Skip to main content
Top
Published in: Prevention Science 1/2014

01-02-2014

Minority Stress Experiences and Psychological Well-Being: The Impact of Support from and Connection to Social Networks Within the Los Angeles House and Ball Communities

Authors: Carolyn F. Wong, Sheree M. Schrager, Ian W. Holloway, Ilan H. Meyer, Michele D. Kipke

Published in: Prevention Science | Issue 1/2014

Login to get access

Abstract

African American young men who have sex with men (AAYMSM) from the House and Ball communities are at high risk for HIV infection. Because these communities are not only sources of risk but also support for AAYMSM, researchers must also consider the resources these communities possess. This knowledge will assist in the formulation of more effective prevention strategies and intervention approaches. Using minority stress theory as a framework, the current study illustrates the impact minority stress has on the psychological well-being of a sample of MSM from the Los Angeles House and Ball communities and investigates how these factors affect the relationship between minority stress and psychological well-being. Surveys were administered to participants over the course of a year. Structural equation modeling was used to estimate a model of the associations between minority stressors, support, connection to social network, and psychological well-being/distress (N = 233). The results indicated significant associations between different sources of minority stress, including distal minority stress (e.g., racism, homophobia), gay identification, and internalized homophobia. Minority stressors were in turn significantly associated with greater distress. However, greater instrumental support significantly reduced the effects of distal minority stress on distress. Greater connection to social network also significantly reduced stress associated with gay identification on distress. The findings captured the diverse sources of minority stress faced by this population and how these stressors are interrelated to impact mental health. The results also illustrate how support from and connection to social networks can reduce the negative impact of minority stress experiences.
Literature
go back to reference Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage. Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
go back to reference Arnold, E. A., & Bailey, M. M. (2009). Constructing home and family: How the ballroom community supports African American GLBTQ youth in the face of HIV/AIDS. Journal of Gay & Lesbian Social Services: Issues in Practice, Policy & Research, 21, 171–188.CrossRef Arnold, E. A., & Bailey, M. M. (2009). Constructing home and family: How the ballroom community supports African American GLBTQ youth in the face of HIV/AIDS. Journal of Gay & Lesbian Social Services: Issues in Practice, Policy & Research, 21, 171–188.CrossRef
go back to reference Benjamini, Y. & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of Royal Statistical Society, Series B, 57, 289–300. Benjamini, Y. & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of Royal Statistical Society, Series B, 57, 289–300.
go back to reference Brady, S. S., Dolcini, M. M., Harper, G. W., & Pollack, L. M. (2009). Supportive friendships moderate the association between stressful life events and sexual risk taking among African American adolescents. Health Psychology, 28, 238–248.PubMedCentralCrossRefPubMed Brady, S. S., Dolcini, M. M., Harper, G. W., & Pollack, L. M. (2009). Supportive friendships moderate the association between stressful life events and sexual risk taking among African American adolescents. Health Psychology, 28, 238–248.PubMedCentralCrossRefPubMed
go back to reference Bruce, D., & Harper, G. W. (2011). Operating without a safety net: Gay male adolescents and emerging adults’ experiences of marginalization and migration, and implications for theory of syndemic production of health disparities. Health Education and Behavior, 38, 367–378.PubMedCentralCrossRefPubMed Bruce, D., & Harper, G. W. (2011). Operating without a safety net: Gay male adolescents and emerging adults’ experiences of marginalization and migration, and implications for theory of syndemic production of health disparities. Health Education and Behavior, 38, 367–378.PubMedCentralCrossRefPubMed
