2024
State of the Science of Structural Stigma and LGBTQ+ Health: Meta-Analytic Evidence, Research Gaps, and Future Directions.
Lattanner M, McKetta S, Pachankis J, Hatzenbuehler M. State of the Science of Structural Stigma and LGBTQ+ Health: Meta-Analytic Evidence, Research Gaps, and Future Directions. Annual Review Of Public Health 2024 PMID: 39531387, DOI: 10.1146/annurev-publhealth-071723-013336.Peer-Reviewed Original ResearchStructural stigmaHealth of disadvantaged groupsManifestations of stigmaPublic health practitionersPublic health interventionsHealth disparitiesLGBTQ+ healthHealth outcomesHealth interventionsPoor healthHealth practitionersLGBTQ+ individualsMarginalized groupsDisadvantaged groupsMeta-analytic evidenceEffect sizeHealthSocial attitudesStigmaMeta-analysisRisk factorsTriangulating evidenceLack of researchMethodological strategiesStructural manifestationsGuided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China
Yi M, Li X, Chiaramonte D, Sun S, Pan S, Soulliard Z, Eisenstadt B, Ljótsson B, Hagaman A, Pachankis J. Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China. Behaviour Research And Therapy 2024, 181: 104605. PMID: 39029333, PMCID: PMC11371497, DOI: 10.1016/j.brat.2024.104605.Peer-Reviewed Original ResearchInternet-based CBTCognitive-behavioral therapySexual minority menSocial-cognitive mechanismsYoung sexual minority menMinority stressMinority menSession completionBehavioral healthSexual minority individualsModeration analysisAlcohol useMinority individualsMental healthInternalized stigmaFollow-upStigma experiencesRandomized controlled trialsSessionsTreatment efficacySecondary outcomesControlled trialsPrimary outcomeAffirmative supportHealthStructural stigma and LGBTQ+ health: a narrative review of quantitative studies
Hatzenbuehler M, Lattanner M, McKetta S, Pachankis J. Structural stigma and LGBTQ+ health: a narrative review of quantitative studies. The Lancet Public Health 2024, 9: e109-e127. PMID: 38307678, DOI: 10.1016/s2468-2667(23)00312-2.Peer-Reviewed Original ResearchConceptsHealth disparitiesLGBTQ+ healthStructural stigmaRisk of poor healthDevelopment of public health interventionsReview of quantitative studiesMeasure of structural stigmaStudy health disparitiesArea-level covariatesPublic health interventionsLGBTQ+ individualsSocietal-level conditionsHealth outcomesHealth interventionsPoor healthHealth burdenHealthComparison groupNarrative reviewTest mediationMultiple outcomesMethodological strengthsNon-LGBTQ+StigmaGender identity
2023
Experiences of stigma, mental health, and coping strategies in Lebanon among Lebanese and displaced Syrian men who have sex with men: A qualitative study
Abboud S, Seal D, Pachankis J, Khoshnood K, Khouri D, Fouad F, Heimer R. Experiences of stigma, mental health, and coping strategies in Lebanon among Lebanese and displaced Syrian men who have sex with men: A qualitative study. Social Science & Medicine 2023, 335: 116248. PMID: 37742387, DOI: 10.1016/j.socscimed.2023.116248.Peer-Reviewed Original ResearchMental healthAvailable mental health servicesMental health servicesSexual health risksMental health resourcesMental health risksHealth risksAdverse childhood experiencesSocial support interventionsQualitative studyExperiences of stigmaHealth servicesRecent exposureSupport interventionsLarger studyHealth resourcesMSMCommon stigmaSocial isolationMenHigh rateSexSyrian menChildhood experiencesHealthWhy Do Brief Online Writing Interventions Improve Health? Examining Mediators of Expressive Writing and Self-Affirmation Intervention Efficacy Among Sexual Minority Emerging Adults
Chaudoir S, Behari K, Williams S, Pachankis J. Why Do Brief Online Writing Interventions Improve Health? Examining Mediators of Expressive Writing and Self-Affirmation Intervention Efficacy Among Sexual Minority Emerging Adults. Psychology Of Sexual Orientation And Gender Diversity 2023, 10: 103-116. DOI: 10.1037/sgd0000507.Peer-Reviewed Original ResearchHealth risk behaviorsExpressive writingMental healthSexual minoritiesOnline expressive writingMental health problemsMental health benefitsPsychological interventionsEmerging AdultsWriting interventionBrief interventionNeutral controlIntervention efficacyPresent researchSalubrious effectsNovel evidenceInterventionAdultsRecent trialsHealth problemsBehaviorPutative mechanismsHealth benefitsHealthWriting
2022
