Minority stress and mental and sexual health: Examining the psychological mediation framework among gay and bisexual men.

2016 ◽  
Vol 3 (3) ◽  
pp. 313-324 ◽  
Author(s):  
Danielle R. Schwartz ◽  
Natalie Stratton ◽  
Trevor A. Hart
Keyword(s):  
Sexual Health ◽  
Minority Stress ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
And Bisexual

scholarly journals An empirical examination and extension of the psychological mediation framework among gay and bisexual men: a mixed methods study

2021 ◽  
Author(s):  
Danielle R. Schwartz
Keyword(s):  
Mental Health ◽  
Sexual Health ◽  
Health Outcomes ◽  
Minority Stress ◽  
Gay And Bisexual Men ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Bisexual Men ◽  
And Bisexual ◽  
The Relationship

Compared to heterosexual men, gay and bisexual men (GBM) are at an increased risk of adverse mental and sexual health outcomes. Minority Stress Theory (MST) proposes that GBM experience an increased prevalence of poor mental health outcomes as a result of minority stress. Building upon MST, the Psychological Mediation Framework (PMF) posits that minority stress leads to changes in general cognitive, affective, and social psychological processes, thereby leading to negative mental health outcomes. The present mixed methods study focused on three primary objectives in a sample of 261 GBM: (a) testing the indirect effects of general psychological processes in the relationship between minority stress and poor mental health outcomes; (b) evaluating whether these processes also account for the relationship between minority stress and poor sexual health outcomes; and (c) qualitatively exploring and further clarifying the PMF. Quantitative results provided support for the PMF by demonstrating that experiences of objective stigma were associated with elevations in psychological risk factors, which were in turn associated with adverse mental health outcomes. When each mediator was examined separately, affective processes had a significant effect on mental health outcomes whereas cognitive and social processes were non-significant. For sexual health, the total indirect effect of general psychological mediators in the relationship between stigma and sexual health outcomes was non-significant. However, when mediators were examined separately, cognitive processes did appear to have a significant indirect effect in this relationship, whereas affective and social processes were non-significant. Qualitative results provided partial support for the PMF; many, but not all, of the key components of the model were discussed by participants, and a number of novel themes emerged that expand beyond variables described in the PMF. These findings have important theoretical implications by helping to refine the PMF and future studies of minority stress. Further, by offering a better understanding of the mechanisms linking minority stress and poor health outcomes, this study may help guide future psychological interventions aimed at improving the health of GBM.

scholarly journals An empirical examination and extension of the psychological mediation framework among gay and bisexual men: a mixed methods study

2021 ◽  
Author(s):  
Danielle R. Schwartz
Keyword(s):  
Mental Health ◽  
Sexual Health ◽  
Health Outcomes ◽  
Minority Stress ◽  
Gay And Bisexual Men ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Bisexual Men ◽  
And Bisexual ◽  
The Relationship

Compared to heterosexual men, gay and bisexual men (GBM) are at an increased risk of adverse mental and sexual health outcomes. Minority Stress Theory (MST) proposes that GBM experience an increased prevalence of poor mental health outcomes as a result of minority stress. Building upon MST, the Psychological Mediation Framework (PMF) posits that minority stress leads to changes in general cognitive, affective, and social psychological processes, thereby leading to negative mental health outcomes. The present mixed methods study focused on three primary objectives in a sample of 261 GBM: (a) testing the indirect effects of general psychological processes in the relationship between minority stress and poor mental health outcomes; (b) evaluating whether these processes also account for the relationship between minority stress and poor sexual health outcomes; and (c) qualitatively exploring and further clarifying the PMF. Quantitative results provided support for the PMF by demonstrating that experiences of objective stigma were associated with elevations in psychological risk factors, which were in turn associated with adverse mental health outcomes. When each mediator was examined separately, affective processes had a significant effect on mental health outcomes whereas cognitive and social processes were non-significant. For sexual health, the total indirect effect of general psychological mediators in the relationship between stigma and sexual health outcomes was non-significant. However, when mediators were examined separately, cognitive processes did appear to have a significant indirect effect in this relationship, whereas affective and social processes were non-significant. Qualitative results provided partial support for the PMF; many, but not all, of the key components of the model were discussed by participants, and a number of novel themes emerged that expand beyond variables described in the PMF. These findings have important theoretical implications by helping to refine the PMF and future studies of minority stress. Further, by offering a better understanding of the mechanisms linking minority stress and poor health outcomes, this study may help guide future psychological interventions aimed at improving the health of GBM.

Novel HIV-prevention intervention addressing minority stress among gay and bisexual men

2013 ◽  
Author(s):  
Cherie Moody ◽  
Amy C. Willis ◽  
Natalie Stratton ◽  
Nathan G. Smith ◽  
Trevor A. Hart ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Minority Stress ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Prevention Intervention ◽  
Hiv Prevention Intervention ◽  
And Bisexual

scholarly journals P17.11 Public sexual health clinics increase access, hiv testing and re-testing among higher risk gay and bisexual men

2015 ◽  
Vol 91 (Suppl 2) ◽  
pp. A227.1-A227
Author(s):  
MS Jamil ◽  
D Callander ◽  
H Ali ◽  
G Prestage ◽  
V Knight ◽  
...  
Keyword(s):  
Sexual Health ◽  
Hiv Testing ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Health Clinics ◽  
And Bisexual ◽  
Sexual Health Clinics

scholarly journals Sharing solutions for a reasoned and evidence-based response: chemsex/party and play among gay and bisexual men

Sexual Health ◽  
2018 ◽  
Vol 15 (2) ◽  
pp. 99 ◽  
Author(s):  
Adam Bourne ◽  
Jason Ong ◽  
Mark Pakianathan
Keyword(s):  
Sexual Health ◽  
Gay And Bisexual Men ◽  
Evidence Based ◽  
Bisexual Men ◽  
Special Issue ◽  
Quality Health Care ◽  
Healthcare Practice ◽  
Quality Health ◽  
And Bisexual ◽  
Sex With Men

This Special Issue of Sexual Health examines research and healthcare practice relating to sexualised drug use among gay, bisexual and other men who have sex with men (GBMSM), colloquially known as ‘chemsex’ or ‘party and play’ (PnP). It draws together evidence relating to the epidemiology, sociology and psychology of chemsex, as well as the policy, community and clinical interventions that are required to ensure men have access to high-quality health care that meets their needs and reduces harm. Findings and discussions within the Issue emphasise the need to sensitively, non-judgementally and meaningfully engage with gay men about their engagement in chemsex in order to help improve their sexual health and wider wellbeing.

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