Sexual Identity, Stigma, and Depression: the Role of the “Anti-gay Propaganda Law” in Mental Health among Men Who Have Sex ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-02-27

AUTHORS

Emily Hylton, Andrea L. Wirtz, Carla E. Zelaya, Carl Latkin, Alena Peryshkina, Vladmir Mogilnyi, Petr Dzhigun, Irina Kostetskaya, Noya Galai, Chris Beyrer

ABSTRACT

Depression is a major public health problem in the Russian Federation and is particularly of concern for men who have sex with men (MSM). MSM living in Moscow City were recruited via respondent-driven sampling and participated in a cross-sectional survey from October 2010 to April 2013. Multiple logistic regression models compared the relationship between sexual identity, recent stigma, and probable depression, defined as a score of ≥23 on the Center for Epidemiological Studies Depression scale. We investigated the interactive effect of stigma and participation in the study after the passage of multiple “anti-gay propaganda laws” in Russian provinces, municipalities, and in neighboring Ukraine on depression among MSM. Among 1367 MSM, 36.7% (n = 505) qualified as probably depressed. Fifty-five percent identified as homosexual (n = 741) and 42.9% identified as bisexual (n = 578). Bisexual identity had a protective association against probable depression (reference: homosexual identity AOR 0.71; 95%CI 0.52–0.97; p < 0.01). Those who experienced recent stigma (last 12 months) were more likely to report probable depression (reference: no stigma; AOR 1.75; 95%CI 1.20–2.56; p < 0.01). The interaction between stigma and the propaganda laws was significant. Among participants with stigma, probable depression increased 1.67-fold after the passage of the anti-gay laws AOR 1.67; 95%CI 1.04–2.68; p < 0.01). Depressive symptoms are common among MSM in Russia and exacerbated by stigma and laws that deny homosexual identities. Repeal of Russia’s federal anti-gay propaganda law is urgent but other social interventions may address depression and stigma in the current context. More... »

PAGES

319-329

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11524-017-0133-6

DOI

http://dx.doi.org/10.1007/s11524-017-0133-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1084031784

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28243868


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44 Province
45 Russia
46 Russian Federation
47 Russian province
48 Ukraine
49 association
50 bisexual identity
51 center
52 city
53 concern
54 context
55 cross-sectional survey
56 current context
57 depression
58 depressive symptoms
59 effect
60 health
61 health problems
62 homosexual identity
63 identity
64 interaction
65 interactive effects
66 intervention
67 law
68 logistic regression models
69 major public health problem
70 men
71 mental health
72 model
73 multiple logistic regression model
74 municipalities
75 participants
76 participation
77 passage
78 percent
79 probable depression
80 problem
81 protective association
82 public health problem
83 regression models
84 relationship
85 repeal
86 respondent-driven sampling
87 role
88 sampling
89 scale
90 scores
91 sex
92 sexual identity
93 social interventions
94 stigma
95 study
96 survey
97 symptoms
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