53 research outputs found

    Minority Stress, Pandemic Stress, and Mental Health among Gender Diverse Young Adults: Gender Dysphoria and Emotion Dysregulation as Mediators

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    This study surveying young adults with minority gender identities found 1) high rates of psychological distress during COVID-19, 2) that pandemic stress was associated with greater psychological distress and 3) transphobic discrimination was associated with greater gender dysphoria and emotion dysregulation, which were both associated with greater psychological distress. This highlights the mechanisms underlying trans health disparities and the importance of recognizing transphobic/cisnormative experiences and systems of oppression when conducting research or providing services to support the transgender community.Gender diverse people in the United States are uniquely vulnerable to deleterious health outcomes because of long-enshrined systems of oppression and marginalization in American society. Trans young adults are especially vulnerable to these deleterious outcomes owing to their unique position in the life course. However, more research is needed on the mechanisms through which this marginalization contributes to mental health disparities in trans populations. Using a minority stress framework and online cross-sectional survey design, the current study examines potential mediators of the relationship between transgender identity-related distal stress and psychological distress from late May to early July 2020 in a sample of transgender young adults (N = 239; ages 18–29). More than half the sample scored above the K6 cutoff for severe psychological distress. Distal stress had a significant direct (β = .17, SE = .04, t = 2.76, p = .006) and indirect effect on psychological distress. Distal stress was indirectly associated with psychological distress through gender dysphoria (β = .04; 95% CI [.001, .10]) and emotion dysregulation (β = .16; 95% CI [.09, .23]). COVID-19 pandemic stressors were also positively associated with psychological distress (β = .36, SE = .12, t = 5.95, p < .001). Results highlight the significant mental health burden facing the trans community especially in the COVID-19 context, support a conceptualization of gender dysphoria as connected to experiences of oppression, and affirm the relevance of emotion dysregulation within minority stress frameworks. Mental health resources cognizant of the specific challenges experienced by trans young adults as well as policy changes that seek to address underlying structural transphobia in American culture and institutions are urgently needed

    The Roles of Body Surveillance, Feminist Beliefs, and Feminine Norm Adherence in Women's Reproductive Health Efficacy and Behavior

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    While accessibility to reproductive health resources has increased for women, challenges related to sexual self-efficacy and contraceptive use remain prevalent. Factors including feminist beliefs, empowerment, and adherance to feminine norms have predicted positive and negative health behaviors, but less is known about how they relate to reproductive health, specifically sexual self-efficacy and contraceptive use. This study aimed to examine gender-relevant factors that predict sexual self-efficacy and contraceptive use, specifically, body surveillance, feminism, empowerment, and feminine norms. A survey consisting of these measures was administered to 247 women. Results showed empowerment was positively associated with both sexual self-efficacy and contraceptive use. The feminine norms of appearance, modesty, and sexual fidelity were negatively associated with sexual self-efficacy, while sexual fidelity was also negatively associated with contraceptive use. Findings highlight the importance of addressing the important roles of empowerment and feminine norms in women’s reproductive health beliefs and behaviors

    The role of racial identity, ethnic identity, and Asian values as mediators of perceived discrimination and psychological well-being among Asian American college students

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    The current study examined how multiple cultural mechanism—racial identity (Helms, 2005), ethnic identity (Lee & Yoo, 2004; Phinney, 1992), and Asian values (Kim and Hong, 2004) mediate the relationship between perceived discrimination (Liang et al., 2004) and psychological well being (Ryff, 1989) among 402 Asian American college students. Participants filled out an online survey, and of these participants, 68% were second generation, 25% were first generation, and 7% were other either 3rd generation or higher. Prior to the primary analysis, exploratory factor analysis was conducted on the People of Color Racial Identity measure (PRIAS; Helms, 2005). This analysis identified five factors: Conformity, Dissonance, Resistance, Immersion, and Internalization, which was in contrast to four factors proposed by Helms (2005). The reliability estimates for each subscale were higher compared to previous studies on the PRIAS among Asian American college students (Alvarez & Helms, 2001; Kohatsu et al., 2000). Multiple regression results revealed no significant relationships between perceived discrimination and well being thus mediation analysis was not performed. Moreover, inspections of the VIF and Tolerance index indicated that there were no problems with multicollinearity among the racial identity subscales and ethnic identity. This finding supports the theories that racial identity and ethnic identity are conceptually different. The second multiple regression analysis revealed that the racial identity statuses, Dissonance, Immersion, Internalization, and Ethnic Identity-Affective Pride were all robust predictors of psychological well being. While the demographic variables (i.e., collection method, gender and community makeup), perceived discrimination, and Asian values were not significant. These findings elucidate the importance of: (1) differentiating the concepts of racial and ethnic identity; and (2) racial identity and ethnic identity each uniquely explain the variance in psychological well being among a sample of Asian American college students

    The Racial and Ethnic Identity Formation Process of Second- Generation Asian Indian Americans: A Phenomenological Study

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    This phenomenological study elucidates the identity development processes of 12 secondgeneration adult Asian Indian Americans. The results identify salient sociocultural factors and multidimensional processes of racial and ethnic identity development. Discrimination, parental, and community factors seemed to play a salient role in influencing participants’ racial and ethnic identity development. The emergent Asian Indian American racial and ethnic identity model provides a contextualized overview of key developmental periods and turning points within the process of identity development

    Minority stressors and their associations with severe psychological distress among gender-diverse people

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    Invalidating the identity of gender-diverse (e.g., transgender, genderqueer, nonbinary) people is strongly associated with clinically notable levels of psychological distress. This study highlights the need for policies that increase inclusion and decrease invalidation of gender-diverse people in systems and society, as well as efforts that educate the public on trans issues to decrease interpersonal forms of harm and invalidation, which have strong potential to negatively impact mental health.People whose gender does not align with assigned sex often experience negative mental health outcomes related to cisnormative societal expectations and oppression, including familial rejection, threat of harm, and identity invalidation (e.g., misgendering). This study merged two cross-sectional data sets of trans and gender-diverse people (N = 363; Mage = 22.02) investigating how various types of distal minority stress experiences impact psychological distress. We tested the associations between three minority stressors (i.e., family rejection, threat of harm, and identity invalidation) and psychological distress using unadjusted and adjusted regression models, including gender-stratified models. In the overall unadjusted model, all three stressors were significantly, positively associated with psychological distress, with identity invalidation having the highest standardized β value. In the adjusted overall model, only identity invalidation was significantly associated with distress. Results varied in gender-stratified models. Additionally, participants who experienced any of the three stressors had predicted mean distress scores at or above the cutoff for severe psychological distress, while those who did not fell below that cutoff. Results highlight the differential impact of minority stress experiences on gender-diverse young adults and provide directions for clinical competency, interventions, and future research toward understanding mental health disparities for trans people
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