Matching Items (2)
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- All Subjects: Physical Health
- Creators: Cerezo, Alison
Description
Latinx sexual minority adults experience diverse types of discrimination, including heterosexism and ethnic/racial discrimination, which may contribute to worse physical health. Yet little research has examined how intersectional forms of discrimination, for example, discrimination within another marginalized community contribute to physical health. Greater experiences of discrimination can lead to greater psychological distress which may then exacerbate physical symptoms. It was hypothesized that the association between intersecting forms of discrimination and physical symptom severity would be mediated by psychological distress. Participants (N = 369) identified as Latinx/Hispanic/Latino and as a sexual or gender minority. Data were collected via a self-report web-based survey. Using structural equation modeling, this study tested two theory-informed structure equation models (SEM) proposing pathways between perceived general and within-group discrimination (i.e., Model 1 = racism and racism within LGBTQ+ community; Model 2 = heterosexism and heterosexism within ethnic/racial community), psychological distress (i.e., anxiety and depression), and physical symptom severity. Both structural models demonstrated good fit to the data. As hypothesized, heterosexist discrimination (β = .184, p = .007) and racist discrimination (β = .284, p = .001) significantly predicted higher physical symptom severity in their respective models. Depression symptoms significantly mediated the association between ethnic/racial discrimination and physical symptom severity (β = .189, p = .003). Similarly, greater frequency of heterosexism within one’s ethnic/racial community was indirectly related with worse physical symptoms severity via depression (β = .200, p = .002). No other indirect effects were significant. Findings from this study support that Latinx sexual minority adults may be at risk for discrimination from outside and within their own minority groups which has detrimental effects on health. Noteworthy, depressive symptoms appeared to mediate the effects of heterosexism in one’s ethnic/racial group on physical symptoms. These results highlight how overlapping forms of stigma have differential effects on health via psychological distress. These findings have important clinical and scientific implications in understanding how overlapping forms of discrimination affect health among Latinx sexual minority adults.
ContributorsRenteria, Roberto (Author) / Capielo Rosario, Cristalís (Thesis advisor) / Cerezo, Alison (Committee member) / Dillon, Frank (Committee member) / Arizona State University (Publisher)
Created2022
Description
A sense of closeness (or intimacy) is important in nearly every relationship in life, whether it is within friendships, family, or romantic relationships. In the current thesis, intimacy is measured within four specific dimensions: emotional, physical, intellectual and spiritual. Research shows that intimate relationships have been linked to mental and physical health outcomes. In addition, there is a novel explanation for the link between intimacy and health through rumination and sleep quality. The current study examined 2 primary aims: 1) to examine the relationship between intimacy and depression ; 2) to assess the role of intimacy, rumination and sleep quality on mental and on physical health. Results for Aim 1 suggest that there is a link between intimacy and both depression and physical health; where the higher the intimacy the lower the depression and the better physical health. For Aim 2, results indicated that there was a significant serial relationship between intimacy, rumination, sleep quality and both depression and physical health; where in the first model, higher intimacy predicted less rumination, better sleep quality, and lower depression; and, in the second model higher intimacy predicted less rumination, better sleep quality and higher physical health. The current study suggests that intimacy does have its own distinct contributions to health outcomes and that rumination and sleep quality do have a implication on intimate relationships.
ContributorsShehadeh, Karima Khalil (Author) / Mickelson, Kristin M (Thesis advisor) / Vargas, Perla (Committee member) / Hall, Deborah (Committee member) / Arizona State University (Publisher)
Created2020