Structural stigma and sexual minority men’s depression and suicidality: A multi-level examination of mechanisms and mobility across 48 countries
Pachankis J, Hatzenbuehler M, Bränström R, Schmidt A, Berg R, Jonas K, Pitoňák M, Baros S, Weatherburn P. Structural stigma and sexual minority men’s depression and suicidality: A multi-level examination of mechanisms and mobility across 48 countries. European Journal Of Public Health 2022, 32: ckac129.195. PMCID: PMC9594207, DOI: 10.1093/eurpub/ckac129.195.Peer-Reviewed Original ResearchMental healthSexual minority menMen's Internet SurveyMinority menStructural stigmaRisk factorsLower oddsLower riskPsychosocial mediatorsGreater riskMen's depressionEuropean menDepressionSuicidalitySocial isolationMenHealthStigmaSmall indirect effectMediatorsCurrent studyRiskExposureLonger exposureObjective indicators
2021
Structural Stigma and Sexual Minority Men’s Depression and Suicidality: A Multilevel Examination of Mechanisms and Mobility Across 48 Countries
Pachankis JE, Hatzenbuehler ML, Bränström R, Schmidt AJ, Berg RC, Jonas K, Pitoňák M, Baros S, Weatherburn P. Structural Stigma and Sexual Minority Men’s Depression and Suicidality: A Multilevel Examination of Mechanisms and Mobility Across 48 Countries. Journal Of Psychopathology And Clinical Science 2021, 130: 713-726. PMID: 34780228, DOI: 10.1037/abn0000693.Peer-Reviewed Original ResearchConceptsMental healthAdverse mental health outcomesSocial isolationMen's Internet SurveyMental health outcomesStructural stigmaCountry of birthRisk factorsLower oddsLower riskSexual minority menHealth outcomesPsychosocial mediatorsGreater riskSuicidalityMen's depressionDepressionEuropean menSociocultural determinantsHealthMinority menStigmaSmall indirect effectMenMediatorsLifecourse-varying structural stigma, minority stress reactions and mental health among sexual minority male migrants
van der Star A, Bränström R, Pachankis JE. Lifecourse-varying structural stigma, minority stress reactions and mental health among sexual minority male migrants. European Journal Of Public Health 2021, 31: 803-808. PMID: 34008014, PMCID: PMC8527997, DOI: 10.1093/eurpub/ckab032.Peer-Reviewed Original ResearchConceptsStructural stigmaSexual minority menMigration experienceMale migrantsSexual minoritiesLife courseMen's mental healthMinority menStructural contextMental healthSexual minority mental healthCountriesStigmaContextPoor mental healthMinority mental healthSwedenHomophobiaMigrantsExperiencePotential implicationsHealthMinoritySurveyImplications
2020
Lifecourse-varying exposure to structural stigma, minority stress reactions, and mental health among sexual minority male migrants
van der Star A, Bränström R, Pachankis J. Lifecourse-varying exposure to structural stigma, minority stress reactions, and mental health among sexual minority male migrants. European Journal Of Public Health 2020, 30: ckaa165.282. DOI: 10.1093/eurpub/ckaa165.282.Peer-Reviewed Original ResearchStructural stigmaSexual minority menMigration experienceMale migrantsSexual minoritiesLife courseMen's mental healthMinority menStructural contextMental healthSexual minority mental healthCountriesStigmaContextPoor mental healthMinority mental healthSwedenHomophobiaMigrantsExperienceHealthMinorityImportant implicationsBehavioral patternsSurvey
2019
On the Quantitative Study of Multiple Marginalization: Paradox and Potential Solution
Rodriguez-Seijas C, Burton C, Adeyinka O, Pachankis J. On the Quantitative Study of Multiple Marginalization: Paradox and Potential Solution. Stigma And Health 2019, 4: 495-502. DOI: 10.1037/sah0000166.Peer-Reviewed Original ResearchMental health outcomesHealth outcomesPoor mental health outcomesPoor mental healthMental healthHealth of peopleAverage participantSimultaneous associationHealthStatusOutcomesObjective indexCurrent studyStigmaAssociationStigmatized statusQuantitative studyFuture quantitative approachesParticipantsComprehensive arrayStudyStigmatizationAdapting Evidence-Based Practice for Sexual and Gender Minorities
Pachankis J, Safren S. Adapting Evidence-Based Practice for Sexual and Gender Minorities. 2019, 3-22. DOI: 10.1093/med-psych/9780190669300.003.0001.Peer-Reviewed Original Research
2018
The Role of Self-Conscious Emotions in the Sexual Health of Gay and Bisexual Men: Psychometric Properties and Theoretical Validation of the Sexual Shame and Pride Scale
