Department of Behavioral & Community Health, School of Public Health, University of Maryland.
School of Nursing & Health Studies, University of Miami.
Psychol Trauma. 2023 May;15(4):637-647. doi: 10.1037/tra0001254. Epub 2022 May 5.
Given the inequitable impact of COVID-19 on sexual and gender minority (SGM) youth and current sociopolitical racial justice concerns in the United States, this study examines the impact of SGM-related family rejection and racism since the start of COVID-19 on SGM-related internalized homophobia and identity concealment among SGM college students of color (SOC).
Participants were a subset of SOC ( = 200) from a larger nonprobability cross-sectional study about minority stress and COVID-19 pandemic experiences among SGM college students. Participants completed survey items specifically related to changes in minority stress and racism experiences since the start of COVID-19. Logistic regression models were used to examine the independent and interactive effects of racism and family rejection on identity concealment and internalized homophobia since the start of COVID-19 (adjusting for covariates).
Main effects models revealed that increased racism and family rejection were significantly associated with greater odds of experiencing identity concealment since the start of COVID-19. The interaction of increased racism and family rejection was also significantly associated with greater odds of experiencing identity concealment since the start of COVID-19.
Study findings suggest that the intersection of racism and family rejection since the start of COVID-19 consequently translates to increased experiences of identity concealment. Such experiences are known to negatively impact mental health across the life course among SGM young people. Public health, medical, mental health, and higher education stakeholders must implement SGM-affirmative and antiracist practices and interventions to support SGM SOC during COVID-19 and beyond its containment. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
鉴于 COVID-19 对性少数群体和性别少数群体（SGM）青年的不平等影响，以及当前美国社会政治种族正义问题，本研究考察了自 COVID-19 开始以来，与 SGM 相关的家庭排斥和种族主义对 SGM 大学生（SOC）的 SGM 相关内化恐同和身份隐瞒的影响。
参与者是一项关于 SGM 大学生少数族裔压力和 COVID-19 大流行经历的大型非概率横断面研究中 SOC（n=200）的一个子集。参与者完成了专门与自 COVID-19 开始以来少数族裔压力和种族主义经历变化有关的调查项目。使用逻辑回归模型来检验自 COVID-19 开始以来，种族主义和家庭排斥对身份隐瞒和内化恐同的独立和交互影响（调整协变量）。
主要效应模型显示，种族主义和家庭排斥的增加与自 COVID-19 开始以来经历身份隐瞒的几率增加显著相关。种族主义和家庭排斥增加的相互作用也与自 COVID-19 开始以来经历身份隐瞒的几率增加显著相关。
研究结果表明，自 COVID-19 开始以来，种族主义和家庭排斥的交叉点继而导致身份隐瞒的经历增加。已知这种经历会对 SGM 年轻人的整个生命历程中的心理健康产生负面影响。公共卫生、医疗、心理健康和高等教育利益相关者必须实施 SGM 肯定和反种族主义的实践和干预措施，以在 COVID-19 及其控制期间支持 SGM SOC。
