Al-Ajlouni Yazan A, Park Su Hyun, Safren Steven A, Kreski Noah T, Elbel Brian, Trinidad Andrew, Callander Denton, Duncan Dustin T
Department of Population Health, New York University School of Medicine, New York, New York, USA.
Department of Psychology, College of Arts and Sciences, University of Miami, Miami, Florida, USA.
J Gay Lesbian Ment Health. 2020;24(3):308-321. doi: 10.1080/19359705.2019.1688217. Epub 2020 Mar 16.
Prior research has documented the ways in which financial hardships negatively impact health, particularly mental health. However, this association between financial hardships and mental health outcomes has rarely been examined in sexual minorities. The purpose of this study was to examine associations between financial hardships and mental health burdens among a sample of gay, bisexual and other men who have sex with men (MSM) in Paris, France. Participants ( = 580) completed a cross-sectional survey advertised on a geosocial networking application. Participants responded to measures of mental health, financial hardship, and socio-demographics. Modified Poisson models were used to estimate risk ratios (RRs) and 95% confidence intervals (CI) for the associations between financial hardship and the following outcomes: 1) depressive symptoms, 2) anxiety symptoms, and 3) psychological distress. After adjusting for socio-demographics, high financial hardships were associated with depressive symptoms (aRR: 1.48, 95% CI: 1.04, 2.11) and psychological distress (aRR: 1.56, 95% CI: 1.09, 2.23). Analyses also demonstrated that stress acts as a mediating variable. These preliminary results suggest that future interventions to reduce financial hardships may have positive effects on the mental health of such a population.
先前的研究记录了经济困难对健康产生负面影响的方式，尤其是对心理健康的影响。然而，经济困难与心理健康结果之间的这种关联在性少数群体中很少得到研究。本研究的目的是在法国巴黎的男同性恋者、双性恋者和其他与男性发生性关系的男性（MSM）样本中，研究经济困难与心理健康负担之间的关联。参与者（n = 580）完成了一项在地理社交网络应用程序上宣传的横断面调查。参与者对心理健康、经济困难和社会人口统计学指标进行了回应。使用修正的泊松模型来估计经济困难与以下结果之间关联的风险比（RRs）和95%置信区间（CI）：1）抑郁症状，2）焦虑症状，以及3）心理困扰。在对社会人口统计学进行调整后，高经济困难与抑郁症状（校正风险比：1.48，95% CI：1.04，2.11）和心理困扰（校正风险比：1.56，95% CI：1.09，2.23）相关。分析还表明，压力起到了中介变量的作用。这些初步结果表明，未来减少经济困难的干预措施可能会对这类人群的心理健康产生积极影响。
