東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

FindBook

Google Book

Amazon

博客來

A Longitudinal Analysis of Chronic Stress, Substance Use, and Mental Health Among a Sample of Young Sexual Minority Men in New York City.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	A Longitudinal Analysis of Chronic Stress, Substance Use, and Mental Health Among a Sample of Young Sexual Minority Men in New York City./
作者:	Briganti, Michael.
面頁冊數:	1 online resource (156 pages)
附註:	Source: Dissertations Abstracts International, Volume: 84-08, Section: A.
Contained By:	Dissertations Abstracts International84-08A.
標題:	Public health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29991492click for full text (PQDT)
ISBN:	9798371969989

A Longitudinal Analysis of Chronic Stress, Substance Use, and Mental Health Among a Sample of Young Sexual Minority Men in New York City.
Briganti, Michael.

A Longitudinal Analysis of Chronic Stress, Substance Use, and Mental Health Among a Sample of Young Sexual Minority Men in New York City. - 1 online resource (156 pages)

Source: Dissertations Abstracts International, Volume: 84-08, Section: A.

Thesis (Ph.D.)--Rutgers The State University of New Jersey, School of Graduate Studies, 2023.

Includes bibliographical references

Sexual minority men (SMM) are at increased risk for psychosocial stressor exposure, substance use, and poor mental health relative to heterosexual men. While the burden of mental health and substance use is growing in the United States, among SMM these trends are increasing at a greater rate, driving already large health disparities. To better understand how psychosocial stressors drive disparities in substance use and mental health, this dissertation utilized an integrated framework built upon Meyer's Minority Stress Model and Hatzenbuehler's Psychological Mediation Framework. Data from seven timepoints over 36 months of a prospective cohort study of young SMM (n=528) were used to examine the extent to which stressors (stigma, discrimination, internalized homophobia, perceived stress) drive substance use (alcohol to intoxication, club drug, poly club drug) and poor mental health (anxiety, depression, PTSD), and how poor mental health impacts substance use. Using zero-inflated generalized linear mixed models, the differential impacts of stressors on the frequency of specific substance use and the severity of mental health symptomatology was observed, and how the severity of specific mental health outcomes drove the use of specific substances. By observing how these relationships differed by race, ethnicity, sexual identity, and SES, these analyses highlighted the social nature of substance use, and the challenges SMM face during young adulthood. Based on the findings from the primary analyses, a supplementary mediation analysis was conducted between perceived stress and substance use outcomes, to determine how depression and PTSD mediate these relationships. Overall, these findings support an increased need for public health interventions that target psychosocial stressors in order to address the growing mental health and substance use disparities among young SMM.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798371969989Subjects--Topical Terms:

534748
Public health.
Subjects--Index Terms:

Health disparitiesIndex Terms--Genre/Form:

542853
Electronic books.

A Longitudinal Analysis of Chronic Stress, Substance Use, and Mental Health Among a Sample of Young Sexual Minority Men in New York City.
LDR:03443nmm a2200433K 4500 001 2358522
005 20230814100739.5
006 m o d
007 cr mn ---uuuuu
008 241011s2023 xx obm 000 0 eng d
020 $a 9798371969989
035 $a (MiAaPQ)AAI29991492
035 $a AAI29991492
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Briganti, Michael. $3 3699056
245 1 2 $a A Longitudinal Analysis of Chronic Stress, Substance Use, and Mental Health Among a Sample of Young Sexual Minority Men in New York City.
264 0 $c 2023
300 $a 1 online resource (156 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 84-08, Section: A.
500 $a Advisor: Halkitis, Perry N.
502 $a Thesis (Ph.D.)--Rutgers The State University of New Jersey, School of Graduate Studies, 2023.
504 $a Includes bibliographical references
520 $a Sexual minority men (SMM) are at increased risk for psychosocial stressor exposure, substance use, and poor mental health relative to heterosexual men. While the burden of mental health and substance use is growing in the United States, among SMM these trends are increasing at a greater rate, driving already large health disparities. To better understand how psychosocial stressors drive disparities in substance use and mental health, this dissertation utilized an integrated framework built upon Meyer's Minority Stress Model and Hatzenbuehler's Psychological Mediation Framework. Data from seven timepoints over 36 months of a prospective cohort study of young SMM (n=528) were used to examine the extent to which stressors (stigma, discrimination, internalized homophobia, perceived stress) drive substance use (alcohol to intoxication, club drug, poly club drug) and poor mental health (anxiety, depression, PTSD), and how poor mental health impacts substance use. Using zero-inflated generalized linear mixed models, the differential impacts of stressors on the frequency of specific substance use and the severity of mental health symptomatology was observed, and how the severity of specific mental health outcomes drove the use of specific substances. By observing how these relationships differed by race, ethnicity, sexual identity, and SES, these analyses highlighted the social nature of substance use, and the challenges SMM face during young adulthood. Based on the findings from the primary analyses, a supplementary mediation analysis was conducted between perceived stress and substance use outcomes, to determine how depression and PTSD mediate these relationships. Overall, these findings support an increased need for public health interventions that target psychosocial stressors in order to address the growing mental health and substance use disparities among young SMM.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2023
538 $a Mode of access: World Wide Web
650 4 $a Public health. $3 534748
650 4 $a Mental health. $3 534751
650 4 $a Clinical psychology. $3 524863
650 4 $a LGBTQ studies. $3 2122706
650 4 $a Sexuality. $3 816197
653 $a Health disparities
653 $a Mental health
653 $a Public health
653 $a Sexual minority men
653 $a Stress
653 $a Substance use
655 7 $a Electronic books. $2 lcsh $3 542853
690 $a 0573
690 $a 0622
690 $a 0347
690 $a 0211
690 $a 0492
710 2 $a ProQuest Information and Learning Co. $3 783688
710 2 $a Rutgers The State University of New Jersey, School of Graduate Studies. $b Public Health. $3 3429572
773 0 $t Dissertations Abstracts International $g 84-08A.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29991492 $z click for full text (PQDT)