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 manifestationsStructural 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
Incorporating Macro-Social Contexts into Emotion Research: Longitudinal Associations Between Structural Stigma and Emotion Processes Among Gay and Bisexual Men
Hollinsaid N, Pachankis J, Mair P, Hatzenbuehler M. Incorporating Macro-Social Contexts into Emotion Research: Longitudinal Associations Between Structural Stigma and Emotion Processes Among Gay and Bisexual Men. Emotion 2023, 23: 1796-1801. PMID: 36595384, PMCID: PMC10314958, DOI: 10.1037/emo0001198.Peer-Reviewed Original ResearchConceptsEmotion regulationMacro-social contextBisexual menEmotion regulation researchMacro-social environmentEmotion processesEmotional clarityEmotion researchIndividual differencesRegulation researchLevel of stigmaInterpersonal levelLongitudinal associationsImmediate situationSocial inequalitiesSexual minoritiesStructural stigmaLongitudinal studyMore suppressionLongitudinal increaseU.S. countiesStigmaContextResearchGay
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 indicatorsSupervision and consultation in the delivery of cognitive behavior therapy to LGBTQ individuals.
Harkness A, Pachankis J. Supervision and consultation in the delivery of cognitive behavior therapy to LGBTQ individuals. 2022, 289-304. DOI: 10.1037/0000314-020.Peer-Reviewed Original ResearchCognitive behavior therapyBehavior therapyEvidence-based cognitive-behavioral treatmentCognitive-behavioral treatmentEvidence-based treatment approachesMental health problemsTransdiagnostic approachMental health disparitiesEmotional disordersBehavioral treatmentUnified ProtocolMinority stressLGBTQ peopleLGBTQ clientsLGBTQ individualsPeople's experiencesStructural stigmaTreatment approachesIndividualsHealth problemsPeopleSupervisorsElevated riskStigmaHealth disparities
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 Contextual Approach to the Psychological Study of Identity Concealment: Examining Direct, Interactive, and Indirect Effects of Structural Stigma on Concealment Motivation Across Proximal and Distal Geographic Levels
Lattanner MR, Ford J, Bo N, Tu W, Pachankis JE, Dodge B, Hatzenbuehler ML. A Contextual Approach to the Psychological Study of Identity Concealment: Examining Direct, Interactive, and Indirect Effects of Structural Stigma on Concealment Motivation Across Proximal and Distal Geographic Levels. Psychological Science 2021, 32: 1684-1696. PMID: 34543132, PMCID: PMC8907493, DOI: 10.1177/09567976211018624.Peer-Reviewed Original ResearchConceptsStructural stigmaConcealment motivationGeographic levelsIdentity concealmentGay menSexual orientationStigmatizing environmentsBisexual menContextual approachSocial environmentStigmaImmediate situationPsychological theoriesSurvey itemsMotivationPsychological studiesSubjective perceptionUltimate sourceMenStructural formsPerceptionConcealmentMost studiesIndirect effectsDecisionsLifecourse-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
Gender-based Structural Stigma and Intimate Partner Violence Across 28 Countries: A Population-based Study of Women Across Sexual Orientation, Immigration Status, and Socioeconomic Status
Scheer JR, Pachankis JE, Bränström R. Gender-based Structural Stigma and Intimate Partner Violence Across 28 Countries: A Population-based Study of Women Across Sexual Orientation, Immigration Status, and Socioeconomic Status. Journal Of Interpersonal Violence 2020, 37: np8941-np8964. PMID: 33302766, PMCID: PMC8190183, DOI: 10.1177/0886260520976212.Peer-Reviewed Original ResearchConceptsIntimate partner violenceStructural stigmaSexual minority womenMinority womenIPV experiencesIPV riskImmigrant womenPartner violenceImmigration statusSexual orientationCountry-level structural stigmaDisproportionate riskEuropean Union countriesPolice involvementGender inequitySexual minoritiesStructural driversWomen SurveyMajority womenViolenceUnion countriesMinority statusStructural contextRelated circumstancesMinority populationsCountry-Level Structural Stigma, School-Based and Adulthood Victimization, and Life Satisfaction Among Sexual Minority Adults: A Life Course Approach
