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Effects of victimization on mental health and substance use trajectories in young sexual minority men

Published online by Cambridge University Press:  26 December 2018

Gregory Swann ,
Emily Forscher ,
Emily Bettin ,
Michael E. Newcomb  and
Brian Mustanski
Gregory Swann
Affiliation:
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA Northwestern University Institute for Sexual and Gender Minority Health and Wellbeing, Chicago, IL, USA
Emily Forscher
Affiliation:
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA Northwestern University Institute for Sexual and Gender Minority Health and Wellbeing, Chicago, IL, USA
Emily Bettin
Affiliation:
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA Northwestern University Institute for Sexual and Gender Minority Health and Wellbeing, Chicago, IL, USA
Michael E. Newcomb
Affiliation:
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA Northwestern University Institute for Sexual and Gender Minority Health and Wellbeing, Chicago, IL, USA
Brian Mustanski*
Affiliation:
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA Northwestern University Institute for Sexual and Gender Minority Health and Wellbeing, Chicago, IL, USA
*
Author for correspondence: Brian Mustanski, Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 625 North Michigan Avenue, Suite 1400, Chicago, IL 60611; E-mail: [email protected].
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Abstract

Young sexual minority men (YSMM) experience more victimization and are at higher risk for mental health and substance use problems compared with heterosexual youth. We attempt to understand change over time in the experience of these constructs among YSMM. Data were taken from a diverse community-based sample of YSMM (N = 450, baseline mean age 18.93) surveyed every 6 months for 2.5 years. Multilevel modeling was used to model within-person change in victimization, internalizing symptoms, externalizing symptoms, alcohol frequency, marijuana use, and illicit drug use. We tested the indirect effect of concurrent and time-lagged victimization on the association between age and mental health and substance use. Victimization, internalizing symptoms, and externalizing symptoms decreased over time. Concurrent victimization was associated with higher internalizing symptoms, externalizing symptoms, alcohol use, marijuana use, and illicit drug use. Analysis of indirect effects suggested that the association between victimization and mental health and substance use outcomes decreased as participants transitioned from adolescence into adulthood. This study found that the reduction in victimization that YSMM experience as they grow older is associated with a reduction in negative mental health and substance use outcomes. Prevention efforts to limit victimization exposure may reduce health disparities for YSMM.

Keywords

gayinternalized stigmamental healthsubstance usevictimization
Type
Regular Articles
Information
Development and Psychopathology , Volume 31 , Issue 4 , October 2019 , pp. 1423 - 1437
Copyright
Copyright © Cambridge University Press 2018 

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References

Achenbach, T. M. (2009). The Achenbach System of Empirically Based Assessment (ASEBA): Development, findings, theory, and applications. Burlington, VT: University of Vermont Research Center for Children, Youth and Families.Google Scholar
Amadio, D. M. (2006). Internalized heterosexism, alcohol use, and alcohol-related problems among lesbians and gay men. Addictive Behaviors, 31, 1153–1162. doi:10.1016/j.addbeh.2005.08.013Google Scholar
