nach oben

Journal of Clinical Psychology in Medical Settings

Erschienen in:

31.08.2017

Sexual Minority Stress, Coping, and Physical Health Indicators

verfasst von: Delphia J. Flenar, Carolyn M. Tucker, Jaime L. Williams

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 3-4/2017

Einloggen, um Zugang zu erhalten

Abstract

Sexual minorities experience higher rates of several physical health problems compared to their heterosexual counterparts. The present study uses Meyer's Minority Stress Model (Psychological Bulletin, 129(5): 674-697, 2003) to examine physical health indicators among 250 adults who identified as sexual minorities. Study hypotheses include that sexual minority stress is predictive of two physical health indicators (i.e., engagement in a health-promoting lifestyle and number of physical health problems) and that planning (i.e., problem-focused) and social support coping will partially mediate the relationship between sexual minority stress and each physical health indicator. Results showed that as level of sexual minority stress increased, engagement in a health-promoting lifestyle decreased and the number of physical health problems increased. Planning and social support coping did not mediate these relationships; however, as levels of coping increased, engagement in a health-promoting lifestyle increased. These findings have implications for researchers and healthcare professionals in their efforts to promote the physical health of sexual minorities.

Arbuckle, J. L. (2008). Amos 17.0 User’s guide. Crawfordville, FL: Amos Development Corporation.

Bayliss, M., Rendas-Baum, R., White, M. K., Maruish, M., Bjorner, J., & Tunis, S. L. (2012). Health-related quality of life (HRQL) for individuals with self-reported chronic physical and/or mental health conditions: Panel survey of an adult sample in the United States. Health and Quality of Life Outcomes, 10, 154. doi:10.1186/1477-7525-10-154.CrossRefPubMedPubMedCentral

Bhandari, A., & Wagner, T. (2006). Self-reported utilization of health care services: Improving measurement and accuracy. Medical Care Research & Review, 63(2), 217–235. doi:10.1177/1077558705285298.CrossRef

Blosnich, J. R., Farmer, G. W., Lee, J. G. L., Silenzio, V. M. B., & Bowen, D. J. (2014). Health inequalities among sexual minority adults: Evidence from ten U.S. states, 2010. American Journal of Preventive Medicine, 46(4), 337–349. doi:10.1016/j.amepre.2013.11.010.CrossRefPubMedPubMedCentral

Boehmer, U., Bowen, D. J., & Bauer, G. R. (2007). Overweight and obesity in sexual-minority women: Evidence from population-based data. American Journal of Public Health, 97(6), 1134–1140. doi:10.2105/AJPH.2006.088419.CrossRefPubMedPubMedCentral

Carver, C., Scheier, M., & Weintraub, J. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56(2), 267–283. doi:10.1037/0022-3514.56.2.267.CrossRefPubMed

Centers for Disease Control and Prevention. (2015). Diagnoses of HIV infection in the United States and dependent areas, 2013. HIV Surveillance Report, 25. Retrieved from http://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-vol-25.pdf on 5 June 2016.

Chao, R. C. (2011). Managing stress and maintain well-being: Social support, problem-focused coping, and avoidant coping. Journal of Counseling & Development, 89(3), 338–348. doi:10.1002/j.1556-6678.2011.tb00098.x.CrossRef

Conron, K. J., Mimiaga, M. J., & Landers, S. J. (2010). A population-based study of sexual orientation identity and gender differences in adult health. American Journal of Public Health, 100(10), 1953–1960. doi:10.2105/AJPH.2009.174169.CrossRefPubMedPubMedCentral

Danaei, G., Ding, E. L., Mozaffarian, D., Taylor, B., Rehm, J., Murray, C.J. L. et al. (2009). The preventable causes of death in the United States: Comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS Medicine, 6(4), e1000058. doi:10.1371/journal.pmed.1000058.CrossRefPubMedPubMedCentral

DiMatteo, M. R. (2004). Variations in patients’ adherence to medical recommendations: A quantitative review of 50 years of research. Medical Care, 42(3), 200–209. doi:10.1097/01.mlr.0000114908.90348.f9.CrossRefPubMed