van der Star A, Pachankis JE, Bränström R. Country-Level Structural Stigma, School-Based and Adulthood Victimization, and Life Satisfaction Among Sexual Minority Adults: A Life Course Approach. Journal Of Youth And Adolescence 2020, 50: 189-201. PMID: 33196894, PMCID: PMC7815544, DOI: 10.1007/s10964-020-01340-9.Peer-Reviewed Original ResearchConceptsSchool bullyingCountry-level structural stigmaSexual minority adultsMinority adultsAdulthood victimizationMental health costsStructural stigmaSchool-BasedAdulthood experiencesLife course approachHealth costsBullyingCountry-level indicesAdultsHigh rateLife satisfactionSchoolsSexual minoritiesLifecourse-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
The role of country-level structural stigma on sexual orientation disclosure and discrimination in health care settings among lesbian, gay, and bisexuals across Europe
Bränström R, Pachankis J. The role of country-level structural stigma on sexual orientation disclosure and discrimination in health care settings among lesbian, gay, and bisexuals across Europe. European Journal Of Public Health 2019, 29: ckz185.467. DOI: 10.1093/eurpub/ckz185.467.Peer-Reviewed Original Research
2018
Creating, reinforcing, and resisting the gender binary: a qualitative study of transgender women’s healthcare experiences in sex-segregated jails and prisons
Hughto J, Clark KA, Altice FL, Reisner SL, Kershaw TS, Pachankis JE. Creating, reinforcing, and resisting the gender binary: a qualitative study of transgender women’s healthcare experiences in sex-segregated jails and prisons. International Journal Of Prison Health 2018, 14: 69-88. PMID: 29869582, PMCID: PMC5992494, DOI: 10.1108/ijph-02-2017-0011.Peer-Reviewed Original ResearchConceptsGender binaryTransgender womenHealthcare experiencesWomen's healthcare experiencesResearch limitations/implications FindingsCorrectional healthcare providersProviders' limited knowledgeDesign/methodology/approachSemi-structured interviewsWomen ActFirst-hand accountsWomen's accessMethodology/approachOriginality/valueInstitutional cultureMulti-level barriersStructural stigmaFeminine identityInstitutional policiesFindings ParticipantsImplications FindingsQualitative studyHealthcare barriersInsufficient accessPrisonHidden From Happiness: Structural Stigma, Sexual Orientation Concealment, and Life Satisfaction Across 28 Countries
Pachankis JE, Bränström R. Hidden From Happiness: Structural Stigma, Sexual Orientation Concealment, and Life Satisfaction Across 28 Countries. Journal Of Consulting And Clinical Psychology 2018, 86: 403-415. PMID: 29683698, DOI: 10.1037/ccp0000299.Peer-Reviewed Original ResearchSocietal-Level Explanations for Reductions in Sexual Orientation Mental Health Disparities: Results From a Ten-Year, Population-Based Study in Sweden
Hatzenbuehler M, Bränström R, Pachankis J. Societal-Level Explanations for Reductions in Sexual Orientation Mental Health Disparities: Results From a Ten-Year, Population-Based Study in Sweden. Stigma And Health 2018, 3: 16-26. DOI: 10.1037/sah0000066.Peer-Reviewed Original ResearchHealth disparitiesMental health disparitiesPsychological distressSexual orientation disparitiesNationwide population-based cross-sectional surveyPopulation-based cross-sectional surveyAdverse mental health outcomesStructural stigmaCross-sectional surveyMental health outcomesSexual orientationOrientation disparitiesGay men/lesbians
2017
Anti-LGBT and Anti-immigrant Structural Stigma
