Wagner Glenn J, Ghosh-Dastidar Bonnie, El Khoury Cynthia, Abi Ghanem Carol, Balan Elie, Kegeles Susan, Mutchler Matt G, Mokhbat Jacques
RAND Corporation, Santa Monica, California.
Arab Foundation for Freedom and Equality, Beirut, Lebanon.
Sex Res Social Policy. 2019 Dec;16(4):513-520. doi: 10.1007/s13178-018-0352-y. Epub 2018 Aug 24.
Guided by the minority stress model, we assessed depression and its relationship to structural and sexual minority-related stressors and social support in a sample of 226 young (age 18-29 years) men who have sex with men in Beirut, Lebanon. The sample was recruited with long-chain peer referrals and administered a survey that included the PHQ-9 measure of depression. 16% had current major depression based on our PHQ-9 criteria, and 33% reported any lifetime history of suicidal ideation (including 8% who had made an attempt); 69% had experienced any sexual minority-related discrimination in the past year. In bivariate analysis, structural (unemployment, no legal resident status) and sexual minority-related (greater number of types of discrimination experienced, greater discomfort with one's sexual orientation) stressors were associated with major depression, as was lower social support. Discomfort with one's sexual orientation was the only correlate of major depression when controlling for other stressors, social support and socio-demographics. These findings highlight a high level of depression, and the potential for community building and social solidarity for mitigating the effects of stressors based in personal security, internalized stigma and discrimination.
在少数群体压力模型的指导下，我们对黎巴嫩贝鲁特226名年龄在18至29岁之间的男男性行为者样本进行了评估，以了解抑郁症及其与结构性和性少数群体相关压力源以及社会支持之间的关系。该样本通过长链同伴推荐招募，并接受了一项调查，其中包括用于评估抑郁症的患者健康问卷-9（PHQ-9）。根据我们的PHQ-9标准，16%的人目前患有重度抑郁症，33%的人报告有过自杀意念（包括8%有过自杀未遂经历）；69%的人在过去一年中经历过任何与性少数群体相关的歧视。在双变量分析中，结构性压力源（失业、无合法居民身份）和性少数群体相关压力源（经历的歧视类型更多、对自己的性取向更不舒服）与重度抑郁症相关，社会支持较低也与之相关。在控制其他压力源、社会支持和社会人口统计学因素后，对自己性取向的不适感是重度抑郁症的唯一相关因素。这些发现凸显了抑郁症的高发程度，以及通过社区建设和社会团结来减轻基于人身安全、内化耻辱感和歧视的压力源影响的潜力。