Amadio, D. M., & Chung, Y. B. (2004). Internalized homophobia and substance use among lesbian, gay, and bisexual persons. Journal of Gay & Lesbian Social Services: Issues in Practice, Policy & Research, 17. doi:10.1300/J041v17n01_06Google Scholar
Arnett, J. J., & Hughes, M. (2012). Adolescence and emerging adulthood: A cultural approach. Harlow, England: Pearson.Google Scholar
Birkett, M., Newcomb, M. E., & Mustanski, B. (2015). Does it get better? A longitudinal analysis of psychological distress and victimization in LGBTQ youth. Journal of Adolescent Health, 56, 280–285. doi:10.1016/j.jadohealth.2014.10.275Google Scholar
Bontempo, D. E., & D'Augelli, A. R. (2002). Effects of at-school victimization and sexual orientation on lesbian, gay, or bisexual youths' health risk behavior. Journal of Adolescent Health, 30, 364–374.Google Scholar
Bostwick, W. B., Meyer, I., Aranda, F., Russell, S., Hughes, T., Birkett, M., & Mustanski, B. (2014). Mental health and suicidality among racially/ethnically diverse sexual minority youths. American Journal of Public Health, 104, 1129–1136. doi:10.2105/AJPH.2013.301749Google Scholar
Burton, C. L., Wang, K., & Pachankis, J. E. (2018). Does getting stigma under the skin make it thinner? Emotion regulation as a stress-contingent mediator of stigma and mental health. Clinical Psychological Science, 6, 590–600.Google Scholar
Burton, C. M., Marshal, M. P., Chisolm, D. J., Sucato, G. S., & Friedman, M. S. (2013). Sexual minority-related victimization as a mediator of mental health disparities in sexual minority youth: A longitudinal analysis. Journal of Youth and Adolescence, 42, 394–402. doi:10.1007/s10964-012-9901-5Google Scholar
Canty-Mitchell, J., & Zimet, G. D. (2000). Psychometric properties of the Multidimensional Scale of Perceived Social Support in urban adolescents. American Journal of Community Psychology, 28, 391–400.Google Scholar
Corliss, H. L., Rosario, M., Wypij, D., Fisher, L. B., & Austin, S. B. (2008). Sexual orientation disparities in longitudinal alcohol use patterns among adolescents findings from the Growing Up Today Study. Archives of Pediatrics & Adolescent Medicine, 162, 1071–1078.Google Scholar
Dahlem, N. W., Zimet, G. D., & Walker, R. R. (1991). The Multidimensional Scale of Perceived Social Support: A confirmation study. Journal of Clinical Psychology, 47, 756–761.Google Scholar
Davidson, L. M., & Demaray, M. K. (2007). Social support as a moderator between victimization and internalizing-externalizing distress from bullying. School Psychology Review, 36.Google Scholar
Dermody, S. S., Marshal, M. P., Burton, C. M., & Chisolm, D. J. (2016). Risk of heavy drinking among sexual minority adolescents: Indirect pathways through sexual orientation-related victimization and affiliation with substance-using peers. Addiction, 111, 1599–1606. doi:10.1111/add.13409Google Scholar
Eiland, L., & Romeo, R. D. (2013). Stress and the developing adolescent brain. Neuroscience, 249, 162–171. doi:10.1016/j.neuroscience.2012.10.048Google Scholar
Feinstein, B. A., Davila, J., & Dyar, C. (2017). A weekly diary study of minority stress, coping, and internalizing symptoms among gay men. Journal of Consulting and Clinical Psychology, 85, 1144.Google Scholar
Fergusson, D. M., Horwood, L. J., & Beautrais, A. L. (1999). Is sexual orientation related to mental health problems and suicidality in young people? Archives of General Psychiatry, 56, 876–880.Google Scholar
Goldbach, J. T., Tanner-Smith, E. E., Bagwell, M., & Dunlap, S. (2014). Minority stress and substance use in sexual minority adolescents: A meta-analysis. Prevention Science, 15, 350–363. doi:10.1007/s11121-013-0393-7Google Scholar
