Lin Po-Chun, Chang Yu-Ping, Chen Yi-Lung, Yen Cheng-Fang
Department of Psychiatry, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan; School of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan.
School of Nursing, The State University of New York, University at Buffalo, NY, USA.
J Formos Med Assoc. 2024 Sep 5. doi: 10.1016/j.jfma.2024.08.030.
BACKGROUND/PURPOSE: Loneliness is prevalent among gay and bisexual men (GBM). This study evaluated the mediating effect of loneliness on the associations of perceived sexual stigma (PSS) and internalized sexual stigma (ISS) with suicide in 400 GBM.
A moderated mediation model was used to test the mediating effects of loneliness between the associations of PSS from family members and ISS with suicide and the moderating effects of sexual orientation, age, and education level on the mediating effects.
The results indicated that both PSS and ISS were positively associated with suicide through the full mediation of loneliness. The association of ISS with loneliness was stronger in older GBM.
Intervention programs promoting changes in attitudes toward GBM are warranted to prevent the development of PSS and ISS, loneliness, and suicide in this population.
背景/目的：孤独在男同性恋者和双性恋男性（GBM）中普遍存在。本研究评估了400名GBM中孤独感在感知性污名（PSS）和内化性污名（ISS）与自杀之间关联中的中介作用。
采用有调节的中介模型来检验家庭成员的PSS与ISS和自杀之间关联中孤独感的中介作用，以及性取向、年龄和教育水平对中介作用的调节效应。
结果表明，PSS和ISS均通过孤独感的完全中介作用与自杀呈正相关。在年龄较大的GBM中，ISS与孤独感的关联更强。
有必要开展干预项目以促进对GBM态度的改变，从而预防该人群中PSS和ISS、孤独感及自杀行为的发生。
