Salfas Brian, Rendina H Jonathon, Parsons Jeffrey T
The Center for HIV/AIDS Educational Studies & Training (CHEST), Hunter College of the City University of New York (CUNY), New York, NY.
Department of Psychology, Hunter College of the City University of New York (CUNY), New York, NY.
Stigma Health. 2019 Aug;4(3):300-309. doi: 10.1037/sah0000143. Epub 2018 Jul 2.
Gay and bisexual men suffer from higher rates of mental health disorders than their heterosexual counterparts. Minority stress theory provides the framework for much research that seeks to explain this discrepancy. Recently, several studies have also examined the role of connection with the gay community with mixed results. Operationalizing gay community connectedness in terms of two separate constructs-community involvement and community identification-this study sought to examine and compare the role that each of these factors plays in affecting gay and bisexual men's mental health. We analyzed data from 371 gay and bisexual men in New York City, focusing on measures of minority stress factors, gay community connectedness, and mental health outcomes. As hypothesized, factor analysis showed that the community connectedness scale loaded onto two sub-factors corresponding to the theorized constructs of identification and involvement. Linear regression models adjusting for potential confounding factors showed that community involvement was significantly associated with better mental health outcomes. Community involvement also significantly moderated the impact of internalized homonegativity on mental health. This factor was not a significant moderator of the impact of sexual orientation discrimination on mental health, and community identification was not significantly associated with mental health outcomes. It also did not significantly moderate the effect of either minority stress factor. Future research would benefit from developing an updated and highly reliable measure of community involvement.
男同性恋者和双性恋男性比异性恋男性患有心理健康障碍的比例更高。少数群体压力理论为许多试图解释这种差异的研究提供了框架。最近,一些研究也探讨了与同性恋群体的联系所起的作用,但结果不一。本研究将同性恋群体联系操作化为两个独立的构念——社区参与和社区认同,旨在检验和比较这些因素在影响男同性恋者和双性恋男性心理健康方面所起的作用。我们分析了来自纽约市371名男同性恋者和双性恋男性的数据,重点关注少数群体压力因素、同性恋群体联系和心理健康结果的测量。正如所假设的,因素分析表明,社区联系量表加载到与理论上的认同和参与构念相对应的两个子因素上。调整潜在混杂因素的线性回归模型表明,社区参与与更好的心理健康结果显著相关。社区参与也显著缓和了内化的同性恋消极态度对心理健康的影响。这个因素不是性取向歧视对心理健康影响的显著调节因素,社区认同与心理健康结果也没有显著关联。它也没有显著缓和任何一个少数群体压力因素的影响。未来的研究将受益于开发一种更新的、高度可靠的社区参与测量方法。