Conditions for Social Exclusion Leading to Distress Change in Chinese Lesbian, Gay, and Bisexual (LGB) People

Lesbian, gay, and bisexual (LGB) people are likely to be at risk of distress because of social exclusion, including the feelings of resentment, resistance, and rejection they might experience from society. Nevertheless, the conditions for social exclusion leading to changes in distress are empirically unclear, especially in Chinese LGB people. To examine these conditions, this study surveyed 303 Chinese LGB people in Taiwan, Hong Kong, and various places in Mainland China. For comparability with other LGB studies, the study did not explicitly identify asexual, demisexual, or pansexual people in the LGB group. Results show that the retrospective reporting of social exclusion in 2016 did not significantly and unconditionally predict levels of distress in 2017. However, the reporting of exclusion significantly predicted current distress when the retrospective report of distress in 2016 was high. These results from the stress–vulnerability model indicate that prior distress is a vulnerability condition that allows social exclusion to exert its stressful effect. This study implies the need to prevent the social exclusion of highly distressed LGB people.

[1]  Jianing You,et al.  Gender Differences in the Relationship Between Maladaptive Perfectionism, Negative Body Image, Anxiety, and Nonsuicidal Self-Injury in Chinese Lesbian, Gay, and Bisexual Populations , 2022, Sexuality Research and Social Policy.

[2]  Xinglin Zhou,et al.  Double hurt: The impact of interpersonal-level stigma on nonsuicidal self-injury among lesbian, gay, and bisexual individuals , 2022, Current Psychology.

[3]  J. Bailey It is Time to Stress Test the Minority Stress Model , 2021, Archives of Sexual Behavior.

[4]  N. Breen,et al.  Health‐Related Influences of Extending Marital Benefits to Same‐Sex Couples: Results From the California Health Interview Survey , 2020 .

[5]  William T. Hoyt,et al.  Cultural context matters: Testing the minority stress model among Chinese sexual minority men. , 2020, Journal of counseling psychology.

[6]  Randolph C. H. Chan,et al.  Relationship Between Religion and Non-Heterosexuality: A Study of Lesbian, Gay and Bisexual People of Diverse Religions in China , 2020, Journal of sex research.

[7]  J. Michael Bailey The Minority Stress Model Deserves Reconsideration, Not Just Extension , 2019, Archives of Sexual Behavior.

[8]  O. Sündermann,et al.  “Being Unfilial Condemns You to Hell”: Integrative Treatment for Social Anxiety Shaped by Domestic Abuse, Confucian Values, and Taoist Beliefs , 2019, Clinical Case Studies.

[9]  Amy Brainer New Identities or New Intimacies? Rethinking ‘Coming Out’ in Taiwan through Cross-Generational Ethnography , 2018 .

[10]  C. Chen,et al.  Bully victimization, depression, and the role of protective factors among college LGBTQ students. , 2018, Journal of community psychology.

[11]  Toby Miles-Johnson,et al.  'Hidden identities': perceptions of sexual identity in Beijing. , 2018, The British journal of sociology.

[12]  F. Cheng Dilemmas of Chinese Lesbian Youths in Contemporary Mainland China , 2018 .

[13]  A. Grossman,et al.  Disclosure Stress, Social Support, and Depressive Symptoms Among Cisgender Bisexual Youth. , 2017, Journal of marriage and the family.

[14]  A. Blaszczynski,et al.  Who Adopts Queer and Pansexual Sexual Identities? , 2017, Journal of sex research.

[15]  H. Christiansen,et al.  How Do Discrepancies between Victimization and Rejection Expectations in Gay and Bisexual Men Relate to Mental Health Problems? , 2017, Front. Psychol..

[16]  Francisco I Surace,et al.  Predictors of Sexual Minority Youth’s Reported Suicide Attempts and Mental Health , 2017, Journal of homosexuality.

[17]  M. Tourigny,et al.  The Association Between the Working Alliance with Adolescent Girls in Residential Care and Their Trauma-Related Symptoms in Emerging Adulthood , 2017 .

[18]  K. Chan Family and Homosexuality in Chinese Culture: Rights Claims by Non-heterosexuals in Hong Kong , 2017 .

[19]  Wei Wei Good Gay Buddies for Lifetime: Homosexually Themed Discourse and the Construction of Heteromasculinity Among Chinese Urban Youth , 2017, Journal of homosexuality.

[20]  W. Mak,et al.  Impact of perceived HIV stigma within men who have sex with men community on mental health of seropositive MSM , 2017, AIDS care.

[21]  Geeti Das Mostly Normal: American Psychiatric Taxonomy, Sexuality, and Neoliberal Mechanisms of Exclusion , 2016 .

[22]  K. Gana,et al.  Dyadic Cross-Sectional Associations Between Negative Mood, Marital Idealization, and Relationship Quality , 2016, The Journal of psychology.