Halkitis, P. N., Siconolfi, D. E., Stults, C. B., Barton, S., Bub, K., & Kapadia, F. (2014). Modeling substance use in emerging adult gay, bisexual, and other YMSM across time: The P18 cohort study. Drug and Alcohol Dependence, 145, 209–216. doi:10.1016/j.drugalcdep.2014.10.016Google Scholar
Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135, 707–730.Google Scholar
Heckathorn, D. D. (1997). Respondent-driven sampling: A new approach to the study of hidden populations. Social Problems, 44, 174–200.Google Scholar
Hequembourg, A. L., & Dearing, R. L. (2013). Exploring shame, guilt, and risky substance use among sexual minority men and women. Journal of Homosexuality, 60, 615–638. doi:10.1080/00918369.2013.760365Google Scholar
Hershberger, S. L., & D'Augelli, A. R. (1995). The impact of victimization on the mental health and suicidality of lesbian, gay, and bisexual youths. Developmental Psychology, 31, 65–74.Google Scholar
Hicks, B. M., Blonigen, D. M., Kramer, M. D., Krueger, R. F., Patrick, C. J., Iacono, W. G., & McGue, M. (2007). Gender differences and developmental change in externalizing disorders from late adolescence to early adulthood: A longitudinal twin study. Journal of Abnormal Psychology, 116, 433–447. doi:10.1037/0021-843X.116.3.433Google Scholar
Huebner, D. M., Thoma, B. C., & Neilands, T. B. (2015). School victimization and substance use among lesbian, gay, bisexual, and transgender adolescents. Prevention Science, 16, 734–743. doi:10.1007/s11121-014-0507-xGoogle Scholar
Hughes, T. L., & Eliason, M. (2002). Substance use and abuse in lesbian, gay, bisexual and transgender populations. The Journal of Primary Prevention, 22, 263–298.Google Scholar
Kaysen, D. L., Kulesza, M., Balsam, K. F., Rhew, I. C., Blayney, J. A., Lehavot, K., & Hughes, T. L. (2014). Coping as a mediator of internalized homophobia and psychological distress among young adult sexual minority women. Psychology of Sexual Orientation and Gender Diversity, 1. doi:10.1037/sgd0000045Google Scholar
King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8, 70. doi:10.1186/1471-244X-8-70Google Scholar
Kuhns, L. M., Kwon, S., Ryan, D. T., Garofalo, R., Phillips, G. 2nd, & Mustanski, B. S. (2015). Evaluation of respondent-driven sampling in a study of urban young men who have sex with men. Journal of Urban Health, 92, 151–167. doi:10.1007/s11524-014-9897-0Google Scholar
Kuhns, L. M., Vazquez, R., & Ramirez-Valles, J. (2008). Researching special populations: Retention of Latino gay and bisexual men and transgender persons in longitudinal health research. Health Education Research, 23, 814–825. doi:10.1093/her/cym066Google Scholar
Lebel, C., Walker, L., Leemans, A., Phillips, L., & Beaulieu, C. (2008). Microstructural maturation of the human brain from childhood to adulthood. Neuroimage, 40, 1044–1055. doi:10.1016/j.neuroimage.2007.12.053Google Scholar
Lehavot, K., & Simoni, J. M. (2011). The impact of minority stress on mental health and substance use among sexual minority women. Journal of Consulting and Clinical Psychology, 79. doi:10.1037/a0022839Google Scholar
Liao, K. Y.-H., Kashubeck-West, S., Weng, C.-Y., & Deitz, C. (2015). Testing a mediation framework for the link between perceived discrimination and psychological distress among sexual minority individuals. Journal of Counseling Psychology, 62, 226.Google Scholar
Liu, R. T., & Mustanski, B. (2012). Suicidal ideation and self-harm in lesbian, gay, bisexual, and transgender youth. American Journal of Preventive Medicine, 42, 221–228. doi:10.1016/j.amepre.2011.10.023Google Scholar
Livingston, N. A., Oost, K. M., Heck, N. C., & Cochran, B. N. (2015). The role of personality in predicting drug and alcohol use among sexual minorities. Psychology of Addictive Behaviors, 29, 414–419. doi:10.1037/adb0000034Google Scholar
