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Experience of Sexual Orientation Microaggression among Young Adult Lesbian, Gay, and Bisexual Individuals in Taiwan: Its Related Factors and Association with Mental Health Problems

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  • Ching-Shu Tsai

    (School of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
    Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung 83301, Taiwan)

  • Yu-Te Huang

    (Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong RM543, China)

  • Cheng-Fang Yen

    (Department of Psychiatry, School of Medicine College of Medicine, Kaohsiung Medical University, Kaohsiung 80752, Taiwan
    Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
    College of Professional Studies, National Pingtung University of Science and Technology, Pingtung 91201, Taiwan)

Abstract

Experiences of sexual orientation microaggression (SOM) are prevalent in lesbian, gay, and bisexual (LGB) individuals. The aims of this quantitative cross-sectional survey study were to examine the factors, including demographics, sexual orientation characteristics, and perceived social support related to SOM, as well as the relationships of SOM with anxiety, depression, and suicidality among young adult LGB individuals in Taiwan. In total, 1000 self-identified young adult LGB individuals (500 men and 500 women) participated in this study. The experience of SOM was assessed using the Sexual Orientation Microaggression Inventory. We also collected demographic and sexual orientation characteristics; perceived general family support, using the Family APGAR Index; anxiety on the State-Trait Anxiety Inventory; depression on the Center for Epidemiological Studies-Depression Scale; and suicidality on the suicidality module of the Kiddie-SADS. The factors related to SOM and the associations of SOM with anxiety, depression, and suicidality were examined using multivariate linear regression analysis. The results indicated that males experienced greater SOM than females, and that younger age of identification of sexual orientation and perceived lower general family support were significantly associated with greater SOM. Greater SOM was significantly associated with greater anxiety, depression, and suicidality. The experiences of SOM in LGB individuals with mental health problems warrant assessment and intervention that take the related factors into account.

Suggested Citation

  • Ching-Shu Tsai & Yu-Te Huang & Cheng-Fang Yen, 2021. "Experience of Sexual Orientation Microaggression among Young Adult Lesbian, Gay, and Bisexual Individuals in Taiwan: Its Related Factors and Association with Mental Health Problems," IJERPH, MDPI, vol. 18(22), pages 1-9, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11744-:d:675157
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    References listed on IDEAS

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    1. Sheung-Tak Cheng & Alfred C. M. Chan, 2006. "Filial Piety and Psychological Well-Being in Well Older Chinese," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(5), pages 262-269.
    2. Meng-Tsang Hsieh & Jung-Sheng Chen & Chung-Ying Lin & Cheng-Fang Yen & Mark D. Griffiths & Yu-Te Huang, 2021. "Measurement Invariance of the Sexual Orientation Microaggression Inventory across LGB Males and Females in Taiwan: Bifactor Structure Fits the Best," IJERPH, MDPI, vol. 18(20), pages 1-12, October.
    3. Chien-Chuan Wang & Ray C. Hsiao & Cheng-Fang Yen, 2019. "Victimization of Traditional and Cyber Bullying During Childhood and Their Correlates Among Adult Gay and Bisexual Men in Taiwan: A Retrospective Study," IJERPH, MDPI, vol. 16(23), pages 1-14, November.
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    2. Jia-In Lee & Yu-Ping Chang & Ching-Shu Tsai & Cheng-Fang Yen, 2022. "Internalized Sexual Stigma among Lesbian, Gay, and Bisexual Individuals in Taiwan: Its Related Factors and Association with Mental Health Problems," IJERPH, MDPI, vol. 19(4), pages 1-13, February.
    3. Huang-Chi Lin & Chih-Cheng Chang & Yu-Ping Chang & Yi-Lung Chen & Cheng-Fang Yen, 2022. "Associations among Perceived Sexual Stigma from Family and Peers, Internalized Homonegativity, Loneliness, Depression, and Anxiety among Gay and Bisexual Men in Taiwan," IJERPH, MDPI, vol. 19(10), pages 1-13, May.
    4. Yu-Te Huang & Wen-Jiun Chou & Yi-Chen Hang & Cheng-Fang Yen, 2023. "Sexual Orientation Microaggression Experiences and Coping Responses of Lesbian, Gay, and Bisexual Individuals in Taiwan: A Qualitative Study," IJERPH, MDPI, vol. 20(3), pages 1-11, January.
    5. Chung-Ying Lin & Ching-Shu Tsai & Chia-Wei Fan & Mark D. Griffiths & Chih-Cheng Chang & Cheng-Fang Yen & Amir H. Pakpour, 2022. "Psychometric Evaluation of Three Versions of the UCLA Loneliness Scale (Full, Eight-Item, and Three-Item Versions) among Sexual Minority Men in Taiwan," IJERPH, MDPI, vol. 19(13), pages 1-13, July.
    6. Mattia Marchi & Antonio Travascio & Daniele Uberti & Edoardo De Micheli & Fabio Quartaroli & Giuseppe Laquatra & Pietro Grenzi & Luca Pingani & Silvia Ferrari & Andrea Fiorillo & Manlio Converti & Fed, 2024. "Microaggression toward LGBTIQ people and implications for mental health: A systematic review," International Journal of Social Psychiatry, , vol. 70(1), pages 23-35, February.

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