[23]  S. Gregorich,et al.  Sexual Stigma, Coping Styles, and Psychological Distress: A Longitudinal Study of Men Who Have Sex With Men in Beijing, China , 2016, Archives of sexual behavior.

[24]  T. Kong The Sexual in Chinese Sociology: Homosexuality Studies in Contemporary China , 2016 .

[25]  Susanne Y. P. Choi,et al.  Performative family: homosexuality, marriage and intergenerational dynamics in China. , 2016, The British journal of sociology.

[26]  Elliot A. Tebbe,et al.  Suicide risk in trans populations: An application of minority stress theory. , 2016, Journal of counseling psychology.

[27]  V. Richardson,et al.  Influence of income, being partnered/married, resilience, and discrimination on mental health distress for midlife and older gay men , 2016 .

[28]  Ying Wang,et al.  Psychosocial syndemic associated with increased suicidal ideation among men who have sex with men in Shanghai, China. , 2016, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[29]  S. Gregorich,et al.  Sexual Stigma, Coping Styles, and Psychological Distress: A Longitudinal Study of Men Who Have Sex With Men in Beijing, China , 2015, Archives of Sexual Behavior.

[30]  P. Nobre,et al.  Prevalence of Sexual Problems and Associated Distress Among Lesbian and Heterosexual Women , 2015, Journal of sex & marital therapy.

[31]  V. Poteat,et al.  A relational model of sexual minority mental and physical health: The negative effects of shame on relationships, loneliness, and health. , 2015, Journal of counseling psychology.

[32]  M. Woodford,et al.  Academic and Social Integration on Campus Among Sexual Minority Students: The Impacts of Psychological and Experiential Campus Climate , 2015, American journal of community psychology.

[33]  Z. Mor,et al.  Individual and Community Resilience Factors Among Lesbian, Gay, Bisexual, Queer and Questioning Youth and Adults in Israel , 2015, American journal of community psychology.

[34]  Kirk A. Foster,et al.  All the Pain Along with All the Joy: Spiritual Resilience in Lesbian and Gay Christians , 2015, American journal of community psychology.

[35]  Lavinia Lin,et al.  Drug Use and Sexual Behaviors Among MSM in China , 2015, Substance use & misuse.

[36]  M. Brewster,et al.  Cultural Diversity and Ethnic Minority Psychology Negotiating Multiple Marginalizations : Experiences of South Asian LGBQ Individuals , 2014 .

[37]  Carl F. Falk,et al.  Recovering Substantive Factor Loadings in the Presence of Acquiescence Bias: A Comparison of Three Approaches , 2014, Multivariate behavioral research.

[38]  R. Esteve,et al.  The role of sex/gender in the experience of pain: resilience, fear, and acceptance as central variables in the adjustment of men and women with chronic pain. , 2014, The journal of pain : official journal of the American Pain Society.

[39]  Carlo D’Ippoliti,et al.  Don’t ask don’t tell (that you’re poor). Sexual orientation and social exclusion in Italy , 2014 .

[40]  A. Omoto,et al.  Lesbian Community Oughts and Ideals , 2014 .

[41]  J. Wit,et al.  Minority Stress in Lesbian, Gay, and Bisexual Young Adults in Australia: Associations with Psychological Distress, Suicidality, and Substance Use , 2014, Archives of Sexual Behavior.

[42]  M. Reid Social Policy, “Deservingness,” and Sociotemporal Marginalization: Katrina Survivors and FEMA , 2013 .

[43]  P. Kwon Resilience in Lesbian, Gay, and Bisexual Individuals , 2013, Personality and social psychology review : an official journal of the Society for Personality and Social Psychology, Inc.

[44]  H. Lodewijks,et al.  Childhood maltreatment and motivation for treatment in girls in compulsory residential care , 2013 .

[45]  Roger Tourangeau,et al.  The Science of Web Surveys , 2013 .

[46]  Amanda K. Baumle International handbook on the demography of sexuality , 2013 .

[47]  M. Rosario,et al.  The sexual identity development and health of lesbian, gay, and bisexual adolescents: An ecological perspective. , 2013 .

[48]  M. Berk,et al.  Dialectical Behavior Therapy and Suicidal Behavior in Adolescence: Linking Developmental Theory and Practice , 2013 .

[49]  Christopher S. Carpenter The Prevalence of Gay Men and Lesbians , 2013 .

[50]  J. Parsons,et al.  Gay Male Identities, Desires, and Sexual Behaviors , 2012 .

[51]  A. Hostetler Sexual Orientation, Middle Adulthood, and Narratives of Transition and Change , 2012 .

[52]  R. Stall,et al.  Gay Men’s Health and the Theory of Cultural Resilience , 2012 .

[53]  L. Diamond Concepts of Female Sexual Orientation , 2012 .

[54]  R. Savaya,et al.  Mental Health of Lesbian, Gay, and Bisexual Youth and Young Adults: Differential Effects of Age, Gender, Religiosity, and Sexual Orientation , 2012 .

