Chinese College Students’ Attitudes Toward Homosexuality: Exploring the Effects of Traditional Culture and Modernizing Factors

Lin, Kai; Button, Deeanna M.; Su, Mingyue; Chen, Sishi

doi:10.1007/s13178-016-0223-3

Cited by 64 publications

(37 citation statements)

References 47 publications

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“…Same-sex orientation is still considered to conflict with traditional values and associated with prejudice and stigma in the current Chinese social context. 52 These negative attitudes towards sexual minorities and minority stressors that they experience have been linked to high levels of mental and behavioural problems, such as depression and suicide attempts. 17 18 In this study, our findings suggested that sexual minority status was associated with suicidal behaviour among Chinese adolescents and that BSA individuals were the highest risk group in this population.…”

Section: Discussionmentioning

confidence: 99%

Sexual minority status and suicidal behaviour among Chinese adolescents: a nationally representative cross-sectional study

Huang

Guo

et al. 2018

BMJ Open

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ObjectivesSuicidality among sexual minority adolescents has generated worldwide concern in recent decades, and previous Western studies have demonstrated that sexual minority status is associated with adolescent suicidality. However, whether this association exists in Chinese adolescents remains largely unknown. This study aimed to estimate the associations between sexual minority status and suicidal behaviour among Chinese adolescents.DesignCross-sectional survey.SettingA total of 506 high schools in 7 provinces of China.ParticipantsA total of 150 822 students in grades 7–12 who completed the questionnaires (response rate of 95.9%) were included.Main outcome measuresSuicidal ideation and suicide attempts were used to measure suicidal behaviour, and sexual attraction (opposite sex, same sex or both sex) was used as a measure for sexual minority status.ResultsOf the 150 822 adolescents analysed, 4.1% self-reported as sexual minorities and 17.3% were unsure. Compared with heterosexual and unsure adolescents, same-sex romantic attraction (SSA) and both-sex romantic attraction (BSA) adolescents reported a higher prevalence of past-year suicidal ideation (SSA: 21.6% for males and 30.4% for females; BSA: 34.7% for males and 42.3% for females) and suicide attempts (SSA: 6.9% for males and 8.9% for females; BSA: 12.2% for males and 10.9% for females). After adjustment for covariates, SSA and BSA adolescents were more likely to have past-year suicidal ideation and suicide attempts than their heterosexual and unsure peers. BSA adolescents reported the highest risk of suicidal ideation (males: adjusted OR (AOR) 2.42, 95% CI 2.03 to 2.88; females: AOR 2.61, 95% CI 2.41 to 2.82) and suicide attempts (males: AOR 3.83, 95% CI 2.85 to 5.14; females: AOR 2.59, 95% CI 2.19 to 3.06).ConclusionsOur study suggested that Chinese sexual minority adolescents were at increased risk of suicidality, and those with BSA had an especially high risk in this population. These findings emphasised the urgent need to develop targeted interventions to effectively address suicide-related problems among Chinese sexual minority adolescents.

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Section: Discussionmentioning

confidence: 99%

Sexual minority status and suicidal behaviour among Chinese adolescents: a nationally representative cross-sectional study

Huang

Guo

et al. 2018

BMJ Open

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“… 27 Filial piety is the core of Confucianism, and same-sex orientation is considered to be a betrayal of this traditional value. 61 Previous studies have suggested that filial piety still has an influence on young people’s attitudes towards same-sex orientation. 25 61 Thus, in the Chinese social context, the effects of school bullying interventions should be evaluated in further studies.…”

Section: Discussionmentioning

confidence: 99%

Is sexual minority status associated with poor sleep quality among adolescents? Analysis of a national cross-sectional survey in Chinese adolescents

Huang

Guo

et al. 2017

BMJ Open

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ObjectivesRecent studies have suggested that sexual minorities are more likely to have poor sleep quality. This study aims to explore sleep quality among sexual minority adolescents and examines the association between sexual minority status and sleep quality.DesignCross-sectional survey.SettingA total of 506 high schools in seven Chinese provinces.ParticipantsA total of 150 822 students in grades 7–12 completed the questionnaires, and 123 459 students who reported being aware of their sexual orientation were included in analyses.Main outcome measuresThe Pittsburgh Sleep Quality Index, sexual attraction and school bullying victimisation.ResultsOf the 123 459 students who were analysed, 5.00% self-reported as sexual minorities. Only 26.67% of sexual minority students slept 8 or more hours/day, which is less than their heterosexual peers (35.70%; χ2=130.04, P<0.001). Of the total sample, 22.41% of the students reported poor sleep quality, and this prevalence was significantly higher in sexual minority students than in heterosexual students (32.56% vs 21.87%; χ2=281.70, P<0.001). After controlling for social demographics, lifestyle and depressive symptoms, sexual minority students had higher odds of poor sleep quality (adjusted OR=1.41, 95% CI 1.31 to 1.51) than their heterosexual peers. The indirect effect of school bullying victimisation (standardised β estimate=0.007, 95% CI 0.006 to 0.009) was significant, indicating that school bullying victimisation partially mediated the association between sexual minority status and sleep quality.ConclusionsOur study suggested that poor sleep quality was common in sexual minority adolescents, and more attention should be paid to sleep problems in this population. Conducting interventions to reduce school bullying behaviours is an important step to improving sleep quality in sexual minority adolescents. Further, studies are warranted that focus on the risk factors and mechanisms of and interventions for sleep problems in sexual minority adolescents.

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“…Being different from the heterosexual norm is regarded as "being abnormal," which in the Chinese context implies a problematic form of deviance and disease [103]. This view is still prevalent: in a recent survey with college students in China regarding their view of homosexuality, the agreement was strongest viewing it as a psychological disorder [104].…”

Section: Minority Stress As a Determinant Of Mental Health Issues Amomentioning

confidence: 99%

Addressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China

et al. 2020

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Purpose of Review Men who have sex with men (MSM) in China experience elevated risks of mental health issues in comparison to the general population in China, which contribute to vulnerability to HIV/STI risks and can comprise the effectiveness of HIV prevention efforts. A conceptual framework for understanding this mental health disparity is minority stress theory, which posits that experiences of external prejudice events (i.e., distal stressors) and internal stress processes such as internalized homophobia and concealment (i.e., proximal stressors) contribute to sexual minorities' elevated risk of psychological distress. To deepen the understanding of mental health among Chinese MSM and explore the potential utility of minority stress theory in this population, this paper synthesizes research evidence regarding prevalent mental health issues as well as how minority stress may be linked to psychological health in Chinese MSM. Recent Findings Results indicate that Chinese MSM experience a high prevalence of several mental health issues including depression, anxiety, suicidal behaviors, and alcohol dependence. Summary This review further reveals minority stress to be an important determinant of psychological distress among Chinese MSM, though evidence is mixed regarding the relationship between proximal minority stress and psychological health. Nonetheless, there is a lack of mental health services and interventions focusing on MSM in China. Culturally relevant, competent, and LGBT-affirmative mental health interventions are needed for Chinese MSM. To guide future intervention research, we provide considerations for reducing minority stress and promoting psychological health among Chinese MSM.

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Chinese College Students’ Attitudes Toward Homosexuality: Exploring the Effects of Traditional Culture and Modernizing Factors

Cited by 64 publications

References 47 publications

Sexual minority status and suicidal behaviour among Chinese adolescents: a nationally representative cross-sectional study

Sexual minority status and suicidal behaviour among Chinese adolescents: a nationally representative cross-sectional study

Is sexual minority status associated with poor sleep quality among adolescents? Analysis of a national cross-sectional survey in Chinese adolescents

Addressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China

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