The Impact of Community Size, Community Climate, and Victimization on the Physical and Mental Health of SGM Youth

Overview

Journal J Youth Stud

Date 2021 Aug 20

PMID 34413699

Citations 7

Authors

Megan S Paceley

Jessica N Fish

Margaret M C Thomas

Jacob Goffnett

Affiliations

Soon will be listed here.

Abstract

Sexual and gender minority (SGM) youth experience high rates of victimization leading to health disparities. Community size and community climate are associated with health outcomes among SGM youth; however, we lack studies that include them as covariates alongside victimization to understand their collective impact on health. This study utilized minority stress theory to understand how community context shapes experiences of victimization and health among SGM youth. SGM youth in one Midwestern U.S. state completed an online survey ( = 201) with measures of physical health, mental health, community context, and victimization. Data were analyzed via multiple regression using a path analysis framework. Results indicate that perceived climate was associated with mental, but not physical, health; Community size was unrelated to health outcomes. Victimization mediated the association between community climate and mental health.

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References

Connolly M, Zervos M, Barone 2nd C, Johnson C, Joseph C . The Mental Health of Transgender Youth: Advances in Understanding. J Adolesc Health. 2016; 59(5):489-495. DOI: 10.1016/j.jadohealth.2016.06.012. View

Goldbach J, Tanner-Smith E, Bagwell M, Dunlap S . Minority stress and substance use in sexual minority adolescents: a meta-analysis. Prev Sci. 2013; 15(3):350-63. DOI: 10.1007/s11121-013-0393-7. View

Hatzenbuehler M . The social environment and suicide attempts in lesbian, gay, and bisexual youth. Pediatrics. 2011; 127(5):896-903. PMC: 3081186. DOI: 10.1542/peds.2010-3020. View

Poon C, Saewyc E . Out yonder: sexual-minority adolescents in rural communities in British Columbia. Am J Public Health. 2008; 99(1):118-24. PMC: 2636614. DOI: 10.2105/AJPH.2007.122945. View

Fish J, Schulenberg J, Russell S . Sexual Minority Youth Report High-Intensity Binge Drinking: The Critical Role of School Victimization. J Adolesc Health. 2019; 64(2):186-193. PMC: 8142791. DOI: 10.1016/j.jadohealth.2018.07.005. View

Zaza S, Kann L, Barrios L . Lesbian, Gay, and Bisexual Adolescents: Population Estimate and Prevalence of Health Behaviors. JAMA. 2016; 316(22):2355-2356. PMC: 5541373. DOI: 10.1001/jama.2016.11683. View

Mereish E, Poteat V . A relational model of sexual minority mental and physical health: The negative effects of shame on relationships, loneliness, and health. J Couns Psychol. 2015; 62(3):425-437. PMC: 4501878. DOI: 10.1037/cou0000088. View

Watson R, VanKim N, Rose H, Porta C, Gahagan J, Eisenberg M . Unhealthy weight control behaviors among youth: Sex of sexual partner is linked to important differences. Eat Disord. 2018; 26(5):448-463. DOI: 10.1080/10640266.2018.1453633. View

Goldbach J, Gibbs J . A developmentally informed adaptation of minority stress for sexual minority adolescents. J Adolesc. 2016; 55:36-50. PMC: 5272836. DOI: 10.1016/j.adolescence.2016.12.007. View

10.

DeSalvo K, Fisher W, Tran K, Bloser N, Merrill W, Peabody J . Assessing measurement properties of two single-item general health measures. Qual Life Res. 2006; 15(2):191-201. DOI: 10.1007/s11136-005-0887-2. View

11.

Day J, Fish J, Perez-Brumer A, Hatzenbuehler M, Russell S . Transgender Youth Substance Use Disparities: Results From a Population-Based Sample. J Adolesc Health. 2017; 61(6):729-735. PMC: 6802742. DOI: 10.1016/j.jadohealth.2017.06.024. View

12.

Ryan C, Huebner D, Diaz R, Sanchez J . Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay, and bisexual young adults. Pediatrics. 2009; 123(1):346-52. DOI: 10.1542/peds.2007-3524. View

13.

Henry J, Crawford J . The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol. 2005; 44(Pt 2):227-39. DOI: 10.1348/014466505X29657. View

14.

Burton C, Marshal M, Chisolm D, Sucato G, Friedman M . Sexual minority-related victimization as a mediator of mental health disparities in sexual minority youth: a longitudinal analysis. J Youth Adolesc. 2013; 42(3):394-402. PMC: 3570607. DOI: 10.1007/s10964-012-9901-5. View

15.

Poteat V, Aragon S, Espelage D, Koenig B . Psychosocial concerns of sexual minority youth: complexity and caution in group differences. J Consult Clin Psychol. 2009; 77(1):196-201. DOI: 10.1037/a0014158. View

16.

Almeida J, Johnson R, Corliss H, Molnar B, Azrael D . Emotional distress among LGBT youth: the influence of perceived discrimination based on sexual orientation. J Youth Adolesc. 2009; 38(7):1001-14. PMC: 3707280. DOI: 10.1007/s10964-009-9397-9. View

17.

Ingram D, Franco S . 2013 NCHS Urban-Rural Classification Scheme for Counties. Vital Health Stat 2. 2014; (166):1-73. View

18.

Rosario M, Corliss H, Everett B, Reisner S, Austin S, Buchting F . Sexual orientation disparities in cancer-related risk behaviors of tobacco, alcohol, sexual behaviors, and diet and physical activity: pooled Youth Risk Behavior Surveys. Am J Public Health. 2013; 104(2):245-54. PMC: 3935697. DOI: 10.2105/AJPH.2013.301506. View

19.

Meyer I . Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003; 129(5):674-697. PMC: 2072932. DOI: 10.1037/0033-2909.129.5.674. View

20.

Wienke C, Hill G . Does place of residence matter? Rural-urban differences and the wellbeing of gay men and lesbians. J Homosex. 2013; 60(9):1256-79. DOI: 10.1080/00918369.2013.806166. View