A biopsychosocial framework for understanding sexual and gender minority health: A call for action

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS

卷:129

Article

Christian, Lisa M.^1,2  Cole, Steve W.^3,4  McDade, Thomas^5,6,7  Pachankis, John E.^8,9  Morgan, Ethan¹⁰  Strahm, Anna M.^1,2  Dush, Claire M. Kamp^11,12 

[1] Ohio State Univ, Dept Psychiat & Behav Hlth, Wexner Med Ctr, Columbus, OH 43210 USA

[2] Ohio State Univ, Inst Behav Med Res, Wexner Med Ctr, Columbus, OH 43210 USA

[3] Univ Calif Los Angeles, Sch Med, Dept Psychiat & Biobehav Sci, Los Angeles, CA USA

[4] Univ Calif Los Angeles, Sch Med, Dept Med, Los Angeles, CA 90024 USA

[5] Northwestern Univ, Dept Anthropol, Evanston, IL 60208 USA

[6] Northwestern Univ, Inst Policy Res, Evanston, IL USA

[7] Canadian Inst Adv Res, Child & Brain Dev Program, Toronto, ON, Canada

[8] Yale Sch Publ Hlth, New Haven, CT USA

[9] Yale Sch Publ Hlth, Ctr Interdisciplinary Res AIDS, New Haven, CT USA

[10] Ohio State Univ, Coll Nursing, Columbus, OH 43210 USA

[11] Univ Minnesota, Minnesota Populat Ctr, Minneapolis, MN USA

[12] Univ Minnesota, Dept Sociol, Minneapolis, MN 55455 USA

关键词: Sexual minority;    Gender minority;    Same-sex;    Stress;    Biopsychosocial;    Stigma;   

DOI  :  10.1016/j.neubiorev.2021.06.004

来源: Elsevier

【 摘 要 】

The number of US adults identifying as lesbian, gay, bisexual, transgender, or a different sexual identity has doubled since 2008, and about 40 % of the sexual and gender minority population identify as people of color. Minority stress theory posits that sexual and gender minorities are at particular risk for stress via stigma and discrimination at the structural, interpersonal, and individual levels. This stress, in turn, elevates the risk of adverse health outcomes across several domains. However, there remains a conspicuously limited amount of research on the psychoneuroimmunology of stress among sexual and gender minorities. We developed the Biopsychosocial Minority Stress Framework which posits that sexual minority status leads to unique experiences of minority stress which results in adverse health behavioral factors, elevated psychological distress and sleep disturbance, and immune dysregulation. Moderators in the model include both individual differences and intersectional identities. There is a crucial need to understand the biological-psychological axis of stress among the increasingly visible sexual and gender minority population to increase their health, longevity, and quality of life.

【 授权许可】

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