Universidad Nacional Autónoma de México, Ciudad de México, Mexico.
Universidad Autónoma Metropolitana Xochimilco, Ciudad de México, Mexico.
J Interpers Violence. 2021 Dec;36(23-24):NP12686-NP12707. doi: 10.1177/0886260519898423. Epub 2020 Jan 29.
The aim of this study was to determine whether the experiences of direct or subtle forms of discrimination and violence are associated with mental health in Mexican gay, homosexual, and bisexual (GHB) men. A cross-sectional survey was conducted online; the sample consisted of 4,827 GHB men. Ten forms of overt and subtle sexual orientation-based discrimination and violence (SO-DV) were assessed. Linear and logistic regression models were used to evaluate the association between SO-DV experiences and mental health outcomes. Physical violence was reported less frequently than the other forms of SO-DV. As the number of settings in which SO-DV were experienced increased, a stronger association with negative mental health outcomes was observed. Experiences of subtle SO-DV were associated with increased distress, lower vitality, and increased risk of suicidal ideation. Disapproval of gender nonconformity was associated with negative mental health outcomes independently of violence based on sexual orientation. Subtle forms of SO-DV are more common than direct and overt forms. Both types of SO-DV could negatively affect mental health. Studies investigating these negative experiences are required to gain an understanding of the health inequalities faced by non-heterosexual populations.
本研究旨在确定直接或间接形式的歧视和暴力经历是否与墨西哥男同性恋、双性恋和变性（GHB）男性的心理健康有关。采用横断面在线调查；样本由 4827 名 GHB 男性组成。评估了十种形式的显性和隐性基于性取向的歧视和暴力（SO-DV）。线性和逻辑回归模型用于评估 SO-DV 经历与心理健康结果之间的关联。与其他形式的 SO-DV 相比，身体暴力的报告频率较低。随着经历 SO-DV 的环境数量的增加，与负面心理健康结果的关联更强。隐性 SO-DV 的经历与痛苦增加、活力降低和自杀意念风险增加有关。不赞成性别不一致与基于性取向的暴力无关，独立地与负面心理健康结果相关。隐性 SO-DV 比直接和显性形式更为常见。这两种类型的 SO-DV 都会对心理健康产生负面影响。需要研究这些负面经历，以了解非异性恋人群面临的健康不平等问题。
