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少数族裔压力心理调解框架与拉丁裔性少数男性的心理健康:它是如何深入肌肤的(Como se Mete Debajo de la Piel)

The Minority Stress Psychological Mediation Framework and Mental Health of Latinx Sexual Minority Men: Como se Mete Debajo de la Piel (How It Gets Under the Skin).

作者信息

Zelaya David G, DeBlaere Cirleen

机构信息

Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health.

Department of Psychiatry, Harvard Medical School.

出版信息

Psychol Sex Orientat Gend Divers. 2024 Mar 21. doi: 10.1037/sgd0000725.

Abstract

The National Institute for Health has designated racial/ethnic minorities and sexual and gender minorities as health disparities populations. Researchers have historically examined these identity groups independently and failed to account for membership in both racial/ethnic and sexual and gender minority groups. As such, Latinx sexual minority populations continue to be understudied in the psychological literature. The minority stress psychological mediation framework (PMF) has been proposed as a model to understand the experiences of sexual minority people. The PMF purports that experiencing discrimination affects three psychological processes (i.e., affective/coping, cognitive, and social support processes) that are linked to mental health. The current study empirically examines the PMF with a sample of predominantly cisgender and bisexual Latinx sexual minority men (LSMM; = 357) recruited via Amazon Mechanical Turk. This cross-sectional study examined descriptive statistics, bivariate correlations, and utilizes structural equation model to test the model fit of the PMF. We found that only affective and cognitive processes emerged as mediators in the relationship between recent experiences of minority stress to psychological distress. The current study highlights critical points of intervention for LSMM. It also provides evidence for the need to further test the applicability of PMF with LSMM and to incorporate more culturally salient variables.

摘要

美国国立卫生研究院已将少数族裔以及性取向和性别少数群体指定为健康差异人群。历史上,研究人员一直独立研究这些身份群体,而没有考虑到种族/族裔以及性取向和性别少数群体的成员身份。因此,拉丁裔性少数群体在心理学文献中仍然研究不足。少数群体压力心理中介框架(PMF)已被提出作为一种理解性少数群体经历的模型。该框架声称,经历歧视会影响与心理健康相关的三个心理过程(即情感/应对、认知和社会支持过程)。本研究通过亚马逊土耳其机器人招募了以顺性别和双性恋拉丁裔性少数男性为主的样本(N = 357),对少数群体压力心理中介框架进行了实证检验。这项横断面研究考察了描述性统计、双变量相关性,并利用结构方程模型来检验少数群体压力心理中介框架的模型拟合度。我们发现,在少数群体压力的近期经历与心理困扰之间的关系中,只有情感和认知过程作为中介出现。本研究突出了针对拉丁裔性少数男性的关键干预点。它还为进一步测试少数群体压力心理中介框架对拉丁裔性少数男性的适用性以及纳入更多具有文化显著性的变量提供了证据。

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