go back to reference Carballo-Dieguez, A., & Dolezal, C. (1995). Association between history of childhood sexual abuse and adult HIV-risk sexual behavior in Puerto Rican men who have sex with men. Child Abuse and Neglect, 19, 595–605.CrossRefPubMed Carballo-Dieguez, A., & Dolezal, C. (1995). Association between history of childhood sexual abuse and adult HIV-risk sexual behavior in Puerto Rican men who have sex with men. Child Abuse and Neglect, 19, 595–605.CrossRefPubMed
go back to reference Clatts, M. C., Goldsamt, L. A., Yi, H., & Gwadz, M. V. (2005). Homelessness and drug abuse among young men who have sex with men in New York City: A preliminary epidemiological trajectory. Journal of Adolescence, 28, 201–214.PubMedCentralCrossRefPubMed Clatts, M. C., Goldsamt, L. A., Yi, H., & Gwadz, M. V. (2005). Homelessness and drug abuse among young men who have sex with men in New York City: A preliminary epidemiological trajectory. Journal of Adolescence, 28, 201–214.PubMedCentralCrossRefPubMed
go back to reference Cox, N., Vanden Berghe, W., Dewaele, A., & Vincke, J. (2010). Acculturation strategies and mental health in gay, lesbian, and bisexual youth. Journal of Youth and Adolescence, 39, 1199–1210.CrossRefPubMed Cox, N., Vanden Berghe, W., Dewaele, A., & Vincke, J. (2010). Acculturation strategies and mental health in gay, lesbian, and bisexual youth. Journal of Youth and Adolescence, 39, 1199–1210.CrossRefPubMed
go back to reference Díaz, R. M. (1998). Latino gay men and HIV: Culture, sexuality, and risk behavior. New York: Routledge. Díaz, R. M. (1998). Latino gay men and HIV: Culture, sexuality, and risk behavior. New York: Routledge.
go back to reference Díaz, R. M., & Ayala, G. (2001). Social discrimination and health: The case of Latino gay men and HIV risk: The Policy Institute of the National Gay and Lesbian Task Force. Díaz, R. M., & Ayala, G. (2001). Social discrimination and health: The case of Latino gay men and HIV risk: The Policy Institute of the National Gay and Lesbian Task Force.
go back to reference Díaz, R. M., Ayala, G., Bein, E., Henne, J., & Marin, B. V. (2001). The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: Findings from 3 US cities. American Journal of Public Health, 91, 927–932. Díaz, R. M., Ayala, G., Bein, E., Henne, J., & Marin, B. V. (2001). The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: Findings from 3 US cities. American Journal of Public Health, 91, 927–932.
go back to reference Doty, N. D., Willoughby, B. L., Lindahl, K. M., & Malik, N. M. (2010). Sexuality related social support among lesbian, gay, and bisexual youth. Journal of Youth and Adolescence, 39, 1134–1147.CrossRefPubMed Doty, N. D., Willoughby, B. L., Lindahl, K. M., & Malik, N. M. (2010). Sexuality related social support among lesbian, gay, and bisexual youth. Journal of Youth and Adolescence, 39, 1134–1147.CrossRefPubMed
go back to reference Dragowski, E. A., Halkitis, P. N., Grossman, A. H., & D’Augelli, A. R. (2011). Sexual orientation victimization and posttraumatic stress symptoms among lesbian, gay, and bisexual youth. Journal of Gay and Lesbian Social Services: The Quarterly Journal of Community & Clinical Practice, 23, 226–249.CrossRef Dragowski, E. A., Halkitis, P. N., Grossman, A. H., & D’Augelli, A. R. (2011). Sexual orientation victimization and posttraumatic stress symptoms among lesbian, gay, and bisexual youth. Journal of Gay and Lesbian Social Services: The Quarterly Journal of Community & Clinical Practice, 23, 226–249.CrossRef
go back to reference Fields, S. D., Malebranche, D., & Feist-Price, S. (2008). Childhood sexual abuse in black men who have sex with men: Results from three qualitative studies. Cultural Diversity and Ethnic Minority Psychology, 14, 385–390.CrossRefPubMed Fields, S. D., Malebranche, D., & Feist-Price, S. (2008). Childhood sexual abuse in black men who have sex with men: Results from three qualitative studies. Cultural Diversity and Ethnic Minority Psychology, 14, 385–390.CrossRefPubMed
