Abstract
Social oppression (in the form of discrimination) takes a toll on the health of individuals. Indeed, extensive disparities in physical and mental health outcomes are evident for oppressed people, particularly sexual and gender and racial/ethnic communities. Despite their growing presence, racial/ethnic LGBTQ experience greater psychosocial stress from society’s marginalization. Arguably, many of these experiences become salient in adolescence for racial/ethnic LGBTQ given development of these identities during this period. Therefore, adolescence represents a critical period in the development of mental health issues for LGBTQ PoC. This chapter draws from the minority stress theory as it relates to mental health disparities among racial/ethnic LGBTQ. Additionally, the chapter focuses on the importance of stigma and discrimination during the critical period of adolescence, and how these experiences may lead to deterioration in mental health across the life span for LGBTQ PoC.
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References
Akhtar, M., & Bilour, N. (2020). State of mental health among transgender individuals in Pakistan: Psychological resilience and self-esteem. Community Mental Health Journal, 56, 626–634. https://doi.org/10.1007/s10597-019-00522-5
Aranda, F., Matthews, A. K., Hughes, T. L., Muramatsu, N., Wilsnack, S. C., … Riley, B. B. (2015). Coming out in color: Racial/ethnic differences in the relationship between level of sexual identity disclosure and depression among lesbians. Cultural Diversity and Ethnic Minority Psychology, 21(2), 247–257. https://doi.org/10.1037/a0037644
Bowleg, L. (2013). “Once you’ve blended the cake, you can’t take the parts back to the main ingredients:” black gay and bisexual men’s descriptions and experiences of intersectionality. Sex Roles, 68, 754–767. https://doi.org/10.1007/s11199-012-0152-4
Cerezo, A., & Ramirez, A. (2020). Perceived discrimination, alcohol use disorder and alcohol-related problems in sexual minority women of color. Journal of Social Service Research, 1–14. https://doi.org/10.1080/01488376.2019.1710657
Cho, S., Crenshaw, K. W., & McCall, L. (2013). Toward a field of intersectionality studies: Theory, applications, and praxis. Signs: Journal of Women in Culture and Society, 38(4), 785–810. Retrieved from https://www.jstor.org/stable/10.1086/669608
Craig, S. L., & McInroy, L. (2013). The relationship of cumulative stressors, chronic illness and abuse to the self-reported suicide risk of black and Hispanic sexual minority youth. Journal of Community Psychology, 41(7), 783–798. https://doi.org/10.1002/jcop.21570
Cyrus, K. (2017). Multiple minorities as multiply marginalized: Applying the minority stress theory to LGBTQ people of color. Journal of Gay and Lesbian Mental Health, 21(3), 194–202. https://doi.org/10.1080/19359705.2017.1320739
DiStefano, A. S. (2008). Suicidality and self-harm among sexual minorities in Japan. Qualitative Health Research, 18(10), 1429–1441. https://doi.org/10.1177/1049732308322605
Drazdowski, T. K., Perrin, P. B., Trujillo, M., Sutter, M., Benotsch, E. G., & Snipes, D. J. (2016). Structural equation modeling of the effects of racism, LGBTQ discrimination, and internalized oppression on illicit drug use in LGBTQ people of color. Drug and Alcohol Dependence, 159, 255–262. https://doi.org/10.1016/j.drugalcdep.2015.12.029
English, D., Rendina, H., & Parsons, J. (2018). The effects of intersecting stigma: A longitudinal examination of minority stress, mental health, and substance use among black, Latino, and multiracial gay and bisexual men. Psychology of Violence, 8(6), 669–679. https://doi.org/10.1037/vio0000218
Fattoracci, E. S. M., Revels-Macalinao, M., & Huynh, Q.-L. (2020). Greater than the sum of racism and heterosexism: Intersectional microaggressions toward racial/ethnic and sexual minority group members. Cultural Diversity and Ethnic Minority Psychology. Advance online publication. https://doi.org/10.1037/cdp0000329.
Ghabrial, M. A. (2017). Trying to figure out where we belong: Narratives of racialized sexual minorities on community, identity, discrimination, and health. Sexuality Research and Social Policy, 14(1), 42–55. https://doi.org/10.1007/s13178-016-0229-x
Ghabrial, M. A., & Ross, L. E. (2018). Representation and erasure of bisexual people of color: A content analysis of quantitative bisexual mental health research. Psychology of Sexual Orientation and Gender Diversity, 5(2), 132–142. https://doi.org/10.1037/sgd0000286
Grossman, A. H., & D’Augelli, A. R. (2007). Transgender youth and life-threatening behaviors. Suicide and Life-threatening Behavior, 37(5), 527–537. https://doi.org/10.1521/suli.2007.37.5.527
Herek, G. M., & Garnets, L. D. (2007). Sexual orientation and mental health. Annual Review of Clinical Psychology, 3, 353–375. https://doi.org/10.1146/annurev.clinpsy.3.022806.091510
Khan, M., Ilcisin, M., & Saxton, K. (2017). Multifactorial discrimination as a fundamental cause of mental health inequities. International Journal of Equity in Health, 16(43), 1–12. https://doi.org/10.1186/s12939-017-0532-z
Lewis, N. M. (2009). Mental health in sexual minorities: Recent indicators, trends, and their relationships to place in North America and Europe. Health & Place, 15(4), 1029–1045. https://doi.org/10.1016/j.healthplace.2009.05.003
Marshal, M. P., Dietz, L. J., Friedman, M. S., Stall, R., Smith, H. A., McGinley, J., & Brent, D. A. (2011). Suicidality and depression disparities between sexual minority and heterosexual youth: A meta-analytic review. Journal of Adolescent Health, 49(2), 115–123. https://doi.org/10.1016/j.jadohealth.2011.02.005
Marshal, M. P., Friedman, M. S., Stall, R., King, K. M., Miles, J., Gold, M. A., … Morse, J. Q. (2008). Sexual orientation and adolescent substance use: A meta-analysis and methodological review. Addiction, 103(4), 546–556. https://doi.org/10.1111/j.1360-0443.2008.02149.x
McCabe, S. E., Bostwick, W. B., Hughes, T. L., West, B. T., & Boyd, C. J. (2010). The relationship between discrimination and substance use disorders among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 100(10), 1946–1952. https://doi.org/10.2105/AJPH.2009.163147
Meerwijk, E. L., & Sevelius, J. M. (2017). Transgender population size in the United States: A meta-regression of population-based probability samples. American Journal of Public Health, 107(2), e1–e8. https://doi.org/10.2105/AJPH.2016.303578
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. https://doi.org/10.1037/0033-2909.129.5.674
Murphy, J., & Hardaway, R. (2017). LGBTQ adolescents of color: Considerations for working with youth and their families. Journal of Gay and Lesbian Mental Health, 21(3), 221–227. https://doi.org/10.1080/19359705.2017.1320741
Mustanski, B., Newcomb, M., & Garofalo, R. (2011). Mental health of lesbian, gay, and bisexual youth: A developmental resiliency perspective. Journal of Gay & Lesbian Social Services, 23(2), 204–225. https://doi.org/10.1080/10538720.2011.561474
Nadal, K. L., Whitman, C. N., Davis, L. S., Erazo, T., & Davidoff, K. C. (2016). Microaggressions toward lesbian, gay, bisexual, transgender, queer, and genderqueer people: A review of the literature. The Journal of Sex Research, 53, 4–5, 488–508. https://doi.org/10.1080/00224499.2016.1142495
National Drug Intelligence Center. (2011). The economic impact of illicit drug use on American society. Washington, DC: United States Department of Justice.
Newport, F. (2018). In U.S., estimate of LGBT population rises to 4.5%: Gallup. Retrieved from https://news.gallup.com/poll/234863/estimate-lgbt-population-rises.aspx
Nichols, S. L., & Good, T. L. (2004). America’s teenagers—myths and realities: Media images, schooling, and the social costs of careless indifference. Routledge.
