Perceived Attitudes Toward Lesbian, Gay, and Bisexual (LGB) Issues and Mental Health Among Taiwanese LGB Adults: The Mediating Role of Self-Acceptance.


Journal

Archives of sexual behavior
ISSN: 1573-2800
Titre abrégé: Arch Sex Behav
Pays: United States
ID NLM: 1273516

Informations de publication

Date de publication:
07 2020
Historique:
received: 17 05 2018
accepted: 16 03 2020
revised: 13 03 2020
pubmed: 27 4 2020
medline: 9 9 2020
entrez: 27 4 2020
Statut: ppublish

Résumé

Research on structural stigma has associated the poor mental health status among lesbian, gay, and bisexual (LGB) people with discriminatory institutions. Yet, less is known about the role of LGB adults' perceptions of social attitudes toward LGB issues. Moreover, the psychological mediation framework posits LGB people's self-acceptance as a mediator between a stigmatizing environment and individual mental health. This study investigated: (a) how perceived attitudes toward LGB issues from different social realms (society, heterosexual friends, and family members) were associated with LGB people's mental health; and (b) whether self-acceptance mediated the effects of perceived attitudes. In this cross-sectional study, 1527 Taiwanese LGB adults (812 men; 715 women) aged between 20 and 62 years were recruited via Facebook to complete an online survey. The majority of respondents self-identified as homosexual (1129) and 399 as bisexual. The survey consisted of assessment of respondents' mental health and questions to rate individual self-acceptance and perceptions of social attitudes. Path analysis showed that self-acceptance partially mediated the association between mental health and perceived societal acceptance of homosexuality and fully mediated the effect of perceptions of friends' acceptance of homosexuality on mental health. Self-acceptance fully mediated the effects of perceived support for same-sex marriage from friends and families. This research yielded evidence about the interplay between perceived social stigma, self-acceptance, and mental health, particularly in the context of public debate about same-sex marriage. The effects of public discourse about sexual diversity and marriage equality on LGB adults' mental health should be addressed by affirmative policies and practices.

Identifiants

pubmed: 32335792
doi: 10.1007/s10508-020-01686-y
pii: 10.1007/s10508-020-01686-y
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1671-1682

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Auteurs

Yu-Te Huang (YT)

Department of Social Work and Social Administration, University of Hong Kong (HKU), The Jockey Club Tower, The Centennial Campus, Pokfulam Road, Pok Fu Lam, Hong Kong.

Hao Luo (H)

Department of Social Work and Social Administration, University of Hong Kong (HKU), The Jockey Club Tower, The Centennial Campus, Pokfulam Road, Pok Fu Lam, Hong Kong.

Nai-Ying Ko (NY)

Departments of Nursing, College of Medicine, National Cheng Kung University, and Center of Infection Control, National Cheng Kung University Hospital, Tainan, Taiwan.

Cheng-Fang Yen (CF)

Department of Psychiatry, Kaohsiung Medical University Hospital, and School of Medicine, College of Medicine, Kaohsiung Medical University, 100 Tzyou 1st Road, Kaohsiung, 80708, Taiwan. chfaye@cc.kmu.edu.tw.

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