Graham T DiGuiseppi1, Jordan P Davis1,2,3,4, Ankur Srivastava5, Eric K Layland6, Duyen Pham1, Michele D Kipke7. 1. Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA. 2. Center for Artificial Intelligence in Society, University of Southern California, Los Angeles, California, USA. 3. Center for Mindfulness Science, University of Southern California, Los Angeles, California, USA. 4. Institute of Addiction Science, University of Southern California, Los Angeles, California, USA. 5. Raymond A. Kent School of Social Work, University of Louisville, Louisville, Kentucky, USA. 6. Center for Interdisciplinary Research on AIDS, Yale School of Public Health, New Haven, Connecticut, USA. 7. Division of Adolescent Medicine, Children's Hospital Los Angeles, Los Angeles, California, USA.
Abstract
Purpose: Young Black and Latino sexual minority men may experience multiple minority stressors, which may negatively impact behavioral health. To investigate this, longitudinal associations between multiple minority stressors and behavioral health outcomes were examined over a 2-year period. Methods: Data were from the Healthy Young Men's Cohort Study. The present study used five waves of data collected every 6 months from 2016 to 2019. Participants were young Black and/or Latino sexual minority men in Los Angeles, California (n = 448; aged 16-24). Participants self-reported their experiences of racial and homonegative discrimination, internalized homonegativity, alcohol use, and depressive symptoms. Latent growth curve models with time-varying covariates examined contemporaneous associations between minority stressors as well as general life stress and behavioral health measures. Results: After accounting for general life stress and demographic characteristics, racial discrimination was persistently associated with unhealthy alcohol use. Internalized homonegativity was associated with unhealthy alcohol use initially, but this association became non-significant over time. In models predicting depressive symptoms, racial discrimination was a significant predictor at early waves, and homonegative discrimination and internalized homonegativity emerged as significant predictors at later waves. Conclusion: These results help clarify which multiple minority stressors are more prominent in their relationship to young Black and Latino sexual minority men's unhealthy alcohol use and depressive symptoms. Interventions targeting multiple minority stressors may be needed at different times during young adulthood.
Purpose: Young Black and Latino sexual minority men may experience multiple minority stressors, which may negatively impact behavioral health. To investigate this, longitudinal associations between multiple minority stressors and behavioral health outcomes were examined over a 2-year period. Methods: Data were from the Healthy Young Men's Cohort Study. The present study used five waves of data collected every 6 months from 2016 to 2019. Participants were young Black and/or Latino sexual minority men in Los Angeles, California (n = 448; aged 16-24). Participants self-reported their experiences of racial and homonegative discrimination, internalized homonegativity, alcohol use, and depressive symptoms. Latent growth curve models with time-varying covariates examined contemporaneous associations between minority stressors as well as general life stress and behavioral health measures. Results: After accounting for general life stress and demographic characteristics, racial discrimination was persistently associated with unhealthy alcohol use. Internalized homonegativity was associated with unhealthy alcohol use initially, but this association became non-significant over time. In models predicting depressive symptoms, racial discrimination was a significant predictor at early waves, and homonegative discrimination and internalized homonegativity emerged as significant predictors at later waves. Conclusion: These results help clarify which multiple minority stressors are more prominent in their relationship to young Black and Latino sexual minority men's unhealthy alcohol use and depressive symptoms. Interventions targeting multiple minority stressors may be needed at different times during young adulthood.
Entities:
Keywords:
alcohol; depression; intersectionality; minority stress; young men who have sex with men
Authors: Michele D Kipke; Katrina Kubicek; Carolyn F Wong; Yolo Akili Robinson; Ifedayo C Akinyemi; William J Beyer; Wendy Hawkins; Cara E Rice; Eric Layland; Bethany C Bray; Marvin Belzer Journal: JMIR Res Protoc Date: 2019-01-24