Healthcare discrimination and treatment adherence among sexual and gender minority individuals living with chronic illness
The mediating effects of anticipated discrimination and depressive symptoms
Bibliographic Data
| ID | 14832880 |
|---|---|
| Authors | Byron D Brooks (0000-0002-6419-5076, Loyola University Chicago, corresponding author), Sarah A Job (0000-0002-3579-300X, University of Central Florida), Andréa R Kaniuka (0000-0002-4667-4559, University of North Carolina at Charlotte), Rachel Kolb (Loyola University Chicago), Paloma Unda Charvel (Loyola University Chicago), Fabiana Araújo (University of Chicago), Fabiana Cristina Mendonça de Araújo (0000-0002-3778-1133, University of Chicago) |
| Year | 2025 |
| Volume | 40 |
| Issue | 2 |
| Pages | 304-320 |
| Publication date | 2025-02-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Psychology & Health (JOURNAL) |
| Journal identifiers | ISSN: 0887-0446 • E-ISSN: 1476-8321 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/08870446.2023.2220008 |
| PMID | 37339152 |
| OpenAlex | W4381328274 |
| Language | EN |
| Citations received | 3 |
| References cited | 69 |
Background: Sexual and gender minority (SGM) individuals are at increased risk for an array of chronic illness due to minority stress. Up to 70% of SGM individuals report healthcare discrimination, which may cause additional challenges for SGM people living with chronic illness including avoiding necessary healthcare. The extant literature highlights how healthcare discrimination is associated with depressive symptoms and treatment nonadherence. However, there is limited evidence on the underlying mechanisms between healthcare discrimination and treatment adherence among SGM people living with chronic illness.Methods: Among a sample of SGM individuals living with chronic illness (n = 149) recruited from social media, the current study examined the mediating roles of anticipated discrimination and depressive symptoms on the relation between healthcare discrimination and treatment adherence in a serial mediation model.Results: We found that healthcare discrimination was associated with greater anticipated discrimination, increased depressive symptoms, and, in turn, poorer treatment adherence. Conclusion: These findings highlight the association between minority stress and both depressive symptoms and treatment adherence among SGM individuals living with chronic illness. Addressing institutional discrimination and the consequences of minority stress may improve treatment adherence among SGM individuals living with chronic illness
Health care · Mediation · Psychiatry · Clinical Psychology · LGBTQ Health, Identity, and Policy · Medicine
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| Unique citing works | 3 |
|---|---|
| Citations per year | 3 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |