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Prevention Science

, Volume 15, Issue 1, pp 44–55 | Cite as

Minority Stress Experiences and Psychological Well-Being: The Impact of Support from and Connection to Social Networks Within the Los Angeles House and Ball Communities

  • Carolyn F. Wong
  • Sheree M. Schrager
  • Ian W. Holloway
  • Ilan H. Meyer
  • Michele D. Kipke
Article

Abstract

African American young men who have sex with men (AAYMSM) from the House and Ball communities are at high risk for HIV infection. Because these communities are not only sources of risk but also support for AAYMSM, researchers must also consider the resources these communities possess. This knowledge will assist in the formulation of more effective prevention strategies and intervention approaches. Using minority stress theory as a framework, the current study illustrates the impact minority stress has on the psychological well-being of a sample of MSM from the Los Angeles House and Ball communities and investigates how these factors affect the relationship between minority stress and psychological well-being. Surveys were administered to participants over the course of a year. Structural equation modeling was used to estimate a model of the associations between minority stressors, support, connection to social network, and psychological well-being/distress (N = 233). The results indicated significant associations between different sources of minority stress, including distal minority stress (e.g., racism, homophobia), gay identification, and internalized homophobia. Minority stressors were in turn significantly associated with greater distress. However, greater instrumental support significantly reduced the effects of distal minority stress on distress. Greater connection to social network also significantly reduced stress associated with gay identification on distress. The findings captured the diverse sources of minority stress faced by this population and how these stressors are interrelated to impact mental health. The results also illustrate how support from and connection to social networks can reduce the negative impact of minority stress experiences.

Keywords

House and Ball African American YMSM Minority stress Psychological well-being Social support 

Notes

Acknowledgments

This study was funded by the National Institute on Drug Abuse of the National Institutes of Health (R01 DA22968). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute on Drug Abuse or the National Institutes of Health. The authors would like to acknowledge the contributions of the staff members who contributed to the collection, management, analysis and review of these data: Veronica Abernathy, Teela Davis, Deandre Ellison, Judith Grout, Cody Haight, Nefe Iredia, Tattiya Kliengklom, Katrina Kubicek, Sylvia Lambrechts, Donna Luebbe, Miles McNeeley, Griselda Monroy, Heather Reyes, Marcia Reyes, Luis Salazar, Milton Smith, Flor Vindel, and George Weiss. The authors would also like to acknowledge the insightful and practical commentary of the members of the P3 Advisory Board, the Mothers and Fathers from the House of Allure, House of Chanel, House of Ebony, House of Escada, House of Etro Galliano, House of Herrera, House of Garcon, House of Gotti, House of Lauren van Cartier, House of Mizarahi, House of Miyake Mugler, House of Revlon, House of Rodeo, and the House of Ultra Omni. We are especially grateful to all of the parents, leaders, and members of the Los Angeles House and Ball communities for their commitment and willingness to share their diverse and often profound personal experiences as well as welcoming us into a part of their lives.

References

  1. Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.Google Scholar
  2. Arnold, E. A., & Bailey, M. M. (2009). Constructing home and family: How the ballroom community supports African American GLBTQ youth in the face of HIV/AIDS. Journal of Gay & Lesbian Social Services: Issues in Practice, Policy & Research, 21, 171–188.CrossRefGoogle Scholar
  3. Benjamini, Y. & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of Royal Statistical Society, Series B, 57, 289–300.Google Scholar
  4. Brady, S. S., Dolcini, M. M., Harper, G. W., & Pollack, L. M. (2009). Supportive friendships moderate the association between stressful life events and sexual risk taking among African American adolescents. Health Psychology, 28, 238–248.PubMedCentralCrossRefPubMedGoogle Scholar
  5. Bruce, D., & Harper, G. W. (2011). Operating without a safety net: Gay male adolescents and emerging adults’ experiences of marginalization and migration, and implications for theory of syndemic production of health disparities. Health Education and Behavior, 38, 367–378.PubMedCentralCrossRefPubMedGoogle Scholar
  6. Carballo-Dieguez, A., & Dolezal, C. (1995). Association between history of childhood sexual abuse and adult HIV-risk sexual behavior in Puerto Rican men who have sex with men. Child Abuse and Neglect, 19, 595–605.CrossRefPubMedGoogle Scholar
  7. Clatts, M. C., Goldsamt, L. A., Yi, H., & Gwadz, M. V. (2005). Homelessness and drug abuse among young men who have sex with men in New York City: A preliminary epidemiological trajectory. Journal of Adolescence, 28, 201–214.PubMedCentralCrossRefPubMedGoogle Scholar
  8. Cox, N., Vanden Berghe, W., Dewaele, A., & Vincke, J. (2010). Acculturation strategies and mental health in gay, lesbian, and bisexual youth. Journal of Youth and Adolescence, 39, 1199–1210.CrossRefPubMedGoogle Scholar
  9. Díaz, R. M. (1998). Latino gay men and HIV: Culture, sexuality, and risk behavior. New York: Routledge.Google Scholar
  10. Díaz, R. M., & Ayala, G. (2001). Social discrimination and health: The case of Latino gay men and HIV risk: The Policy Institute of the National Gay and Lesbian Task Force.Google Scholar
  11. Díaz, R. M., Ayala, G., Bein, E., Henne, J., & Marin, B. V. (2001). The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: Findings from 3 US cities. American Journal of Public Health, 91, 927–932.Google Scholar
  12. Doty, N. D., Willoughby, B. L., Lindahl, K. M., & Malik, N. M. (2010). Sexuality related social support among lesbian, gay, and bisexual youth. Journal of Youth and Adolescence, 39, 1134–1147.CrossRefPubMedGoogle Scholar
  13. Dragowski, E. A., Halkitis, P. N., Grossman, A. H., & D’Augelli, A. R. (2011). Sexual orientation victimization and posttraumatic stress symptoms among lesbian, gay, and bisexual youth. Journal of Gay and Lesbian Social Services: The Quarterly Journal of Community & Clinical Practice, 23, 226–249.CrossRefGoogle Scholar
  14. Fields, S. D., Malebranche, D., & Feist-Price, S. (2008). Childhood sexual abuse in black men who have sex with men: Results from three qualitative studies. Cultural Diversity and Ethnic Minority Psychology, 14, 385–390.CrossRefPubMedGoogle Scholar
  15. Ford, W., Weiss, G., Kipke, M. D., Ritt-Olson, A., Iverson, E., & Lopez, D. (2010). The healthy young men’s study: Sampling methods for enrolling a cohort of young men who have sex with men. Journal of Gay and Lesbian Social Services: Issues in practice, policy and research., 21, 357–373.CrossRefGoogle Scholar
  16. Hatzenbuehler, M. L. (2011). The social environment and suicide attempts in lesbian, gay, and bisexual youth. Pediatrics, 127, 896–903.PubMedCentralCrossRefPubMedGoogle Scholar
  17. Hightow-Weidman, L. B., Phillips, G., Jones, K. C., Outlaw, A. Y., Fields, S. D., & Smith, J. C. (2011). Racial and sexual identity-related maltreatment among minority YMSM: Prevalence, perceptions, and the association with emotional distress. AIDS Patient Care and STDs, 25, S39–S45.CrossRefPubMedGoogle Scholar
  18. Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRefGoogle Scholar
  19. Kertzner, R. M., Meyer, I. H., Frost, D. M., & Stirratt, M. J. (2009). Social and psychological well-being in lesbians, gay men, and bisexuals: The effects of race, gender, age, and sexual identity. American Journal of Orthopsychiatry, 79, 500–510.PubMedCentralCrossRefPubMedGoogle Scholar
  20. Kipke, M. D., Kubicek, K., Supan, J., Weiss, G., & Schrager, S. M. (2012). Laying the groundwork for an HIV prevention intervention: A descriptive profile of the Los Angeles House and Ball Communities. AIDS and Behavior. doi: 10.1007/s10461-012-0227-9.
  21. Kline, R. B. (2004). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford.Google Scholar
  22. Kubicek, K., McNeeley, M., Holloway, I. W., Weiss, G., & Kipke, M. D. (2012). “It’s like our own little world”: Resilience as a factor in participating in the Ballroom community subculture. AIDS and Behavior. doi: 10.1007/s10461-012-0205-2.
  23. Marks, G., Millett, G. A., Bingham, T. A., Bond, L., Lauby, J., Liau, A., et al. (2009). Understanding differences in HIV sexual transmission among Latino and Black men who have sex with men: The Brothers y Hermanos Study. AIDS and Behavior, 13, 682–690.CrossRefPubMedGoogle Scholar
  24. McCallum, C., & McLaren, S. (2011). Sense of belonging and depressive symptoms among GLB adolescents. Journal of Homosexuality, 58, 83–96.CrossRefPubMedGoogle Scholar
  25. Melchior, L. A., Huba, G. J., Brown, V. B., & Reback, C. J. (1993). A short depression index for women. Educational and psychological measurement. Educational and Psychological Measurement, 53, 1117–1125.CrossRefGoogle Scholar
  26. Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.PubMedCentralCrossRefPubMedGoogle Scholar
  27. Meyer, I. H., Schwartz, S., & Frost, D. M. (2008). Social patterning of stress and coping: Does disadvantaged social status confer more stress and fewer coping resources? Social Science & Medicine, 67, 368–379.CrossRefGoogle Scholar
  28. Murrill, C. S., Liu, K.-l., Guilin, V., Colón, E. R., Dean, L., Buckley, L. A., et al. (2008). HIV prevalence and associated risk behaviors in New York City’s house ball community. American Journal of Public Health, 98, 1074–1080.Google Scholar
  29. Mustanski, B. S., Garofalo, R., & Emerson, E. M. (2010). Mental health disorders, psychological distress, and suicidality in a diverse sample of lesbian, gay, bisexual, and transgender youths. American Journal of Public Health, 100, 2426–2432.PubMedCentralCrossRefPubMedGoogle Scholar
  30. Muthén, L. K., & Muthén, B. O. (1998–2011). Mplus user’s guide (6th Ed.). Los Angeles, CA: Muthén & Muthén.Google Scholar
  31. Muthen, L. K., & Muthen, B. (2010). Growth modeling with latent variables using Mplus: Introductory and intermediate growth models, pp. 162–169. Retrieved from http://www.statmodel.com/download/Topic3-v.pdf. Accessed 12 March 2012.
  32. Needham, B. L., & Austin, E. L. (2010). Sexual orientation, parental support, and health during the transition to young adulthood. Journal of Youth and Adolescence, 39, 1189–1198.CrossRefPubMedGoogle Scholar
  33. Phillips, G., Peterson, J., Binson, D., Hidalgo, J., & Magnus, M. (2011). House/ball culture and adolescent African-American transgender persons and men who have sex with men: A synthesis of the literature. AIDS Care, 23, 515–520.CrossRefPubMedGoogle Scholar
  34. Poteat, V. P., Mereish, E. H., DiGiovanni, C. D., & Koenig, B. W. (2011). The effects of general and homophobic victimization on adolescents’ psychosocial and educational concerns: The importance of intersecting identities and parent support. Journal of Counseling Psychology, 58, 597–609.CrossRefPubMedGoogle Scholar
  35. Ross, M. W., & Simon Rosser, B. R. (1996). Measurement and correlates of internalized homophobia: A factor analytic study. Journal of Clinical Psychology, 52, 15–21.CrossRefPubMedGoogle Scholar
  36. Ryan, C., Russell, S. T., Huebner, D., Diaz, R., & Sanchez, J. (2010). Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing, 23, 205–213.CrossRefPubMedGoogle Scholar
  37. Sanchez, T., Finlayson, T., Murrill, C., Guilin, V., & Dean, L. (2010). Risk behaviors and psychosocial stressors in the New York City house ball community: A comparison of men and transgender women who have sex with men. AIDS and Behavior, 14, 351–358.CrossRefPubMedGoogle Scholar
  38. Shilo, G., & Savaya, R. (2011). Effects of family and friend support on LGB youths’ mental health and sexual orientation milestones. Family Relations, 60, 318–330.CrossRefGoogle Scholar
  39. Spencer, S. M., & Patrick, J. H. (2009). Social support and personal mastery as protective resources during emerging adulthood. Journal of Adult Development, 16, 191–198.CrossRefGoogle Scholar
  40. Sterling, T. R., Stanley, R. L., & Thompson, D. (2000). HIV-related tuberculosis in a transgender network—Baltimore, Maryland, and New York City area, 1998–2000. Morbidity and Mortality Weekly Report, 49, 317–320.Google Scholar
  41. Ullman, J. B., & Bentler, P. M. (2004). Structural equation modeling. In M. Hardy & A. Bryman (Eds.), Handbook of data analysis (pp. 431–458). Thousand Oaks, CA: Sage.CrossRefGoogle Scholar
  42. Washington, P. (2001). Who gets to drink from the fountain of freedom? Homophobia in communities of color. Journal of Gay & Lesbian Social Services: Issues in Practice, Policy & Research, 13, 117–131.CrossRefGoogle Scholar
  43. Wong, C. F., Weiss, G., Ayala, G., & Kipke, M. D. (2010). Harassment, discrimination, violence, and illicit drug use among YMSM. AIDS Education and Prevention, 22, 286–298.PubMedCentralCrossRefPubMedGoogle Scholar
  44. Young, S. D., Shoptaw, S., Weiss, R. E., Munjas, B., & Gorbach, P. M. (2011). Predictors of unrecognized HIV infection among poor and ethnic men who have sex with men in Los Angeles. AIDS and Behavior, 15, 643–649.PubMedCentralCrossRefPubMedGoogle Scholar

Copyright information

© Society for Prevention Research 2013

Authors and Affiliations

  • Carolyn F. Wong
    • 1
    • 2
  • Sheree M. Schrager
    • 3
  • Ian W. Holloway
    • 4
  • Ilan H. Meyer
    • 5
  • Michele D. Kipke
    • 1
    • 2
  1. 1.Community, Health Outcomes and Intervention Research Program, The Saban Research InstituteChildren’s Hospital Los AngelesLos AngelesUSA
  2. 2.Department of Pediatrics, Keck School of MedicineUniversity of Southern CaliforniaLos AngelesUSA
  3. 3.Division of Adolescent MedicineChildren’s Hospital Los AngelesLos AngelesUSA
  4. 4.Department of Social Welfare, Luskin School of Public AffairsUniversity of CaliforniaLos AngelesUSA
  5. 5.The Williams Institute, School of LawUniversity of CaliforniaLos AngelesUSA

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