Investigating Protective Factors Associated With Mental Health Outcomes in Sexual Minority Youth

Parmar, Deepika; Tabler, Jennifer; Okumura, Megumi J.; Nagata, Jason M.

doi:10.1016/j.jadohealth.2021.10.004

Cited by 11 publications

(12 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In line with previous reviews, our study confirms the association of individual, relationship, community and societal factors with the mental health of CYP [13][14][15][16][17][18][19][20][21]29]. Unlike previous reviews there were mixed finding for some of the key factors like parent-to-parent relationship and social status.…”

Section: Comparison To Previous Reviewssupporting

confidence: 89%

“…As for marginalised groups, based on ethnicity or sexuality, experiences of discrimination were also identified as having a negative association with mental health [9,20]. Conversely, improved self-esteem and optimism have been associated with positive mental health and resilient outcomes [13,21]. While acknowledging the efforts of researchers in the previous reviews, the evidence from some regions like the English-speaking Caribbean is still under-represented.…”

Section: Introductionmentioning

confidence: 95%

See 1 more Smart Citation

Factors associated with children and young people’s mental health in the English-speaking Caribbean region: Systematic review and narrative synthesis

Liverpool

Draoui²,

Tucker³

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Background Studies conducted in regions consisting of low and middle income and developing countries often report high prevalence of mental health problems among children and young people (CYP). To identify some of the contributing factors we examined the available evidence from research in one such setting. Methods Multiple academic databases and grey literature sources were searched until January 2022. We then identified primary research focusing on CYP’s mental health in the English-speaking Caribbean region. Data was extracted and summarized to form a narrative synthesis of the factors associated with CYP’s mental health. The synthesis was then organised according to the social-ecological model. The Joanna Briggs Institute’s critical appraisal tools were used to examine the quality of the reviewed evidence. The study protocol was registered with PROSPERO, CRD42021283161. Results From 9684 records, 83 publications representing CYP ages 3 to 24 years from 13 countries met our inclusion criteria. The evidence was varied in quality, quantity and consistency for 21 factors associated with CYP’s mental health. Adverse events and negative peer to peer and sibling relationships were consistently associated with mental health problems, while helpful coping strategies were associated with better mental health. There were mixed findings for age, sex/gender, race/ethnicity, academic level, comorbidity, positive affect, health risks behaviours, religion/prayer, parent history, parent to parent and parent to child relationships, school/employment, geography and social status. There was also some limited evidence for associations between sexuality, screen time and policies/procedures and CYP’s mental health. At least 40% of the evidence contributing to each of the factors was judged as high quality. Conclusion Individual, relationship, community and societal factors may influence CYP’s mental health outcomes in the English-speaking Caribbean. Knowledge of these factors is useful to inform early identification and early interventions. More research is needed to explore inconsistent findings and understudied areas.

show abstract

Section: Comparison To Previous Reviewssupporting

confidence: 89%

Section: Introductionmentioning

confidence: 95%

Factors associated with children and young people’s mental health in the English-speaking Caribbean region: Systematic review and narrative synthesis

Liverpool

Draoui²,

Tucker³

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…However, studies in recent years have identified a range of both risk and protective contextual factors (e.g., individual, family/peer, and community/neighborhood) associated with AOD use and well-being among SGM adolescents and emerging adults. For example, factors such as self-esteem, peer and family support, and supportive school/campus environments have been linked to better health and well-being among SGM adolescents and emerging adults (Hatzenbuehler & Keyes, 2013; Parmar et al, 2022; Shattuck et al, 2022). In contrast, factors such as family rejection (Ryan et al, 2009), bullying/victimization, exposure to “conversion therapy,” health/service provider discrimination, and community/neighborhood factors have been correlated with poorer outcomes (Forsythe et al, 2022; Hatzenbuehler, 2010; Williams & Chapman, 2011; Woodford & Kulick, 2015).…”

Section: Gaps In Understanding Of Contextual Factors and Lived Experi...mentioning

confidence: 99%

Unpacking disparities in substance-related outcomes among racial, ethnic, sexual, and gender minoritized groups during adolescence and emerging adulthood.

