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Sex, status, competition, and exclusion: Intraminority stress from within the gay community and gay and bisexual men's mental health.

John E PachankisKirsty A ClarkCharles L BurtonJaclyn M White HughtoRichard BränströmDanya E Keene
Published in: Journal of personality and social psychology (2020)
Gay and bisexual men might face unique, status-based competitive pressures given that their social and sexual relationships often occur with other men, who are known to compete for social and sexual gain. In a multistage study, we delineated intraminority gay community stress theory-that status-focused elements of the gay community challenge the mental health of gay and bisexual men. We first created a measure of gay community stress with items derived from qualitative interviewing (n = 49); calculated its psychometric properties, including 1-year temporal stability (n = 937); and confirmed its structural stability in distinct samples (n = 96; n = 1,413). Being stressed by perceiving the gay community's focus on sex, focus on status, focus on competition, and exclusion of diversity predicted gay and bisexual men's mental health over-and-above a comprehensive battery of traditional minority stressors (β = .17, p < .01) and mediated the association between one's gay community status and mental health. To examine the impact of individual differences in status concerns (i.e., about masculinity, attractiveness, and wealth) on gay and bisexual men's feelings of within-community exclusion, a series of experiments manipulated (a) the sexual orientation (gay vs. heterosexual) of rejecters (n = 103), (b) the social status of gay rejecters (n = 83), and (c) whether rejection from gay and bisexual rejecters was status-based or nonstatus-based (n = 252). Overall, these experiments provide partial support for the possibility that gay and bisexual men's status concerns underlie their experience of gay community stress. Together, these studies advance psychological and sociological accounts of gay and bisexual men's mental health beyond minority stress theory, with implications for intervention. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Keyphrases
  • men who have sex with men
  • mental health
  • hiv positive
  • hiv testing
  • healthcare
  • mental illness
  • south africa
  • randomized controlled trial
  • middle aged
  • physical activity
  • systematic review
  • depressive symptoms