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Article

Relationships of Sexual Orientation Microaggression with Anxiety and Depression among Lesbian, Gay, and Bisexual Taiwanese Youth: Self-Identity Disturbance Mediates but Gender Does Not Moderate the Relationships

1
Department of Medical Research, E-Da Hospital, Kaohsiung 82445, Taiwan
2
Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong RM543, China
3
Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
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Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
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Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
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Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
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Department of Psychiatry, School of Medicine College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
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Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
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College of Professional Studies, National Pingtung University of Science and Technology, Pingtung 91201, Taiwan
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International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham NG1 4FQ, UK
11
Department of Nursing, School of Health and Welfare, Jönköping University, 55318 Jönköping, Sweden
*
Authors to whom correspondence should be addressed.
Academic Editors: Igor Grabovac and Lee Smith
Int. J. Environ. Res. Public Health 2021, 18(24), 12981; https://doi.org/10.3390/ijerph182412981
Received: 12 November 2021 / Revised: 7 December 2021 / Accepted: 8 December 2021 / Published: 9 December 2021
(This article belongs to the Special Issue Health and Well-Being in Vulnerable Communities)
The aims of this cross-sectional survey study were to examine the association between sexual orientation microaggression and anxiety and depression among young adult lesbian, gay, and bisexual (LGB) individuals in Taiwan, as well as to examine the mediating effect of self-identity disturbance and the moderating effect of gender. In total, 1000 self-identified LGB individuals participated in the study. The experience of sexual orientation microaggression was assessed using the Sexual Orientation Microaggression Inventory, self-identity disturbance was assessed using the Self-Concept and Identity Measure, anxiety was assessed using the State subscale on the Chinese version of the State-Trait Anxiety Inventory, and depression was assessed using the Center for Epidemiological Studies-Depression Scale. Structural equation modeling (SEM) was used to examine relationships between the variables. The SEM results demonstrated that sexual orientation microaggression was directly associated with increased anxiety and depression, as well as being indirectly associated with increased anxiety and depression via the mediation of self-identity disturbance among young adult LGB individuals. Gender did not moderate the relationships between any of the variables. Both sexual orientation microaggression and self-identity disturbance warrant program interventions for enhancing mental health among LGB individuals. View Full-Text
Keywords: microaggression; self-identity disturbance; anxiety; psychological well-being; sexual orientation microaggression; self-identity disturbance; anxiety; psychological well-being; sexual orientation
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MDPI and ACS Style

Chen, J.-S.; Huang, Y.-T.; Lin, C.-Y.; Yen, C.-F.; Griffiths, M.D.; Pakpour, A.H. Relationships of Sexual Orientation Microaggression with Anxiety and Depression among Lesbian, Gay, and Bisexual Taiwanese Youth: Self-Identity Disturbance Mediates but Gender Does Not Moderate the Relationships. Int. J. Environ. Res. Public Health 2021, 18, 12981. https://doi.org/10.3390/ijerph182412981

AMA Style

Chen J-S, Huang Y-T, Lin C-Y, Yen C-F, Griffiths MD, Pakpour AH. Relationships of Sexual Orientation Microaggression with Anxiety and Depression among Lesbian, Gay, and Bisexual Taiwanese Youth: Self-Identity Disturbance Mediates but Gender Does Not Moderate the Relationships. International Journal of Environmental Research and Public Health. 2021; 18(24):12981. https://doi.org/10.3390/ijerph182412981

Chicago/Turabian Style

Chen, Jung-Sheng, Yu-Te Huang, Chung-Ying Lin, Cheng-Fang Yen, Mark D. Griffiths, and Amir H. Pakpour. 2021. "Relationships of Sexual Orientation Microaggression with Anxiety and Depression among Lesbian, Gay, and Bisexual Taiwanese Youth: Self-Identity Disturbance Mediates but Gender Does Not Moderate the Relationships" International Journal of Environmental Research and Public Health 18, no. 24: 12981. https://doi.org/10.3390/ijerph182412981

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