go back to reference Ford, W., Weiss, G., Kipke, M. D., Ritt-Olson, A., Iverson, E., & Lopez, D. (2010). The healthy young men’s study: Sampling methods for enrolling a cohort of young men who have sex with men. Journal of Gay and Lesbian Social Services: Issues in practice, policy and research., 21, 357–373.CrossRef Ford, W., Weiss, G., Kipke, M. D., Ritt-Olson, A., Iverson, E., & Lopez, D. (2010). The healthy young men’s study: Sampling methods for enrolling a cohort of young men who have sex with men. Journal of Gay and Lesbian Social Services: Issues in practice, policy and research., 21, 357–373.CrossRef
go back to reference Hightow-Weidman, L. B., Phillips, G., Jones, K. C., Outlaw, A. Y., Fields, S. D., & Smith, J. C. (2011). Racial and sexual identity-related maltreatment among minority YMSM: Prevalence, perceptions, and the association with emotional distress. AIDS Patient Care and STDs, 25, S39–S45.CrossRefPubMed Hightow-Weidman, L. B., Phillips, G., Jones, K. C., Outlaw, A. Y., Fields, S. D., & Smith, J. C. (2011). Racial and sexual identity-related maltreatment among minority YMSM: Prevalence, perceptions, and the association with emotional distress. AIDS Patient Care and STDs, 25, S39–S45.CrossRefPubMed
go back to reference Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef
go back to reference Kertzner, R. M., Meyer, I. H., Frost, D. M., & Stirratt, M. J. (2009). Social and psychological well-being in lesbians, gay men, and bisexuals: The effects of race, gender, age, and sexual identity. American Journal of Orthopsychiatry, 79, 500–510.PubMedCentralCrossRefPubMed Kertzner, R. M., Meyer, I. H., Frost, D. M., & Stirratt, M. J. (2009). Social and psychological well-being in lesbians, gay men, and bisexuals: The effects of race, gender, age, and sexual identity. American Journal of Orthopsychiatry, 79, 500–510.PubMedCentralCrossRefPubMed
go back to reference Kipke, M. D., Kubicek, K., Supan, J., Weiss, G., & Schrager, S. M. (2012). Laying the groundwork for an HIV prevention intervention: A descriptive profile of the Los Angeles House and Ball Communities. AIDS and Behavior. doi:10.1007/s10461-012-0227-9. Kipke, M. D., Kubicek, K., Supan, J., Weiss, G., & Schrager, S. M. (2012). Laying the groundwork for an HIV prevention intervention: A descriptive profile of the Los Angeles House and Ball Communities. AIDS and Behavior. doi:10.​1007/​s10461-012-0227-9.
go back to reference Kline, R. B. (2004). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford. Kline, R. B. (2004). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford.
go back to reference Kubicek, K., McNeeley, M., Holloway, I. W., Weiss, G., & Kipke, M. D. (2012). “It’s like our own little world”: Resilience as a factor in participating in the Ballroom community subculture. AIDS and Behavior. doi:10.1007/s10461-012-0205-2. Kubicek, K., McNeeley, M., Holloway, I. W., Weiss, G., & Kipke, M. D. (2012). “It’s like our own little world”: Resilience as a factor in participating in the Ballroom community subculture. AIDS and Behavior. doi:10.​1007/​s10461-012-0205-2.
go back to reference Marks, G., Millett, G. A., Bingham, T. A., Bond, L., Lauby, J., Liau, A., et al. (2009). Understanding differences in HIV sexual transmission among Latino and Black men who have sex with men: The Brothers y Hermanos Study. AIDS and Behavior, 13, 682–690.CrossRefPubMed Marks, G., Millett, G. A., Bingham, T. A., Bond, L., Lauby, J., Liau, A., et al. (2009). Understanding differences in HIV sexual transmission among Latino and Black men who have sex with men: The Brothers y Hermanos Study. AIDS and Behavior, 13, 682–690.CrossRefPubMed
go back to reference McCallum, C., & McLaren, S. (2011). Sense of belonging and depressive symptoms among GLB adolescents. Journal of Homosexuality, 58, 83–96.CrossRefPubMed McCallum, C., & McLaren, S. (2011). Sense of belonging and depressive symptoms among GLB adolescents. Journal of Homosexuality, 58, 83–96.CrossRefPubMed
go back to reference Melchior, L. A., Huba, G. J., Brown, V. B., & Reback, C. J. (1993). A short depression index for women. Educational and psychological measurement. Educational and Psychological Measurement, 53, 1117–1125.CrossRef Melchior, L. A., Huba, G. J., Brown, V. B., & Reback, C. J. (1993). A short depression index for women. Educational and psychological measurement. Educational and Psychological Measurement, 53, 1117–1125.CrossRef
