Sexual Minority Stress, Intraminority Gay Community Stress, and Mental Health Problems Among Gay and Bisexual Men in Taiwan
A Mediation Analysis
Bibliographic Data
| ID | 3628082 |
|---|---|
| Authors | Yi-Lung Chen (0000-0003-2934-5814, Asia University), Yu-Ping Chang (0000-0003-2328-6876, University at Buffalo, State University of New York), Cheng-Fang Yen (0000-0003-1156-4939, Kaohsiung Medical University Hospital, Kaohsiung Medical University) |
| Year | 2025 |
| Volume | 72 |
| Issue | 12 |
| Pages | 2466-2480 |
| Publication date | 2025-10-15 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Homosexuality (JOURNAL) |
| Journal identifiers | ISSN: 0091-8369 • E-ISSN: 1540-3602 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/00918369.2024.2431276 |
| PMID | 40522640 |
| OpenAlex | W4411329659 |
| Language | EN |
| References cited | 36 |
This study investigates the mediating effect of intraminority gay community stress on the relationships between sexual minority stress and mental health problems-including loneliness, depression, anxiety, and suicidality-among gay and bisexual men (GBM) in Taiwan. A total of 736 GBM were recruited from August 2021 to May 2022. Intraminority gay community stress was assessed using the Traditional Chinese Version of the Gay Community Stress Scale. The Homosexuality-Related Stigma Scale measured perceived familial sexual stigma. The Measure of Internalized Sexual Stigma for Lesbians and Gay Men quantified internalized sexual stigma. Scores from the latter two scales were combined to form an overall sexual minority stress score. Intraminority gay community stress significantly mediated the effects of sexual minority stress on loneliness (regression coefficient = 0.34, 95% confidence interval [CI]: 0.21, 0.50), depression (regression coefficient = 1.43, 95% CI: 1.03, 1.93), anxiety (regression coefficient = 1.21, 95% CI: 0.85, 1.69), and suicidality (regression coefficient = 0.09, 95% CI: 0.05, 0.14). The findings confirm that intraminority gay community stress acts as a mediator between sexual minority stress and mental health outcomes in GBM. Addressing both forms of stress is crucial for improving mental health interventions targeted at this population
Family medicine · Homosexuality · Human sexuality · Male Homosexuality · Mediation · Men who have sex with men · Mental health · Minority stress · Psychiatry · Psychoanalysis · Sexual minority · Sexual orientation · Sociology · Stress (linguistics · Syphilis · Clinical Psychology · Gender Studies · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Reproductive Health and Technologies · Sexuality, Behavior, and Technology · Social Psychology
Internalized homophobia and internalizing mental health problems
LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men
Suicidality and Depression Disparities Between Sexual Minority and Heterosexual Youth
Mental health of sexual minorities. A systematic review
Minority Stressors, Rumination, and Psychological Distress in Lesbian, Gay, and Bisexual Individuals
Extension of the rejection sensitivity construct to the interpersonal functioning of gay men.
The CES-D Scale
Ucla Loneliness Scale (Version 3)
Development and Validation of the Gay-Specific Intraminority Stigma Inventory (G-Sisi)
The Reliability and Validity of the Center for Epidemiologic Studies Depression Scale (CES-D) for Chinese University Students
Measure of Internalized Sexual Stigma for Lesbians and Gay Men (Miss-LG) in Taiwan
Gay Community Stress Scale with Its Cultural Translation and Adaptions in Taiwan
Comparing the Psychometric Properties among Three Versions of the Ucla Loneliness Scale in Individuals with Schizophrenia or Schizoaffective Disorder
Measurement Invariance of the Sexual Orientation Microaggression Inventory across LGB Males and Females in Taiwan
Comparing effects between music intervention and aromatherapy on anxiety of patients undergoing mechanical ventilation in the intensive care unit
Reported effects of masculine ideals on gay men
Sex, status, competition, and exclusion
Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations
How does sexual minority stigma "get under the skin"? A psychological mediation framework
Gay Community Stress in Sexual Minority Men and Women
Reducing Internalized Homonegativity
Measure of Internalized Sexual Stigma for Lesbians and Gay Men
Minority Stress and Mental Health in Gay Men
Health and Sexual Status in an Urban Gay Enclave
| Citation velocity | historical |
|---|---|
| Highly cited | No |