Noyola, N., Sánchez, M., & Cardemil, E. V. (2020). Minority stress and coping among sexual diverse Latinxs. Journal of Latinx Psychology, 8(1), 58–82. https://doi.org/10.1037/lat0000143
O’Donnell, S., Meyer, I., & Schwartz, S. (2011). Increased risk of suicide attempts among black and Latino lesbians, gay men, and bisexuals. American Journal of Public Health, 101(6), 1055–1059. https://doi.org/10.2105/AJPH.2010.300032
Perrin, P. B., Sutter, M. E., Trujillo, M. A., Henry, R. S., & Pugh, M., Jr. (2020). The minority strengths model: Development and initial path analytic validation in racially/ethnically diverse LGBTQ individuals. Journal of Clinical Psychology, 76(1), 118–136. https://doi.org/10.1002/jclp.22850
Ross, L. E., Salway, T., Tarasoff, L. A., MacKay, J. M., Hawkins, B. W., & Fehr, C. P. (2017). Prevalence of depression and anxiety among bisexual people compared to gay, lesbian, and heterosexual individuals: A systematic review and meta-analysis. The Journal of Sex Research, 55(4–5), 435–456. https://doi.org/10.1080/00224499.2017.1387755
Russell, S. T., Sinclair, K. O., Poteat, V. P., & Koenig, B. W. (2012). Adolescent health and harassment based on discriminatory bias. American Journal of Public Health, 102(3), 493–495. https://doi.org/10.2105/AJPH.2011.300430
Shah, H., Rashid, F., Atif, I., Hydrie, M. Z., Fawad, M., Muzaffar, H. Z., Rehman, A., Anjum, S., Mehroz, M. B., Haider, A., Hassan, A., & Shukar, H. (2018). Challenges faced by marginalized communities such as transgenders in Pakistan. The Pan African Medical Journal, 30, 96. https://doi.org/10.11604/pamj.2018.30.96.12818
Shangani, S., Gamarel, K. E., Ogunbajo, A., Cai, J., & Operario, D. (2020). Intersectional minority stress disparities among sexual minority adults in the USA: The role of race/ethnicity and socioeconomic status, Culture. Health & Sexuality, 22(4), 398–412. https://doi.org/10.1080/13691058.2019.1604994
Sutter, M., & Perrin, P. B. (2016). Discrimination, mental health, and suicidal ideation among LGBTQ people of color. Journal of Counseling Psychology, 63(1), 98–105. https://psycnet.apa.org/doi/10.1037/cou0000126
Toomey, R. B., Huynh, V. W., Jones, S. K., Lee, S., & Revels-Macalinao, M. (2017). Sexual minority youth of color: A content analysis and critical review of the literature. Journal of Gay & Lesbian Mental Health, 21(1), 3–31. https://doi.org/10.1080/19359705.2016.1217499
van Sluytman, L. G., & Torres, D. (2014). Hidden or uninvited? A content analysis of elder LGBT of color literature in gerontology. Journal of Gerontological Social Work, 57(2), 130–160. https://doi.org/10.1080/01634372.2013.877551
Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine, 32(1), 20–47. https://doi.org/10.1007/s10865-008-9185-0
Williams, D. R., & Williams-Morris, R. (2000). Racism and mental health: The African American experience. Ethnicity & Health, 5(3–4), 243–268. https://doi.org/10.1080/713667453
Wilson, C., & Cariola, L. A. (2020). LGBTQI+ youth and mental health: A systematic review of qualitative research. Adolescent Research Review, 5, 187–211. https://doi.org/10.1007/s40894-019-00118-w
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Abbas, M., García, J.J. (2021). Mental Health in LGBTQ PoC. In: García, J.J. (eds) Heart, Brain and Mental Health Disparities for LGBTQ People of Color. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-70060-7_9
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