Surwill Dana L, Pharr Jennifer R
Department Environmental and Occupational Health, School of Public Health, University of Nevada, 4700, South Maryland Parkway, Las Vegas, NV, 89119, USA.
J Community Health. 2025 Feb;50(1):87-97. doi: 10.1007/s10900-024-01398-7. Epub 2024 Sep 5.
Many factors affect an individual's resilience. Low resilience has been attributed to increased stress, anxiety, depression, and suicidality within the LGBTQIA + population, which is heightened compared to different populations. This study identifies predictors of resilience in the LGBTQIA + population and aims to identify predicting factors at all levels of the socioecological model. This was a cross-sectional study of data from a web-based survey that was conducted from January to February 2022. A national sample of 1033 LGBTQIA + adults was utilized for hierarchical regression analysis. Hierarchical regression analyses were performed for total resilience, which had an average score of 143.66 (SD = 33.88) and accounted for 53.4% of resiliency variance. Factors that were found to decrease an individuals resiliency score were depression, stress, suicidality, and isolation discrimination distress. Factors found to increase an individuals resiliency scores are college graduate 4 years+, married, outness, personal comfortability with being SGM, gender expression discrimination distress, and vicarious discrimination distress. Understanding the factors that influence resilience is vital to improving the resilience of the LGBTQIA + communities. Interventions that focus on decreasing depression, stress, and suicidality may be particularly impactful for all types of resilience.
许多因素会影响个体的复原力。复原力较低被归因于 LGBTQIA+ 群体中压力、焦虑、抑郁和自杀倾向的增加，与其他群体相比，这种情况更为突出。本研究确定了 LGBTQIA+ 群体中复原力的预测因素，并旨在确定社会生态模型各个层面的预测因素。这是一项对 2022 年 1 月至 2 月进行的基于网络调查数据的横断面研究。对 1033 名 LGBTQIA+ 成年人的全国样本进行了分层回归分析。对总复原力进行了分层回归分析，其平均得分为 143.66（标准差 = 33.88），占复原力方差的 53.4%。发现会降低个体复原力得分的因素有抑郁、压力、自杀倾向和孤立歧视困扰。发现会提高个体复原力得分的因素有大学毕业 4 年以上、已婚、出柜、对自身性取向、性别认同和性别表达的个人舒适度、性别表达歧视困扰和替代性歧视困扰。了解影响复原力的因素对于提高 LGBTQIA+ 群体的复原力至关重要。专注于减少抑郁、压力和自杀倾向的干预措施可能对所有类型的复原力都特别有影响。
