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Article

The Impact of Emotional Symptoms and Family Support on the Association Between Homophobic Bullying and Sedative/Hypnotic Use among Gay and Bisexual Men in Taiwan: A Moderated Mediation Model

1
Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, 100 Tzyou 1st Road, Kaohsiung 80708, Taiwan
2
Department of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, 130, Kaisyuan 2nd Road, Lingya District., Kaohsiung City 80276, Taiwan
3
School of Nursing, The State University of New York, University at Buffalo, 12 Capen Hall, Buffalo, New York, NY 14260-1660, USA
4
Department of Healthcare Administration, Asia University, 500, Liufeng Road Wufeng District, Taichung 41354, Taiwan
5
Department of Psychology, Asia University, 500, Liufeng Road Wufeng District, Taichung 41354, Taiwan
6
Department of Psychiatry, Kaohsiung Medical University Hospital, 100 Tzyou 1st Road, Kaohsiung 80708, Taiwan
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(11), 3870; https://doi.org/10.3390/ijerph17113870
Received: 4 May 2020 / Revised: 22 May 2020 / Accepted: 28 May 2020 / Published: 29 May 2020
(This article belongs to the Special Issue Health Inequalities and Social Support among LGBT + Populations)
Sedative/hypnotic use and homophobic bullying have become a big mental health concern for gay and bisexual men. However, few studies have investigated the mediators and moderators of the association between them. The current study aimed to build a conceptual model to estimate the mediating effect of emotional symptoms and the moderating effect of family support on this association among gay and bisexual men in Taiwan. A total of 500 gay or bisexual men were recruited for the study. Their history of homophobic bullying, their experience of sedative/hypnotic use, their perceived family support, and their current emotional symptoms were evaluated using self-reporting questionnaires. A moderated mediation model was developed to test the mediating effect of emotional symptoms and the moderating effect of family support. A higher level of homophobic bullying was significantly associated with sedative/hypnotic use among gay and bisexual men and this was mediated by a higher severity of emotional symptoms. A moderating effect of family support was identified, wherein the mediating effect of emotional symptoms was weaker when there was a higher level of perceived family support, thus revealing the protective effect of family support. The significant impact of emotional symptoms and family support on the association between homophobic bullying and sedative/hypnotic use was identified. Timely interventions for emotional symptoms and the enhancement of family support are crucial for gay and bisexual men. View Full-Text
Keywords: sexual minority; sedative/hypnotic; family support; emotional symptoms; homophobic bullying sexual minority; sedative/hypnotic; family support; emotional symptoms; homophobic bullying
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MDPI and ACS Style

Li, D.-J.; Chang, Y.-P.; Chen, Y.-L.; Yen, C.-F. The Impact of Emotional Symptoms and Family Support on the Association Between Homophobic Bullying and Sedative/Hypnotic Use among Gay and Bisexual Men in Taiwan: A Moderated Mediation Model. Int. J. Environ. Res. Public Health 2020, 17, 3870. https://doi.org/10.3390/ijerph17113870

AMA Style

Li D-J, Chang Y-P, Chen Y-L, Yen C-F. The Impact of Emotional Symptoms and Family Support on the Association Between Homophobic Bullying and Sedative/Hypnotic Use among Gay and Bisexual Men in Taiwan: A Moderated Mediation Model. International Journal of Environmental Research and Public Health. 2020; 17(11):3870. https://doi.org/10.3390/ijerph17113870

Chicago/Turabian Style

Li, Dian-Jeng, Yu-Ping Chang, Yi-Lung Chen, and Cheng-Fang Yen. 2020. "The Impact of Emotional Symptoms and Family Support on the Association Between Homophobic Bullying and Sedative/Hypnotic Use among Gay and Bisexual Men in Taiwan: A Moderated Mediation Model" International Journal of Environmental Research and Public Health 17, no. 11: 3870. https://doi.org/10.3390/ijerph17113870

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