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 manifestationsA pilot trial of an LGBTQ-affirmative cognitive-behavioral therapy for transgender and gender expansive individuals’ mental, behavioral, and sexual health
Lelutiu-Weinberger C, Filimon M, Chiaramonte D, Leonard S, Dogaru B, Pana E, Pruneanu C, Pachankis J. A pilot trial of an LGBTQ-affirmative cognitive-behavioral therapy for transgender and gender expansive individuals’ mental, behavioral, and sexual health. Behavior Therapy 2024 DOI: 10.1016/j.beth.2024.10.005.Peer-Reviewed Original ResearchCognitive-behavioral therapyMinority stressAnxiety symptomsPreliminary efficacyTGE individualsCisgender sexual minorityTherapeutic allianceTrained psychologistsEvidence-based interventionsBaseline to follow-upTreatment relevanceRisk mechanismsImprove psychosocial healthGender-expansive individualsTGE youthSexual minoritiesAnxietyNorth American contextDepressionRandomized controlled trialsContext of RomaniaPsychosocial healthHealth outcomesFollow-upExit interviewsStructural 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
What Do We Know About Interventions to Reduce Intersectional Stigma and Discrimination in the Context of HIV? A Systematic Review
Stangl A, Atkins K, Leddy A, Sievwright K, Sevelius J, Lippman S, Veras M, Zamudio-Haas S, Smith M, Pachankis J, Logie C, Rao D, Weiser S, Nyblade L. What Do We Know About Interventions to Reduce Intersectional Stigma and Discrimination in the Context of HIV? A Systematic Review. Stigma And Health 2023, 8: 393-408. DOI: 10.1037/sah0000414.Peer-Reviewed Original ResearchContext of HIVIntersectional stigmaSystematic reviewHuman immunodeficiency virus (HIV) stigmaMeta-Analyses (PRISMA) guidelinesPoor health outcomesPreferred Reporting ItemsStigma reduction interventionsPositive intervention effectsStigma domainsReporting ItemsHealth outcomesHIVSexual healthReduction interventionsAspects of stigmaMajority of studiesMost interventionsIntervention effectsStigma measuresInterventionOutcomesStigma outcomesStructural interventionsStigma
2022
Mental Health, Alcohol Use, and Substance Use Correlates of Sexism in a Sample of Gender-Diverse Sexual Minority Women
Scheer JR, Batchelder AW, Wang K, Pachankis JE. Mental Health, Alcohol Use, and Substance Use Correlates of Sexism in a Sample of Gender-Diverse Sexual Minority Women. Psychology Of Sexual Orientation And Gender Diversity 2022, 9: 222-235. PMID: 35677582, PMCID: PMC9173652, DOI: 10.1037/sgd0000477.Peer-Reviewed Original ResearchSexual minority womenDrug-related consequencesGender minoritiesPsychological distressMinority womenMental healthTraditional gender normsPatriarchal social structuresSelf-report measuresAlcohol-related consequencesBehavioral health outcomesHegemonic masculinityGender normsSocial structureHeterosexual womenSexismSubstance use correlatesBehavioral health issuesCisgender womenCultural practicesAlcohol usePrior researchBehavioral healthCurrent studyHealth outcomes
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 effectMenMediatorsA biopsychosocial framework for understanding sexual and gender minority health: A call for action
Christian LM, Cole SW, McDade T, Pachankis JE, Morgan E, Strahm AM, Kamp Dush CM. A biopsychosocial framework for understanding sexual and gender minority health: A call for action. Neuroscience & Biobehavioral Reviews 2021, 129: 107-116. PMID: 34097981, PMCID: PMC8429206, DOI: 10.1016/j.neubiorev.2021.06.004.Peer-Reviewed Original ResearchConceptsElevated psychological distressDifferent sexual identitiesMinority stress theoryMinority stress frameworkIndividual differencesPsychological distressGender minority populationsGender minoritiesSexual minority statusStress frameworkBiopsychosocial frameworkMinority stressIndividual levelSleep disturbancesSexual identityPeople of colorBehavioral factorsMinority statusStress theoryUnique experiencesIntersectional identitiesHealth outcomesQuality of lifeMinority populationsModeratorA Pilot Cultural Adaptation of LGB-Affirmative CBT for Young Chinese Sexual Minority Men’s Mental and Sexual Health
Pan S, Sun S, Li X, Chen J, Xiong Y, He Y, Pachankis JE. A Pilot Cultural Adaptation of LGB-Affirmative CBT for Young Chinese Sexual Minority Men’s Mental and Sexual Health. Psychotherapy 2021, 58: 12-24. PMID: 32538644, PMCID: PMC7736310, DOI: 10.1037/pst0000318.Peer-Reviewed Original ResearchConceptsMinority stressEvidence-based interventionsSexual healthChinese YMSMCognitive behavioral therapySexual minority stressHIV epidemic controlHIV risk behaviorsPre-post comparisonPsychological healthSexual health outcomesOpen pilotEffective skillsHIV infectionMental healthHIV epidemicRisk groupsChinese contextHealth outcomesYMSMHealth systemFamily needsEffective manExpert integrationCultural context