go back to reference 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.PubMedCentralCrossRefPubMed 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.PubMedCentralCrossRefPubMed
go back to reference Meyer, I. H., Schwartz, S., & Frost, D. M. (2008). Social patterning of stress and coping: Does disadvantaged social status confer more stress and fewer coping resources? Social Science & Medicine, 67, 368–379.CrossRef Meyer, I. H., Schwartz, S., & Frost, D. M. (2008). Social patterning of stress and coping: Does disadvantaged social status confer more stress and fewer coping resources? Social Science & Medicine, 67, 368–379.CrossRef
go back to reference Murrill, C. S., Liu, K.-l., Guilin, V., Colón, E. R., Dean, L., Buckley, L. A., et al. (2008). HIV prevalence and associated risk behaviors in New York City’s house ball community. American Journal of Public Health, 98, 1074–1080. Murrill, C. S., Liu, K.-l., Guilin, V., Colón, E. R., Dean, L., Buckley, L. A., et al. (2008). HIV prevalence and associated risk behaviors in New York City’s house ball community. American Journal of Public Health, 98, 1074–1080.
go back to reference Mustanski, B. S., Garofalo, R., & Emerson, E. M. (2010). Mental health disorders, psychological distress, and suicidality in a diverse sample of lesbian, gay, bisexual, and transgender youths. American Journal of Public Health, 100, 2426–2432.PubMedCentralCrossRefPubMed Mustanski, B. S., Garofalo, R., & Emerson, E. M. (2010). Mental health disorders, psychological distress, and suicidality in a diverse sample of lesbian, gay, bisexual, and transgender youths. American Journal of Public Health, 100, 2426–2432.PubMedCentralCrossRefPubMed
go back to reference Muthén, L. K., & Muthén, B. O. (1998–2011). Mplus user’s guide (6th Ed.). Los Angeles, CA: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (1998–2011). Mplus user’s guide (6th Ed.). Los Angeles, CA: Muthén & Muthén.
go back to reference Needham, B. L., & Austin, E. L. (2010). Sexual orientation, parental support, and health during the transition to young adulthood. Journal of Youth and Adolescence, 39, 1189–1198.CrossRefPubMed Needham, B. L., & Austin, E. L. (2010). Sexual orientation, parental support, and health during the transition to young adulthood. Journal of Youth and Adolescence, 39, 1189–1198.CrossRefPubMed
go back to reference Phillips, G., Peterson, J., Binson, D., Hidalgo, J., & Magnus, M. (2011). House/ball culture and adolescent African-American transgender persons and men who have sex with men: A synthesis of the literature. AIDS Care, 23, 515–520.CrossRefPubMed Phillips, G., Peterson, J., Binson, D., Hidalgo, J., & Magnus, M. (2011). House/ball culture and adolescent African-American transgender persons and men who have sex with men: A synthesis of the literature. AIDS Care, 23, 515–520.CrossRefPubMed
go back to reference Poteat, V. P., Mereish, E. H., DiGiovanni, C. D., & Koenig, B. W. (2011). The effects of general and homophobic victimization on adolescents’ psychosocial and educational concerns: The importance of intersecting identities and parent support. Journal of Counseling Psychology, 58, 597–609.CrossRefPubMed Poteat, V. P., Mereish, E. H., DiGiovanni, C. D., & Koenig, B. W. (2011). The effects of general and homophobic victimization on adolescents’ psychosocial and educational concerns: The importance of intersecting identities and parent support. Journal of Counseling Psychology, 58, 597–609.CrossRefPubMed
go back to reference Ross, M. W., & Simon Rosser, B. R. (1996). Measurement and correlates of internalized homophobia: A factor analytic study. Journal of Clinical Psychology, 52, 15–21.CrossRefPubMed Ross, M. W., & Simon Rosser, B. R. (1996). Measurement and correlates of internalized homophobia: A factor analytic study. Journal of Clinical Psychology, 52, 15–21.CrossRefPubMed