Rendina HJ, López-Matos J, Wang K, Pachankis JE, Parsons JT. The Role of Self-Conscious Emotions in the Sexual Health of Gay and Bisexual Men: Psychometric Properties and Theoretical Validation of the Sexual Shame and Pride Scale. The Journal Of Sex Research 2018, 56: 620-631. PMID: 29634377, PMCID: PMC6179944, DOI: 10.1080/00224499.2018.1453042.Peer-Reviewed Original ResearchConceptsSexual healthBisexual menMental health difficultiesSexual behavior outcomesActive GBMTest-retest reliabilityEtiological factorsPredictive validitySexual compulsivityHealth difficultiesPsychometric evaluationRegression analysisBehavior outcomesConvergent validityPreliminary evidenceInternal consistencyPsychometric propertiesGBMMenReliable measureHealthDoes Getting Stigma Under the Skin Make It Thinner? Emotion Regulation as a Stress-Contingent Mediator of Stigma and Mental Health
Burton CL, Wang K, Pachankis JE. Does Getting Stigma Under the Skin Make It Thinner? Emotion Regulation as a Stress-Contingent Mediator of Stigma and Mental Health. Clinical Psychological Science 2018, 6: 590-600. PMID: 30221083, PMCID: PMC6133258, DOI: 10.1177/2167702618755321.Peer-Reviewed Original ResearchPoor mental healthMental healthEmotion regulation deficitsAdverse mental health outcomesLife stressRegulation deficitsMental health outcomesCultural stigmaAlcohol use problemsEmotion regulationMore life stressDepressive symptomsSelf-reported stigmaHealth outcomesStigma expertsIndividual susceptibilityGeneral life stressUse problemsHealthDeficitsStigmaOutcomesStudy 1Study 2Association
2017
A Multilevel Approach for Reducing Mental Health and Substance Use Disparities Affecting Bisexual Individuals
Feinstein BA, Dyar C, Pachankis JE. A Multilevel Approach for Reducing Mental Health and Substance Use Disparities Affecting Bisexual Individuals. Cognitive And Behavioral Practice 2017, 26: 243-253. PMID: 31160876, PMCID: PMC6544045, DOI: 10.1016/j.cbpra.2017.10.003.Peer-Reviewed Original ResearchBisexual health disparitiesBisexual individualsMental healthHealth disparitiesBisexual clientsSubstance use problemsEvidence-based interventionsStriking health disparitiesClinical trainingPopulation-level interventionsUse problemsClinician's abilityMultilevel approachCompetent careSubstance use disparitiesCliniciansMulti-level approachTrainingIndividualsInterventionHealthCareClientsDisparitiesPrejudice
2016
Stigma and Minority Stress as Social Determinants of Health Among Lesbian, Gay, Bisexual, and Transgender Youth Research Evidence and Clinical Implications
Hatzenbuehler ML, Pachankis JE. Stigma and Minority Stress as Social Determinants of Health Among Lesbian, Gay, Bisexual, and Transgender Youth Research Evidence and Clinical Implications. Pediatric Clinics Of North America 2016, 63: 985-997. PMID: 27865340, DOI: 10.1016/j.pcl.2016.07.003.Peer-Reviewed Original Research
2015
A Transdiagnostic Minority Stress Treatment Approach for Gay and Bisexual Men’s Syndemic Health Conditions
Pachankis JE. A Transdiagnostic Minority Stress Treatment Approach for Gay and Bisexual Men’s Syndemic Health Conditions. Archives Of Sexual Behavior 2015, 44: 1843-1860. PMID: 26123065, PMCID: PMC4560958, DOI: 10.1007/s10508-015-0480-x.Peer-Reviewed Original ResearchConceptsMinority stressSyndemic conditionsPsychosocial syndemicsTreatment approachesBisexual menCognitive-affective neuroscienceTreatment principlesBisexual men’s healthEmotion scienceTransdiagnostic interventionTransdiagnostic approachPsychosocial conditionsTraining approachSeparate conditionsClinical researchMen's healthHealth conditionsPsychiatric nosologyStress pathwaysMenSyndemicHealthNeurosciencePathwayGay
2014
Uncovering Clinical Principles and Techniques to Address Minority Stress, Mental Health, and Related Health Risks Among Gay and Bisexual Men
Pachankis JE. Uncovering Clinical Principles and Techniques to Address Minority Stress, Mental Health, and Related Health Risks Among Gay and Bisexual Men. Clinical Psychology Science And Practice 2014, 21: 313-330. PMID: 25554721, PMCID: PMC4278648, DOI: 10.1111/cpsp.12078.Peer-Reviewed Original ResearchBisexual menRelated health risksMental healthEvidence-based interventionsHealth risksMental health practicePsychosocial interventionsCognitive-behavioral therapy approachClinical principlesExperience depressionPsychosocial pathwaysHealth practicesBehavioral therapy approachMinority stressTherapy approachesExpert providersMenSexual minority stressProfessional guidelinesDepressionStress copingInterventionRiskHealthAnxiety