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<https://discovery.ucl.ac.uk/id/eprint/10149741> <http://purl.org/dc/terms/title> "Sexual orientation minority status, psychological distress, and the effect of minority stress in Taiwan"^^<http://www.w3.org/2001/XMLSchema#string> .
<https://discovery.ucl.ac.uk/id/eprint/10149741> <http://purl.org/ontology/bibo/abstract> "Background: Studies have found that sexual orientation minority (SOM) status (for example,\r\ngay, lesbian, and bisexuality) is associated with a higher risk of psychological distress,\r\ndepression, anxiety, and other mental health problems, and that exposure to minority stressors\r\nincreases the risk of psychological distress in this population. Previous studies have, however,\r\ncommonly suffered from inadequate definitions of SOM status, small sample sizes, or high\r\nselection bias. Little evidence exists on the minority stress theory in the Taiwanese SOM\r\npopulation.\r\nAim: This study aims to investigate (1) whether SOM status is associated with higher levels\r\nof psychological distress, (2) the mediating effect of minority stress on this association, and 3)\r\npotential mediators of the association between minority stress and psychological distress.\r\nMethods: A systematic review was performed to accumulate evidence from China, Hong\r\nKong, Macao, Taiwan, and Singapore. Quantitative data analysis was performed using a\r\npopulation-based survey of 3,118 young adults and a hospital-based purposive sample of 120\r\nSOM individuals. Furthermore, 323 SOM Taiwanese adults were recruited using web-based\r\nrespondent-driven sampling (webRDS) to complete a survey on minority stress and mental\r\nhealth.\r\nResults: SOM status has been consistently associated with higher level of psychological\r\ndistress in Chinese cultural settings. The population-based survey in 2011 found that 9% of\r\nTaiwanese young adults have SOM identities and that SOM identity is associated with more\r\npsychological distress. However, the application of different dimensions of sexual orientation\r\nled to differing results. Modelling using the hospital-based and the webRDS samples\r\nsuggested that exposures to minority stressors including discrimination, internalised\r\nheterosexism, concealment motivation, and acceptance concerns are associated with more psychological distress. Loneliness and self-esteem were both found to mediate the effect of\r\nminority stress on psychological distress. Finally, social support from family members and\r\npeers were shown to alleviate the negative impact of minority stress on mental health."^^<http://www.w3.org/2001/XMLSchema#string> .
<https://discovery.ucl.ac.uk/id/eprint/10149741> <http://purl.org/dc/terms/date> "2022-06-28" .
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