Discrimination, Heterosexism and Perceived Stress Among Young LGBT Tunisians: Unveiling the Moderation Effects of Self-Esteem

Background: LGBT individuals in Tunisia face discrimination and stigmatization due to prevailing socio-cultural and legal conditions which can negatively impact their mental health. Aim : This study examined the relationship between perceived stress, heterosexist experiences, and self-esteem in a sample of LGBT young Tunisians. Methods: We conducted an analytical cross-sectional study. Participants were recruited using a snowball sampling technique via social media. Heterosexism Harassment, Discrimination and Rejection Scale (HHRDS), Perceived Stress Scale (PSS-10), and Rosenberg Self-esteem Scale (RSES) were used as measurement instruments. Results: A total of 73 young LGBT individuals were included. The multivariate analysis indicated that discrimination (beta = 4.58, CI95% = [3.36, 5.81], p < 10(-3)) and self-esteem (beta = -0.88, CI95% = [-1.09, -0.67], p < 10(-3)) were significant predictors for perceived stress. The moderation model revealed that self-esteem acts as a moderator in the relationship between discrimination and perceived stress (effect = -0.22; p = .02). Conclusion: The study emphasizes the importance of self-esteem in improving the mental health and well-being of the LGBT community.