Doty, N. D., Willoughby, B. L. B., Lindahl, K. M., & Malik, N. M. (2010). Sexuality related social support among lesbian, gay, and bisexual youth. Journal of Youth Adolescence, 39, 1134–1147. doi:10.1007/s10964-010-9566-x.CrossRefPubMed

Duangdao, K. M., & Roesch, S. C. (2008). Coping with diabetes in adulthood: A meta-analysis. Journal of Behavioral Medicine, 31(4), 291–300. doi:10.1007/s10865-008-9155-6.CrossRefPubMed

Farmer, G. W., Jabson, J. M., Bucholz, K. K., & Bowen, D. J. (2013). A population-based study of cardiovascular disease risk in sexual-minority women. American Journal of Public Health, 103(10), 1845–1850. doi:10.2105/AJPH.2013.301258.CrossRefPubMedPubMedCentral

Frisell, T., Lichtenstein, P., Rahman, Q., & Langstrom, N. (2010). Psychiatric morbidity associated with same-sex sexual behaviour: Influence of minority stress and familial factors. Psychological Medicine, 40(2), 315–324. doi:10.1017/S0033291709005996.CrossRefPubMed

Frost, D. M., Lehavot, K., & Meyer, I. H. (2015). Minority stress and physical health among sexual minority individuals. Journal of Behavioral Medicine, 38(1), 1–8. doi:10.1007/s10865-013-9523-8.CrossRefPubMed

Hequembourg, A. L., & Brallier, S. A. (2009). An exploration of sexual minority stress across the lines of gender and sexual identity. Journal of Homosexuality, 56(3), 273–298. doi:10.1080/00918360902728517.CrossRefPubMed

Herek, G. M., & Garnets, L. D. (2007). Sexual orientation and mental health. Annual Review of Clinical Psychology, 3, 353–375. doi:10.1146/annurev.clinpsy.3.022806.091510.CrossRefPubMed

Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington: The National Academies Press.

Karlsen, E., Dybdahl, R., & Vitterso, J. (2006). The possible benefits of difficulty: How stress can increase and decrease subjective well-being. Scandinavian Journal of Psychology, 47(5), 411–417. doi:10.1111/j.1467-9450.2006.00549.x.CrossRefPubMed

Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.

Lehavot, K., & Simoni, J. M. (2011). The impact of minority stress on mental health and substance use among sexual minority women. Journal of Consulting & Clinical Psychology, 79(2), 159–170. doi:10.1037/a0022839.CrossRef

Lewis, R. J., Derlega, V. J., Berndt, A., Morris, L. M., & Rose, S. (2002). An empirical analysis of stressors for gay men and lesbians. Journal of Homosexuality, 42(1), 63–68. doi:10.1300/J082v42n01_04.CrossRef

Lewis, R. J., Milletich, R. J., Derlega, V. J., & Padilla, M. A. (2014). Sexual minority stressors and psychological aggression in lesbian women’s intimate relationships: The mediating roles of rumination and relationship satisfaction. Psychology of Women Quarterly, 38(4), 535–550. doi:10.1177/0361684313517866.CrossRef

Lick, D. J., Durso, L. E., & Johnson, K. L. (2013). Minority stress and physical health among sexual minorities. Perspectives on Psychological Science, 8(5), 521–548. doi:10.1177/1745691613497965.CrossRefPubMed

Livingston, N. A., Christianson, N., & Cochran, B. N. (2016). Minority stress, psychological distress, and alcohol misuse among sexual minority young adults: A resiliency-based conditional process analysis. Addictive Behaviors, 63, 125–131. doi:10.1016/j.addbeh.2016.07.011.CrossRefPubMed

Mansini, B. E., & Barrett, H. A. (2008). Social support as a predictor of psychological and physical well-being and lifestyle in lesbian, gay, and bisexual adults aged 50 and over. Journal of Gay & Lesbian Social Services, 20(1–2), 91–110. doi:10.1080/10538720802179013.CrossRef