[55]  S. Safren,et al.  Promoting the Sexual Health of MSM in the Context of Comorbid Mental Health Problems , 2011, AIDS and Behavior.

[56]  M. Warner,et al.  Social Inclusion or Market Competitiveness? A Comparison of Rural Development Policies in the European Union and the United States , 2010 .

[57]  Bent E. Sørensen,et al.  Interaction effects in econometrics , 2010 .

[58]  Michael Harris Bond,et al.  Oxford Handbook of Chinese Psychology , 2010 .

[59]  J. Fish Conceptualising social exclusion and lesbian, gay, bisexual, and transgender people: the implications for promoting equity in nursing policy and practice , 2010 .

[60]  Cecilia Cheng,et al.  The Tao (way) of Chinese coping , 2010 .

[61]  Sheung-Tak Cheng,et al.  Shame, internalized heterosexism, lesbian identity, and coming out to others: A comparative study of lesbians in mainland China and Hong Kong. , 2010, Journal of counseling psychology.

[62]  A. Kalil,et al.  Low-income mothers’ private safety nets and children’s socioemotional well-being. , 2009 .

[63]  Kathleen M. T. Collins,et al.  A meta-validation model for assessing the score-validity of student teaching evaluations , 2009 .

[64]  Liam Concannon Citizenship, sexual identity and social exclusion: Exploring issues in British and American social policy , 2008 .

[65]  A. Latham Urban Outcasts: A comparative sociology of advanced marginality , 2008 .

[66]  B. A. Sullivan Cooperation: The political psychology of effective human interaction , 2008 .

[67]  Loïc Wacquant Urban Outcasts: A Comparative Sociology of Advanced Marginality , 2007 .

[68]  M. Webber,et al.  Measuring access to social capital: the validity and reliability of the Resource Generator-UK and its association with common mental disorder. , 2007, Social science & medicine.

[69]  T. Sandfort,et al.  Gender Nonconformity, Homophobia, and Mental Distress in Latino Gay and Bisexual Men , 2007, Journal of sex research.

[70]  R. Shippy We Cannot Go It Alone , 2007 .

[71]  A. C. Butler,et al.  Depression and Next-day Spillover of Negative Mood and Depressive Cognitions Following Interpersonal Stress , 2007, Cognitive Therapy and Research.

[72]  Thomas Brambor,et al.  Understanding Interaction Models: Improving Empirical Analyses , 2006, Political Analysis.

[73]  L. Frey,et al.  South Asian and East Asian International Students' Perceived Prejudice, Acculturation, and Frequency of Help Resource Utilization , 2006 .

[74]  B. Perry,et al.  Sexual Identity Distress, Social Support, and the Health of Gay, Lesbian, and Bisexual Youth , 2006, Journal of homosexuality.

[75]  J. P. Near,et al.  The Wealth of Nations and the Happiness of Nations: Why “Accounting” Matters , 2005 .

[76]  B. Cox,et al.  Perfectionism and Neuroticism: A Longitudinal Study of Specific Vulnerability and Diathesis-Stress Models , 2005, Cognitive Therapy and Research.

[77]  F. Cleaver The inequality of social capital and the reproduction of chronic poverty , 2005 .

[78]  H. Marsh,et al.  In Search of Golden Rules: Comment on Hypothesis-Testing Approaches to Setting Cutoff Values for Fit Indexes and Dangers in Overgeneralizing Hu and Bentler's (1999) Findings , 2004 .

[79]  T. Kershaw,et al.  Coping strategies and quality of life in women with advanced breast cancer and their family caregivers , 2004 .

[80]  David M Almeida,et al.  Foundation Research Network on Successful Midlife Development. We wish to thank , 2022 .

[81]  D. Gallie Unemployment, Marginalization Risks, and Welfare Policy , 2004 .

[82]  D. Gallie Resisting marginalization : unemployment experience and social policy in the European Union , 2004 .

[83]  Scott B. MacKenzie,et al.  Common method biases in behavioral research: a critical review of the literature and recommended remedies. , 2003, The Journal of applied psychology.

[84]  B. Lakey,et al.  Where is the Support in Perceived Support? The Role of Generic Relationship Satisfaction and Enacted Support in Perceived Support's Relation to Low Distress , 2003 .

[85]  M. Larsen,et al.  The Psychology of Survey Response , 2002 .

[86]  A. Colman,et al.  Optimal number of response categories in rating scales: reliability, validity, discriminating power, and respondent preferences. , 2000, Acta psychologica.

[87]  C. Coulton,et al.  Interaction Effects in Multiple Regression , 1993 .

[88]  A. Stewart,et al.  Measuring Functioning and Well-Being: The Medical Outcomes Study Approach , 1992 .

[89]  D. Paulhus Measurement and control of response bias. , 1991 .

[90]  K. Bollen Structural Equations with Latent Variables: Bollen/Structural Equations with Latent Variables , 1989 .