Cited by 169LGBTQ Health, Identity, and PolicyHIV/AIDS Research and InterventionsHIV, Drug Use, Sexual Risk

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

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Sun, Shufang, Pachankis, John E., Li, Xiaoming, Operario, Don·2020·Current HIV/AIDS Reports

DOI 10.1007/s11904-019-00479-wPMC PMC7050812

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Abstract

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. 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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Authors: Sun, S., Pachankis, J. E., Li, X., & Operario, D.
Affiliations: Brown University (US)
Yale University (US)
University of South Carolina (US)
Corresponding author: Sun, Shufang
ORCID: Sun, Shufang
Pachankis, John E.
Li, Xiaoming
Operario, Don
Venue: Current HIV/AIDS Reports
Publisher: Springer Science and Business Media LLC
Published: 2020-01-16
Volume: 17
Issue: 1
Pages: 35-62
ISSN: 1548-3568 (ISSN-L)
1548-3576
DOI: 10.1007/s11904-019-00479-w
PMC: PMC7050812
OpenAlex: W3000347242
Cited by: 169
References: 165
Citations by year: 2026: 28 · 2025: 33 · 2024: 28 · 2023: 31 · 2022: 22 · 2021: 17 · 2020: 10
FWCI: 3.23
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
Locations: Current HIV/AIDS Reports (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Center for AIDS Research, University of Washington (P30AI042853, T32MH078788)
National Institute of Mental Health (R25MH067127, T32MH078788)
National Institute of Allergy and Infectious Diseases (P30AI042853)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R25HD045810)
Topics: Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords: men who have sex with men, minority stress, mental health, internalized homophobia, concealment, psychological distress, depression, anxiety, suicidal behavior, alcoholism, HIV prevention, culturally sensitive interventions, China
MeSH terms: Sexual and Gender Minorities, Psychological Distress, Adult, China, Depression, Humans, Male, Mental Health, HIV Infections, Prevalence, Homosexuality, Male, Homophobia

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

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