Does Socio-structural Context Matter? A Multilevel Test of Sexual Minority Stigma and Depressive Symptoms in Four Asia-Pacific Countries

被引：7

作者：

Miedema, Stephanie Spaid ^{[1
]}

Haardorfer, Regine ^{[2
]}

Keyes, Corey L. M. ^{[1
]}

Yount, Kathryn M. ^{[1
,3
]}

机构：

[1] Emory Univ, Dept Sociol, 1555 Dickey Dr, Atlanta, GA 30322 USA

[2] Emory Univ, Dept Behav Sci & Hlth Educ, Rollins Sch Publ Hlth, Atlanta, GA 30322 USA

[3] Emory Univ, Hubert Dept Global Hlth, Rollins Sch Publ Hlth, Atlanta, GA 30322 USA

来源：

JOURNAL OF HEALTH AND SOCIAL BEHAVIOR | 2019年 / 60卷 / 04期

关键词：

Asia-Pacific; depression; sexual minority health; sexual stigma; stress; structural stigma; INTIMATE PARTNER VIOLENCE; MENTAL-HEALTH; INTERNALIZED HOMOPHOBIA; ORIENTATION CONCEALMENT; PSYCHOLOGICAL DISTRESS; LIFE SATISFACTION; GAY; DISORDERS; EXPERIENCES; PREVALENCE;

D O I：

10.1177/0022146519877003

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

In the Asia-Pacific region, individual sexual stigma contributes to elevated rates of depression among sexual minority men. Less well understood is the role of socio-structural sexual stigma despite evidence that social context influences the experience of stigma. We use data from the United Nations Multi-country Study on Men and Violence to conduct a multilevel test of associations between individual- and cluster unit-level indicators of sexual stigma and depressive symptoms among sexual minority men (n = 562). In the full model, individual-level sexual stigma is not associated with depressive symptoms, although there is significant variation in the association between individual stigma and depressive symptoms across clusters. Contrary to expectation, at the community level, homophobic injunctive norms are negatively associated with depressive symptoms. We discuss the implications for policies, programs, and future research to improve mental health among sexual minority men in the region.

引用

页码：416 / 433

页数：18