Minority stress among lesbian, gay, bisexual, and transgender (LGBT) university students in ASEAN countries: associations with poor mental health and addictive behavior
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at firstname.lastname@example.org.
The goal of the study was to examine health indicators in relation to lesbian, gay, bisexual and transgender (LGBT) among university students in five ASEAN countries (Indonesia, Malaysia, Myanmar, Thailand, and Vietnam). In a cross-sectional survey randomly selected 3262 undergraduate university students (Mean age=20.5 years, SD=1.6) responded to a questionnaire including health indicators, gender identity and sexual orientation. Five percent (153/3262) of eligible participants considered themselves as LGBT youths; 23.5% of them were severely depressed, 31.4% had PTSD symptoms, 40% had suicidal ideation, 35.3% had made a suicide attempt, 28.6% were hazardous or harmful alcohol users, 14.0% had used illicit drugs in the past 12 months, and 46.4% engaged in pathological internet use. LGBT identity predicted severe depression (AOR 2.8, 95% CI 1.9, 4.3), suicide attempt (AOR 2.8, 95% CI 1.1, 2.9), hazardous or harmful alcohol use (AOR 1.7, 95% 1.1, 2.5), illicit drug use (AOR 2.4, 95% CI 1.4, 4.0), and pathological internet use (AOR 1.5, 95% CI 1.1, 2.1), adjusting for age, sex, study year, martial status, religion, subjective economic status, social support, and country. The study confirmed sexual and gender mental health disparity. LGBT university students should be prioritized for mental health and addictive behaviour prevention and intervention.
Related Research Outputs:
- Somewhere over the rainbow nation: gay, lesbian and bisexual activism in South Africa
- Forced sexual experiences as risk factor for self-reported HIV infection among southern African lesbian and bisexual women
- 'The best interests of the child': reflecting on the family and the law as sites of oppressive hetero-socialisation
- Gender nonconformity, discrimination, and mental health among black South African men who have sex with men: a further exploration of unexpected findings
- South African lesbian and bisexual women's experiences of violence: implications for an HIV response
- HIV risk among men who have sex with men, women who have sex with women, lesbian, gay, bisexual and transgender populations in South Africa: a mini-review
- Measurements of sexuality-based stigma among gay, bisexual, and other men who have sex with men (GBMSM) in resource-poor settings: a review
- Do healthcare systems in South Africa provide for the healthcare needs of gay, lesbian & transgender populations?
- 'This revolution has women, lesbians and gays, queers and trans bodies. Remember that!'
- Preventive health behavior, personality and religiosity among black and white South Africans
- The imagined future for gays and lesbians in South Africa: is this it?
- The same-sex marriage complex in South Africa: some conceptual, gendered and rights-based interpretations
- Stigma and discrimination experiences of HIV-positive men who have sex with men in Cape Town, South Africa
- HIV testing and self-reported HIV status in South African men who have sex with men: results from a community-based survey
- Taking research and prevention forward
- Methodological and ethical challenges in conducting behavioural and HIV surveillance among men who have sex with men (MSM) in South Africa
- Researching MSM in South Africa: some preliminary notes from the frontlines of a hidden epidemic
- Stress, substance use and sexual risk behaviors among primary care patients in Cape Town, South Africa
- The Johannesburg/eThewkini Men's Study (JEMS): a rapid assessment of the HIV epidemic among men who have sex with men (MSM) in South Africa: technical report