrimination.
本研究考察了社会支持和感知歧视如何影响性少数群体（包括同性恋、双性恋和其他有同性性伴侣的人）的抑郁症状，与异性恋同龄人相比，同时考虑了 HIV 阳性状况的作用。我们调查了德克萨斯州最南端的里奥格兰德河谷地区接受性传播感染检测和/或艾滋病毒/艾滋病护理的低收入、以西班牙裔/拉丁裔为主的居民。18 岁以上的受访者在诊所候诊室中以英语或西班牙语填写了一份自我管理的问卷（=273）。基于 OLS 回归，HIV 阳性状况（OLS 系数=2.54，<0.01）和社会支持（OLS 系数=-0.17，<0.001）是性少数群体抑郁症状的显著预测因素，但对自认为是异性恋的人则不是。感知歧视与性少数群体抑郁症状的增加有独特的关联（交互系数=0.21，<0.05）。治疗性少数群体抑郁症患者的临床医生应考虑制定和应用针对个体社会支持水平和持续社会歧视经历的资源。