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 arrayStudyStigmatizationPsychosocial Syndemic Risks Surrounding Physical Health Conditions Among Sexual and Gender Minority Individuals
Scheer JR, Pachankis JE. Psychosocial Syndemic Risks Surrounding Physical Health Conditions Among Sexual and Gender Minority Individuals. LGBT Health 2019, 6: 377-385. PMID: 31644383, PMCID: PMC6918840, DOI: 10.1089/lgbt.2019.0025.Peer-Reviewed Original ResearchConceptsPhysical health conditionsPhysical health outcomesGender minority individualsSyndemic riskPhysical healthHealth conditionsMinority individualsIndividual's physical healthPosttraumatic stress disorderHealth outcomesSGM adultsOverall health burdenStress disorderPsychosocial risksSexual assaultDisparate exposuresSGM identitiesSubstance useSyndemic conditionsHealth burdenHigh prevalenceSyndemic frameworkComprehensive interventionHealth disparitiesOnline surveyTransdiagnostic Approaches to Improve Sexual Minority Individuals’ Co-occurring Mental, Behavioral, and Sexual Health
Rodriguez-Seijas C, Burton C, Pachankis J. Transdiagnostic Approaches to Improve Sexual Minority Individuals’ Co-occurring Mental, Behavioral, and Sexual Health. 2019, 457-476. DOI: 10.1093/med-psych/9780190669300.003.0020.Peer-Reviewed Original ResearchCurrent clinical trialsCo-Occurring MentalPsychosocial health outcomesMental health servicesSubstance use disordersMultiple co-occurring conditionsCo-occurring conditionsEvidence-based approachClinical trialsTherapeutic approachesElevated riskUse disordersSexual minority menHealth outcomesSexual healthHealth servicesTreatment programSexual minority womenMinority individualsSexual minority individualsMinority womenTransdiagnostic approachMinority menIllustrative case examplesGender minority individuals
2018
An mHealth Intervention to Improve Young Gay and Bisexual Men’s Sexual, Behavioral, and Mental Health in a Structurally Stigmatizing National Context
Leluțiu-Weinberger C, Manu M, Ionescu F, Dogaru B, Kovacs T, Dorobănțescu C, Predescu M, Surace A, Pachankis JE. An mHealth Intervention to Improve Young Gay and Bisexual Men’s Sexual, Behavioral, and Mental Health in a Structurally Stigmatizing National Context. JMIR MHealth And UHealth 2018, 6: e183. PMID: 30429117, PMCID: PMC6262207, DOI: 10.2196/mhealth.9283.Peer-Reviewed Original ResearchPre-post intervention assessmentsRecent HIV testingHigh prevalence countriesHIV risk reductionYoung gayHIV prevention interventionsFuture efficacy testingHeavy alcohol consumptionMental health outcomesHIV testingLarge trialsHIV transmissionPreliminary efficacyHIV riskCondomless sexCognitive-behavioral skillsMHealth interventionsAlcohol consumptionHealth outcomesInadequate preventionPilot interventionHealth interventionsCondom useMinimum doseStrong acceptabilityDoes 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
Psychotherapy for the Spectrum of Sexual Minority Stress: Application and Technique of the ESTEEM Treatment Model
Burton CL, Wang K, Pachankis JE. Psychotherapy for the Spectrum of Sexual Minority Stress: Application and Technique of the ESTEEM Treatment Model. Cognitive And Behavioral Practice 2017, 26: 285-299. PMID: 31592215, PMCID: PMC6779338, DOI: 10.1016/j.cbpra.2017.05.001.Peer-Reviewed Original ResearchNegative psychosocial health outcomesPsychosocial health outcomesRisk factorsTherapeutic principlesHealth outcomesSubstance useMinority stressPsychoeducation contentTherapeutic modelTreatment modelSexual minority stressEvidence pointsMinority stress processesTransdiagnostic mechanismsOutcomesSexual minority individualsEarly stages
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
Gay-Related Rejection Sensitivity as a Risk Factor for Condomless Sex
Wang K, Pachankis JE. Gay-Related Rejection Sensitivity as a Risk Factor for Condomless Sex. AIDS And Behavior 2015, 20: 763-767. PMID: 26459334, PMCID: PMC4799731, DOI: 10.1007/s10461-015-1224-6.Peer-Reviewed Original ResearchConceptsCondomless sexCondom useCondomless anal sex actsGay-related rejection sensitivityNumerous adverse health outcomesEffective HIV prevention effortsAnal sex actsAdverse health outcomesHIV prevention effortsTimeline Followback interviewRisk factorsRisk populationsCasual partnersHealth outcomesBisexual menPrevention effortsSex actsSexual behaviorPresent studySexSensitivity