Marshal, M. P., Friedman, M. S., Stall, R., King, K. M., Miles, J., Gold, M. A., … Morse, J. Q. (2008). Sexual orientation and adolescent substance use: A meta-analysis and methodological review. Addiction, 103, 546–556.Google Scholar
Marshal, M. P., Friedman, M. S., Stall, R., & Thompson, A. L. (2009). Individual trajectories of substance use in lesbian, gay and bisexual youth and heterosexual youth. Addiction, 104, 974–981.Google Scholar
McConnell, E. A., Birkett, M., & Mustanski, B. (2016). Families matter: Social support and mental health trajectories among lesbian, gay, bisexual, and transgender youth. Journal of Adolescent Health, 59, 674–680. doi:10.1016/j.jadohealth.2016.07.026Google Scholar
McLaughlin, K. A., Hatzenbuehler, M. L., Xuan, Z., & Conron, K. J. (2012). Disproportionate exposure to early-life adversity and sexual orientation disparities in psychiatric morbidity. Child Abuse & Neglect, 36, 645–655. doi:10.1016/j.chiabu.2012.07.004Google Scholar
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.Google Scholar
Moody, R. L., Starks, T. J., Grov, C., & Parsons, J. T. (2018). Internalized homophobia and drug use in a national cohort of gay and bisexual men: Examining depression, sexual anxiety, and gay community attachment as mediating factors. Archives of Sexual Behavior, 47, 1133–1144. doi:10.1007/s10508-017-1009-2Google Scholar
Morgan, E. M. (2013). Contemporary issues in sexual orientation and identity development in emerging adulthood. Emerging Adulthood, 1, 52–66.Google Scholar
Mustanski, B. (2011). Ethical and regulatory issues with conducting sexuality research with LGBT adolescents: A call to action for a scientifically informed approach. Archives of Sexual Behavior, 40, 673–686. doi:10.1007/s10508-011-9745-1Google Scholar
Mustanski, B., Andrews, R., Herrick, A., Stall, R., & Schnarrs, P. W. (2014). A syndemic of psychosocial health disparities and associations with risk for attempting suicide among young sexual minority men. American Journal of Public Health, 104, 287–294. doi:10.2105/AJPH.2013.301744Google Scholar
Muthén, B. (2010). Bayesian Analysis in Mplus: A Brief Introduction. Unpublished manuscript. www.statmodel.com/download/IntroBayesVersion, 203.Google Scholar
National Institute on Alcohol Abuse and Alcoholism (2003). Task Force on Recommended Alcohol Questions. Retrieved from https://www.niaaa.nih.gov/research/guidelines-and-resources/recommended-alcohol-questions.Google Scholar
Newcomb, M. D., & Bentler, P. M. (1988). Impact of adolescent drug use and social support on problems of young adults: A longitudinal study. Journal of Abnormal Psychology, 97. doi:10.1037/0021-843x.97.1.64Google Scholar
Newcomb, M. E., Birkett, M., Corliss, H. L., & Mustanski, B. (2014). Sexual orientation, gender, and racial differences in illicit drug use in a sample of US high school students. American Journal of Public Health, 104, 304–310. doi:10.2105/AJPH.2013.301702Google Scholar
Newcomb, M. E., & Mustanski, B. (2010). Internalized homophobia and internalizing mental health problems: A meta-analytic review. Clinical Psychology Review, 30, 1019–1029. doi:10.1016/j.cpr.2010.07.003Google Scholar
Newcomb, M. E., Ryan, D. T., Garofalo, R., & Mustanski, B. (2014). The effects of sexual partnership and relationship characteristics on three sexual risk variables in young men who have sex with men. Archives of Sexual Behavior, 43, 61–72. doi:10.1007/s10508-013-0207-9Google Scholar
Pachankis, J., Sullivan, T., Feinstein, B., & Newcomb, M. (2018). Young adult gay and bisexual men's stigma experiences and mental health: An 8-year longitudinal study. Developmental Psychology, 54, 1381–1393.Google Scholar