McElligott, D., Capitulo, K. L., Morris, D. L., & Click, E. R. (2010). The effect of a holistic program on health-promoting behaviors in hospital registered nurses. Journal of Holistic Nursing, 28(3), 175–183. doi:10.1177/0898010110368860.CrossRefPubMed

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. doi:10.1037/0033-2909.129.5.674.CrossRefPubMedPubMedCentral

Meyer, I. H. (2007). Prejudice and discrimination as social stressors. In I. H. Meyer & M. E. Northridge (Eds.), The health of sexual minorities: Public health perspectives on lesbian, gay, bisexual, and transgender populations (pp. 242–267). New York: Springer.CrossRef

Moskowitz, J. T., Hult, J. R., Bussolari, C., & Acree, M. (2009). What works in coping with HIV? A meta-analysis with implications for coping with serious illness. Psychological Bulletin, 135(1), 121. doi:10.1037/a0014210.CrossRefPubMed

National Center for Chronic Disease Prevention and Health Promotion. (2015). Chronic disease overview. Retrieved from http://www.cdc.gov/chronicdisease/overview/ on 5 June 2016.

Office of Disease Prevention and Health Promotion. (2011). Lesbian, gay, bisexual, and transgender health. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=25 on 5 June 2016.

Pascoe, E. A., & Smart Richman, L. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135(4), 531–554. doi:10.1037/a0016059.CrossRefPubMedPubMedCentral

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. doi:10.3758/BRM.40.3.879.CrossRefPubMed

Shively, M. G., & DeCecco, J. P. (1977). Components of sexual identity. Journal of Homosexuality, 3(1), 41–48. doi:10.1300/J082v03n01_04.CrossRefPubMed

Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–445. doi:10.1037//1082-989X.7.4.422.CrossRefPubMed

Struble, C. B., Lindley, L. L., Montgomery, K., Hardin, J., & Burcin, M. (2011). Overweight and obesity in lesbian and bisexual college women. Journal of American College Health, 59(1), 51–56. doi:10.1080/07448481.2010.483703.CrossRef

Szymanski, D. M. (2009). Examining potential moderators of the link between heterosexist events and gay and bisexual men’s psychological distress. Journal of Counseling Psychology, 56(1), 142–151. doi:10.1037/0022-0167.56.1.142.CrossRef

Vucenik, I., & Stains, J. P. (2012). Obesity and cancer risk: Evidence, mechanisms, and recommendations. Annals of the New York Academy of Sciences, 1271, 37–43. doi:10.1111/j.1749-6632.2012.06750.x.CrossRefPubMedPubMedCentral

Walker, S. N., & Hill-Polerecky, D. M. (1996). Psychometric evaluation of the Health-Promoting Lifestyle Profile II. Unpublished manuscript, University of Nebraska Medical Center.

Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The health-promoting lifestyle profile: Development and psychometric characteristics. Nursing Research, 36(2), 76–81. doi:10.1097/00006199-198703000-00002.CrossRefPubMed

World Health Organization. (2009). Global health risks: Mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization

Titel: Sexual Minority Stress, Coping, and Physical Health Indicators
verfasst von: Delphia J. Flenar
Carolyn M. Tucker
Jaime L. Williams
Publikationsdatum: 31.08.2017
Verlag: Springer US
Erschienen in: Journal of Clinical Psychology in Medical Settings / Ausgabe 3-4/2017
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-017-9504-0

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3-4/2017

The Importance of Assessing for Childhood Abuse and Lifetime PTSD in Bariatric Surgery Candidates

Promoting Mental Health Equity: The Role of Integrated Care

Heart Rate Recovery After Exercise in Outpatients with Coronary Heart Disease: Role of Depressive Symptoms and Positive Affect

Psychological Factors that Link Socioeconomic Status to Depression/Anxiety in Patients with Systemic Lupus Erythematosus

The Relational Impact of Multiple Sclerosis: An Integrative Review of the Literature Using a Cognitive Analytic Framework

Mental Health Disparities, Treatment Engagement, and Attrition Among Racial/Ethnic Minorities with Severe Mental Illness: A Review