The DOI matches its Crossref record; 164 of the 165 references it cites were found in a registry or an index.
Addressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China
Open accessAbstract
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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“For this reason, interpersonal minority stress reactions, most notably concerns about social acceptance, appear to be the most strongly related to both minority stress exposures (e.g., lack of family support) and poor mental health among Chinese sexual minority individuals (Sun, Budge, et al., 2020; Sun, Pachankis, et al., 2020), even more so than identity concealment.”
From Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China (2024) · cites this paper as Sun, Pachankis, et al., 2020
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“Increasing evidence suggests that Chinese sexual minority men are at high risk of mental and behavioral health challenges (Sun, Pachankis, et al., 2020)”
From Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China (2024) · cites this paper as Sun, Pachankis, et al., 2020
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Íncera-Fernández, D., Gámez‐Guadix, M., & Moreno, S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413299 · Cited by 149
Operario, D., Sun, S., Bermudez, A. N., Masa, R., Shangani, S., van der Elst, E., & Sanders, E. (2022) · The Lancet HIV · doi:10.1016/s2352-3018(22)00076-5 · Cited by 99
Self-citationCultural context matters: Testing the minority stress model among Chinese sexual minority men
Sun, S., Hoyt, W. T., Tarantino, N., Pachankis, J. E., Whiteley, L., Operario, D., & Brown, L. K. (2021) · Journal of Counseling Psychology · doi:10.1037/cou0000535 · Cited by 85
Self-citationWei, D., Wang, X., You, X., Luo, X., Hao, C., Gu, J., Peng, S., Yang, X., Hao, Y., Silenzio, V., et al. (2020) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796020000487 · Cited by 79
Intersectional stigma and psychosocial well-being among MSM living with HIV in Guangxi, China
Yang, X., Li, X., Qiao, S., Li, L., Parker, C., Shen, Z., & Zhou, Y. (2020) · AIDS Care · doi:10.1080/09540121.2020.1739205 · Cited by 62
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Metadata
- 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
- Venue
- Current HIV/AIDS Reports
- Published
- 2020-01-16
- Volume
- 17
- Issue
- 1
- Pages
- 35-62
- ISSN
- 1548-3568 (ISSN-L)
- 1548-3576
- 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
- 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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