Pilkington, N. W., & Daugelli, A. R. (1995). Victimization of lesbian, gay, and bisexual youth in community settings. Journal of Community Psychology, 23, 34–56.Google Scholar
Poteat, V. P., & Espelage, D. L. (2007). Predicting psychosocial consequences of homophobic victimization in middle school students. The Journal of Early Adolescence, 27. doi:10.1177/0272431606294839Google Scholar
Preacher, K. J., Zyphur, M. J., & Zhang, Z. (2010). A general multilevel SEM framework for assessing multilevel mediation. Psychological Methods, 15, 209–233. doi:10.1037/a0020141Google Scholar
Puckett, J. A., Levitt, H. M., Horne, S. G., & Hayes-Skelton, S. A. (2015). Internalized heterosexism and psychological distress: The mediating roles of self-criticism and community connectedness. Psychology of Sexual Orientation and Gender Diversity, 2. doi:10.1037/sgd0000123Google Scholar
Puckett, J. A., Mereish, E. H., Levitt, H. M., Horne, S. G., & Hayes-Skelton, S. A. (2018). Internalized heterosexism and psychological distress: The moderating effects of decentering. Stigma and Health, 3, 9.Google Scholar
Puckett, J. A., Newcomb, M. E., Garofalo, R., & Mustanski, B. (2016). The impact of victimization and neuroticism on mental health in young men who have sex with men: Internalized homophobia as an underlying mechanism. Sexuality Research and Social Policy, 13, 193–201. doi:10.1007/s13178-016-0239-8Google Scholar
Puckett, J. A., Newcomb, M. E., Ryan, D. T., Swann, G., Garofalo, R., & Mustanski, B. (2016). Internalized homophobia and perceived stigma: A validation study of stigma measures in a sample of young men who have sex with men. Sexuality Research and Social Policy, 14, 1–16. doi:10.1007/s13178-016-0258-5Google Scholar
Puckett, J. A., Woodward, E. N., Mereish, E. H., & Pantalone, D. W. (2015). Parental rejection following sexual orientation disclosure: Impact on internalized homophobia, social support, and mental health. LGBT Health, 2. doi:10.1089/lgbt.2013.0024Google Scholar
Ramirez-Valles, J., Kuhns, L. M., Campbell, R. T., & Diaz, R. M. (2010). Social integration and health community involvement, stigmatized identities, and sexual risk in Latino sexual minorities. Journal of Health and Social Behavior, 51, 30–47.Google Scholar
Remafedi, G., French, S., Story, M., Resnick, M. D., & Blum, R. (1998). The relationship between suicide risk and sexual orientation: Results of a population-based study. American Journal of Public Health, 88, 57–60.Google Scholar
Robin, L., Brener, N. D., Donahue, S. F., Hack, T., Hale, K., & Goodenow, C. (2002). Associations between health risk behaviors and opposite-, same-, and both-sex sexual partners in representative samples of Vermont and Massachusetts high school students. Archives of Pediatrics & Adolescent Medicine, 156, 349–355. doi:10.1001/archpedi.156.4.349Google Scholar
Ross, M. W., Rosser, B. R. S., Bauer, G. R., Bockting, W. O., Robinson, B. B. E., Rugg, D. L., & Coleman, E. (2001). Drug use, unsafe sexual behavior, and internalized homonegativity in men who have sex with men. AIDS and Behavior, 5. doi:10.1023/a:1009567707294Google Scholar
Russell, S. T., & Joyner, K. (2001). Adolescent sexual orientation and suicide risk: Evidence from a national study. American Journal of Public Health, 91, 1276–1281.Google Scholar
Russell, S. T., Ryan, C., Toomey, R. B., Diaz, R. M., & Sanchez, J. (2011). Lesbian, gay, bisexual, and transgender adolescent school victimization: Implications for young adult health and adjustment. Journal of School Health, 81, 223–230. doi:10.1111/j.1746-1561.2011.00583.xGoogle Scholar
Ryan, C., Russell, S., Huebner, D., Diaz, R., & Sanchez, J. (2010). Family acceptance in adolescents and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing, 23, 205–213.Google Scholar