D'Amico,

Tucker,

Dunbar

et al. 2023

Psychology of Addictive Behaviors

View full text Add to dashboard Cite

“…Generation 2 (Gen2) self-report of race/ethnicity has not been ascertained. There were 2868 live births (Gen2), followed up at the ages of 1, 2, 3,5,8,10,14,17,20,22, and 27 years. Follow-up of Gen1 and Gen2 participants is ongoing.…”

Section: Design and Participantsmentioning

confidence: 99%

Childhood and Adolescence Gender Role Nonconformity and Gender and Sexuality Diversity in Young Adulthood

Marino,

Lin,

Davies

et al. 2023

JAMA Pediatr

View full text Add to dashboard Cite

ImportanceSexuality- and gender-diverse youth experience disproportionate health and social adversity. Accurate early-life indicators are important for development of supportive approaches.ObjectiveTo examine whether commonly used items measuring childhood conformity to gender roles are associated with sexual orientation in young adulthood.Design, Setting, and ParticipantsThis single-center, prospective cohort study (the Raine Study) assessed 2868 children of 2900 women who were recruited during pregnancy from August 1, 1989, to April 30, 1992, with follow-up ongoing. The Achenbach System of Empirically Based Assessment (ASEBA) Child Behavior Checklist, Teacher Report Form, and Youth Self-Report tools were used to survey parents, teachers, and youths to examine gender diversity among the participating youths. Parents were followed up at years 5, 8, 10, 14, and 17, adolescents at years 14, 17, and 27, and teachers at years 10 and 14. Data were analyzed from August 1, 2020, to July 31, 2023.ExposuresParent and teacher report that a child “behaves like the opposite sex” (gender role behavior), and parent and self-report that a child “wishes to be the opposite sex” (gender role wish), in response to assessment items.Main Outcome MeasuresYear 27 self-reported sexual identity, attraction, and behavior.ResultsOf the 2868 children in the original birth cohort, 1154 (40.2%) participated in the year 27 follow-up, of whom 608 (52.7%) were recorded female at birth and 546 (47.3%) were recorded male at birth. Of these, 582 who were recorded female at birth continued to identify as female (cisgender) (95.7%), and 515 recorded male at birth continued to identify as male (cisgender) (94.3%); 47 (4.1%) did not complete the questionnaire. Of cisgender participants, 76 of 605 women (12.6%) and 52 of 540 men (9.6%) had a diverse sexual identity, 204 of 605 women (33.8%) and 77 of 540 men (14.3%) were same-gender attracted, and 100 of 605 women (18.6%) and 39 of 540 men (7.2%) had ever engaged in same-gender sexual behavior. Across all follow-ups, after adjusting for gender, nonconforming gender role behavior was consistently associated with diverse sexual identity and behavior (adjusted odds ratio [aOR] for identity, 2.8; 95% CI, 1.9-4.2; behavior aOR, 2.4; 95% CI, 1.6-3.5). Self-reported gender role wish was consistently associated with diverse sexual orientation (identity aOR, 2.3; 95% CI, 1.4-3.8; attraction aOR, 1.7; 95% CI, 1.1-2.5; behavior aOR, 1.9; 95% CI, 1.2-2.9).Conclusions and RelevanceIn this cohort study, ASEBA gender role nonconformity was associated with diverse sexual orientation, beginning in early childhood. Findings suggest that the ASEBA measures should not be used to infer sexual orientation or gender diversity in clinical or research settings; asking direct questions may provide more accurate data.

show abstract

Investigating Protective Factors Associated With Mental Health Outcomes in Sexual Minority Youth

Cited by 11 publications

References 41 publications

Factors associated with children and young people’s mental health in the English-speaking Caribbean region: Systematic review and narrative synthesis

Factors associated with children and young people’s mental health in the English-speaking Caribbean region: Systematic review and narrative synthesis

Unpacking disparities in substance-related outcomes among racial, ethnic, sexual, and gender minoritized groups during adolescence and emerging adulthood.

Childhood and Adolescence Gender Role Nonconformity and Gender and Sexuality Diversity in Young Adulthood

Contact Info

Product

Resources

About