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<p>Structural stigma, which includes policies and attitudes that mark minorities for discrimination, contributes to sexual minority adolescents’ (SMA) stress and mental health disparities, yet the relative contributions of county- vs. state-level stigma remain unknown. This study examined how structural stigma affects SMA exposure to minority stress and mental health symptoms with a U.S. national sample of SMA (<i>N</i> = 2,558, ages 14-17, <i>M</i> = 15.9), of whom 64.35% were cisgender designated female at birth and 48.28% were bisexual/pansexual. Researchers analyzed links between county- and state-level stigma with anxiety and depression symptoms and assessed whether minority stress mediated these associations. Minority stress significantly linked structural stigma to mental health symptoms. Adolescents in supportive counties and supportive states experienced fewer minority stressors and mental health symptoms compared to those in unsupportive counties of unsupportive states. Locally supportive counties and local action to address structural stigma may protect SMA mental health, even in otherwise unsupportive state contexts.</p>

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Associations between Local and State Structural Stigma, Minority stress, and Mental Health in a Nationwide Sample of Sexual Minority Adolescents

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月28日

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  • Rory P. O’Brien,
  • John R. Blosnich,
  • Julie A. Cederbaum,
  • Laura Ferguson,
  • Michael Hurlburt,
  • Dorian E. Traube,
  • Luis A. Parra,
  • Harmony Rhoades,
  • Sheree M. Schrager,
  • Jeremy T. Goldbach

摘要

Structural stigma, which includes policies and attitudes that mark minorities for discrimination, contributes to sexual minority adolescents’ (SMA) stress and mental health disparities, yet the relative contributions of county- vs. state-level stigma remain unknown. This study examined how structural stigma affects SMA exposure to minority stress and mental health symptoms with a U.S. national sample of SMA (N = 2,558, ages 14-17, M = 15.9), of whom 64.35% were cisgender designated female at birth and 48.28% were bisexual/pansexual. Researchers analyzed links between county- and state-level stigma with anxiety and depression symptoms and assessed whether minority stress mediated these associations. Minority stress significantly linked structural stigma to mental health symptoms. Adolescents in supportive counties and supportive states experienced fewer minority stressors and mental health symptoms compared to those in unsupportive counties of unsupportive states. Locally supportive counties and local action to address structural stigma may protect SMA mental health, even in otherwise unsupportive state contexts.