Safren, S. A., & Heimberg, R. G. (1999). Depression, hopelessness, suicidality, and related factors in sexual minority and heterosexual adolescents. Journal of Consulting and Clinical Psychology, 67, 859–866.Google Scholar
Schwartz, D. R., Stratton, N., & Hart, T. A. (2016). Minority stress and mental and sexual health: Examining the psychological mediation framework among gay and bisexual men. Psychology of Sexual Orientation and Gender Diversity, 3, 313–324. doi:10.1037/sgd0000180Google Scholar
Shidlo, A. (1994). Internalized homophobia: Conceptual and empirical issues in measurement. In Greene, B. & Herek, G. M. (Eds.), Psychological perspectives on lesbian and gay issues, Vol. 1. Thousand Oaks, CA: Sage Publications Inc.Google Scholar
Shields, J. P., Whitaker, K., Glassman, J., Franks, H. M., & Howard, K. (2012). Impact of victimization on risk of suicide among lesbian, gay, and bisexual high school students in San Francisco. Journal of Adolescent Health, 50, 418–420. doi:http://dx.doi.org/10.1016/j.jadohealth.2011.07.009Google Scholar
Span, S. A., & Derby, P. L. (2009). Depressive symptoms moderate the relation between internalized homophobia and drinking habits. Journal of Gay & Lesbian Social Services: Issues in Practice, Policy & Research, 21. doi:10.1080/10538720802497688Google Scholar
Squeglia, L. M., Jacobus, J., & Tapert, S. F. (2009). The influence of substance use on adolescent brain development. Clinical EEG and Neuroscience, 40, 31–38. doi:10.1177/155005940904000110Google Scholar
Swann, G., Bettin, E., Clifford, A., Newcomb, M. E., & Mustanski, B. (2017). Trajectories of alcohol, marijuana, and illicit drug use in a diverse sample of young men who have sex with men. Drug and Alcohol Dependence, 178, 231–242.Google Scholar
Swann, G., Minshew, R., Newcomb, M. E., & Mustanski, B. (2016). Validation of the sexual orientation microaggression inventory in two diverse samples of LGBTQ youth. Archives of Sexual Behavior, 45, 1289–1298. doi:10.1007/s10508-016-0718-2Google Scholar
Szymanski, D. M., & Ikizler, A. S. (2013). Internalized heterosexism as a mediator in the relationship between gender role conflict, heterosexist discrimination, and depression among sexual minority men. Psychology of Men & Masculinity, 14. doi:10.1037/a0027787Google Scholar
Talley, A. E., Hughes, T. L., Aranda, F., Birkett, M., & Marshal, M. P. (2014). Exploring alcohol-use behaviors among heterosexual and sexual minority adolescents: Intersections with sex, age, and race/ethnicity. American Journal of Public Health, 104, 295–303. doi:10.2105/AJPH.2013.301627Google Scholar
Teasdale, B., & Bradley-Engen, M. S. (2010). Adolescent same-sex attraction and mental health: The role of stress and support. Journal of Homosexuality, 57, 287–309. doi:10.1080/00918360903489127Google Scholar
Whitbeck, L. B., Chen, X., Hoyt, D. R., Tyler, K. A., & Johnson, K. D. (2004). Mental disorder, subsistence strategies, and victimization among gay, lesbian, and bisexual homeless and runaway adolescents. Journal of Sex Research, 41, 329–342. doi:10.1080/00224490409552240Google Scholar
Whittle, S., Lichter, R., Dennison, M., Vijayakumar, N., Schwartz, O., Byrne, M. L., … Allen, N. B. (2014). Structural brain development and depression onset during adolescence: A prospective longitudinal study. American Journal of Psychiatry, 171, 564–571. doi:10.1176/appi.ajp.2013.13070920Google Scholar
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52, 30–41.Google Scholar
Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990). Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 55, 610–617.Google Scholar