Pachankis JE, Hatzenbuehler ML, Berg RC, Fernández-Dávila P, Mirandola M, Marcus U, Weatherburn P, Schmidt AJ. Anti-LGBT and Anti-immigrant Structural Stigma. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2017, 76: 356-366. PMID: 28787329, PMCID: PMC5659919, DOI: 10.1097/qai.0000000000001519.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overCultural CharacteristicsDirective CounselingEmigrants and ImmigrantsEuropeHIV InfectionsHumansInternal-External ControlInternetMaleMiddle AgedPatient Acceptance of Health CarePrevalenceRisk FactorsRisk-TakingSexual and Gender MinoritiesSexual BehaviorSocial EnvironmentSocial StigmaSocial SupportYoung AdultConceptsStructural stigmaSexual minoritiesHIV preventionIntersectional populationHIV prevention outcomesHome countryNational attitudesHIV prevention knowledgeUnequal treatmentMigrantsImmigrantsNational lawEuropean countriesHIV riskEuropean MSM Internet SurveyCountriesStigmaPrecautionary behaviorLinguistic statusGlobal HIV epidemicStructural determinantsMinorityService coverageDiverse sampleInternet survey
2016
The Geography of Sexual Orientation: Structural Stigma and Sexual Attraction, Behavior, and Identity Among Men Who Have Sex with Men Across 38 European Countries
Pachankis JE, Hatzenbuehler ML, Mirandola M, Weatherburn P, Berg RC, Marcus U, Schmidt AJ. The Geography of Sexual Orientation: Structural Stigma and Sexual Attraction, Behavior, and Identity Among Men Who Have Sex with Men Across 38 European Countries. Archives Of Sexual Behavior 2016, 46: 1491-1502. PMID: 27620320, PMCID: PMC5346459, DOI: 10.1007/s10508-016-0819-y.Peer-Reviewed Original ResearchConceptsCountry-level structural stigmaStructural stigmaSexual minoritiesSexual attractionSexual orientationHeterosexual attractionSexual orientation identificationEuropean countriesBehavior of menMSM’s sexual behaviorSexual identityLocal contextKey correlatesMeasures of attitudesNational lawSexualitySexual behaviorEuropean MSM Internet SurveyMulti-component assessmentContext-dependent natureHeterosexual behaviorMinorityCountriesIdentityStigmaNew to New York: Ecological and Psychological Predictors of Health Among Recently Arrived Young Adult Gay and Bisexual Urban Migrants
Pachankis JE, Eldahan AI, Golub SA. New to New York: Ecological and Psychological Predictors of Health Among Recently Arrived Young Adult Gay and Bisexual Urban Migrants. Annals Of Behavioral Medicine 2016, 50: 692-703. PMID: 27094938, DOI: 10.1007/s12160-016-9794-8.Peer-Reviewed Original ResearchConceptsYoung gayBisexual menStructural stigmaNew York CityUrban ecologyNew urban experienceHigh-risk migrationYoung Adult GayMigrant experienceYoung migrantsYork CityMigration motivationsDomestic migrationUrban migrantsUS migrationUrban enclavesHomophobic environmentSocial freedomUrban experienceGayVulnerable segmentsAdult gayInterpersonal discriminationMigrantsIndividual-level interventions
2014
The influence of structural stigma and rejection sensitivity on young sexual minority men's daily tobacco and alcohol use
Pachankis JE, Hatzenbuehler ML, Starks TJ. The influence of structural stigma and rejection sensitivity on young sexual minority men's daily tobacco and alcohol use. Social Science & Medicine 2014, 103: 67-75. PMID: 24507912, PMCID: PMC5793849, DOI: 10.1016/j.socscimed.2013.10.005.Peer-Reviewed Original ResearchConceptsRejection sensitivitySexual minority individualsSubstance useAlcohol useStructural stigmaDaily diary approachMinority individualsSexual minority menDaily tobaccoYoung sexual minority menGay-related rejection sensitivityDaily substance useBody of researchSexual minority participantsOnline measuresPsychological predispositionsDiary approachNegative health outcomesImportant health behaviorsMinority menSocial environmentMinority participantsIndividual levelSexual minoritiesSufficient variance