go back to reference Ryan, C., Russell, S. T., Huebner, D., Diaz, R., & Sanchez, J. (2010). Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing, 23, 205–213.CrossRefPubMed Ryan, C., Russell, S. T., Huebner, D., Diaz, R., & Sanchez, J. (2010). Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing, 23, 205–213.CrossRefPubMed
go back to reference Sanchez, T., Finlayson, T., Murrill, C., Guilin, V., & Dean, L. (2010). Risk behaviors and psychosocial stressors in the New York City house ball community: A comparison of men and transgender women who have sex with men. AIDS and Behavior, 14, 351–358.CrossRefPubMed Sanchez, T., Finlayson, T., Murrill, C., Guilin, V., & Dean, L. (2010). Risk behaviors and psychosocial stressors in the New York City house ball community: A comparison of men and transgender women who have sex with men. AIDS and Behavior, 14, 351–358.CrossRefPubMed
go back to reference Shilo, G., & Savaya, R. (2011). Effects of family and friend support on LGB youths’ mental health and sexual orientation milestones. Family Relations, 60, 318–330.CrossRef Shilo, G., & Savaya, R. (2011). Effects of family and friend support on LGB youths’ mental health and sexual orientation milestones. Family Relations, 60, 318–330.CrossRef
go back to reference Spencer, S. M., & Patrick, J. H. (2009). Social support and personal mastery as protective resources during emerging adulthood. Journal of Adult Development, 16, 191–198.CrossRef Spencer, S. M., & Patrick, J. H. (2009). Social support and personal mastery as protective resources during emerging adulthood. Journal of Adult Development, 16, 191–198.CrossRef
go back to reference Sterling, T. R., Stanley, R. L., & Thompson, D. (2000). HIV-related tuberculosis in a transgender network—Baltimore, Maryland, and New York City area, 1998–2000. Morbidity and Mortality Weekly Report, 49, 317–320. Sterling, T. R., Stanley, R. L., & Thompson, D. (2000). HIV-related tuberculosis in a transgender network—Baltimore, Maryland, and New York City area, 1998–2000. Morbidity and Mortality Weekly Report, 49, 317–320.
go back to reference Ullman, J. B., & Bentler, P. M. (2004). Structural equation modeling. In M. Hardy & A. Bryman (Eds.), Handbook of data analysis (pp. 431–458). Thousand Oaks, CA: Sage.CrossRef Ullman, J. B., & Bentler, P. M. (2004). Structural equation modeling. In M. Hardy & A. Bryman (Eds.), Handbook of data analysis (pp. 431–458). Thousand Oaks, CA: Sage.CrossRef
go back to reference Washington, P. (2001). Who gets to drink from the fountain of freedom? Homophobia in communities of color. Journal of Gay & Lesbian Social Services: Issues in Practice, Policy & Research, 13, 117–131.CrossRef Washington, P. (2001). Who gets to drink from the fountain of freedom? Homophobia in communities of color. Journal of Gay & Lesbian Social Services: Issues in Practice, Policy & Research, 13, 117–131.CrossRef
go back to reference Wong, C. F., Weiss, G., Ayala, G., & Kipke, M. D. (2010). Harassment, discrimination, violence, and illicit drug use among YMSM. AIDS Education and Prevention, 22, 286–298.PubMedCentralCrossRefPubMed Wong, C. F., Weiss, G., Ayala, G., & Kipke, M. D. (2010). Harassment, discrimination, violence, and illicit drug use among YMSM. AIDS Education and Prevention, 22, 286–298.PubMedCentralCrossRefPubMed
go back to reference Young, S. D., Shoptaw, S., Weiss, R. E., Munjas, B., & Gorbach, P. M. (2011). Predictors of unrecognized HIV infection among poor and ethnic men who have sex with men in Los Angeles. AIDS and Behavior, 15, 643–649.PubMedCentralCrossRefPubMed Young, S. D., Shoptaw, S., Weiss, R. E., Munjas, B., & Gorbach, P. M. (2011). Predictors of unrecognized HIV infection among poor and ethnic men who have sex with men in Los Angeles. AIDS and Behavior, 15, 643–649.PubMedCentralCrossRefPubMed
Metadata
Title
Minority Stress Experiences and Psychological Well-Being: The Impact of Support from and Connection to Social Networks Within the Los Angeles House and Ball Communities
Authors
Carolyn F. Wong
Sheree M. Schrager
Ian W. Holloway
Ilan H. Meyer
Michele D. Kipke
Publication date
01-02-2014
Publisher
Springer US
Published in
Prevention Science / Issue 1/2014
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-012-0348-4

Other articles of this Issue 1/2014

Prevention Science 1/2014 Go to the issue