性少数群体中结构性耻辱和全静电负荷之间的关联:基于人口的研究结果
Robert-Paul Juster1, Caroline Rutherford, Katherine Keyes
1From the Department of Psychiatry and Addiction (Juster), University of Montreal; Research Center of the Montreal Mental Health University Institute (Juster), Montreal, Quebec, Canada; Department of Epidemiology, Mailman School of Public Health, Columbia University (Rutherford, Keyes), New York, New York; and Department of Psychology, Harvard University (Hatzenbuehler), Cambridge, Massachusetts.
Psychosomatic medicine
|February 12, 2024
概括
结构性耻辱感,就像歧视性的国家政策一样,与性少数群体男性的更高的全静电负荷 (生理失调) 有关. 保护性政策可以减轻这一群体的不良健康影响.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 健康差异 在健康上的差异
背景情况:
- 结构性耻辱和歧视对边缘化群体的健康结果产生负面影响,包括女同性恋,同性恋和双性恋 (LGB) 个人.
- 在LGB人群中,结构性耻辱的生物学后果仍未得到充分研究.
- 静态负荷 (AL) 是生理失调的度量,反映了身体的累积磨损.
研究的目的:
- 评估针对LGB个人的州级政策 (结构性耻辱) 和全静电负载 (AL) 之间的关联.
- 调查结构性耻辱对LGB群体的生物学影响.
主要方法:
- 来自2001-2014年国家健康和营养检查调查 (LGB:n=864;异性恋:n=20,310) 的汇总数据的分析.
- 使用十个国家级的LGB相关政策,对结构性耻辱的操作化.
- 使用11种免疫,代谢和心血管生物标志物的性别特异性AL指数的估计.
- 应用多层次模型来检查结构性耻辱和AL之间的关联,控制个体特征.
主要成果:
- 在保护政策较少 (结构性耻辱较高) 的州,性少数群体男性的AL明显更高.
- 居住在结构性耻辱性较低的州的性少数群体男性的AL明显较低.
- 在性少数群体女性中,结构性耻辱和AL之间没有显著的关联.
结论:
- 研究结果表明,在性少数群体男性中,结构性耻辱和生理性失调之间存在直接联系.
- 通过结构性耻辱,社会环境可以对性少数群体男性产生生物学影响.
- 建议进行进一步的研究,以探索其他边缘化群体中的这些机制.
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