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Gepubliceerd in: Quality of Life Research 4/2017

27-09-2016

Dating violence, quality of life and mental health in sexual minority populations: a path analysis

Auteurs: Janet Yuen-Ha Wong, Edmond Pui-Hang Choi, Herman Hay-Ming Lo, Wendy Wong, Jasmine Hin-Man Chio, Anna Wai-Man Choi, Daniel Yee-Tak Fong

Gepubliceerd in: Quality of Life Research | Uitgave 4/2017

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Abstract

Purpose

Theories explaining the impact of intimate partner violence (IPV) on mental health have focused on heterosexual relationships. It is unclear whether mental health disparities between heterosexual and sexual minority people are due to IPV or factors related to sexual orientation. The present study aimed to investigate pathways of how sexual orientation influenced quality of life and mental health.

Methods

The present cross-sectional study was conducted in 1076 young adults in a university population (934 heterosexual and 142 sexual minority groups). Structural equation modelling was used to examine the pathways of sexual orientation, dating violence, sexual orientation concealment, quality of life and mental health (perceived stress, anxiety and depression).

Results

After adjusting for sociodemographic factors, quality of life in sexual minority people was poorer [estimate −2.82, 95 % confidence interval (CI) −4.77 to −0.86, p = 0.005], and stress (estimate 2.77, 95 % CI 1.64–3.92, p < 0.0001), anxiety (estimate 1.84, 95 % CI 1.13–2.56, p < 0.0001) and depression levels (estimate 0.62, 95 % CI 0.05–1.2, p < 0.0001) were higher than in heterosexual people. Dating violence and sexual orientation concealment were mediators, with the models showing a good fit.

Conclusion

Our study has progressed investigation of the link between sexual orientation and quality of life and mental health in the Chinese context. It has helped identify health disparities between heterosexual and sexual minority people and determined specific factors affecting their quality of life and mental health.
Literatuur
1.
go back to reference Edwards, K. M., et al. (2015). Physical dating violence, sexual violence, and unwanted pursuit victimization: a comparison of incidence rates among sexual-minority and heterosexual college students. Journal of Interpersonal Violence, 30(4), 580–600.CrossRefPubMed Edwards, K. M., et al. (2015). Physical dating violence, sexual violence, and unwanted pursuit victimization: a comparison of incidence rates among sexual-minority and heterosexual college students. Journal of Interpersonal Violence, 30(4), 580–600.CrossRefPubMed
2.
go back to reference Badenes-Ribera, L., et al. (2016). Intimate partner violence in self-identified lesbians: A systematic review of its prevalence and correlates. Trauma, Violence, & Abuse, 17(3), 284–297.CrossRef Badenes-Ribera, L., et al. (2016). Intimate partner violence in self-identified lesbians: A systematic review of its prevalence and correlates. Trauma, Violence, & Abuse, 17(3), 284–297.CrossRef
3.
go back to reference Walters, M. L., Chen, J., & Breiding, M. J. (2013). The National Intimate Partner and Sexual Violence Survey (NISVS): 2010 Findings on Victimization by Sexual Orientation. Atlanta: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. Walters, M. L., Chen, J., & Breiding, M. J. (2013). The National Intimate Partner and Sexual Violence Survey (NISVS): 2010 Findings on Victimization by Sexual Orientation. Atlanta: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.
4.
go back to reference Campbell, J., et al. (2002). Intimate partner violence and physical health consequences. Archives of Internal Medicine, 162, 1157–1163.CrossRefPubMed Campbell, J., et al. (2002). Intimate partner violence and physical health consequences. Archives of Internal Medicine, 162, 1157–1163.CrossRefPubMed
5.
go back to reference Jordan, C. E., Campbell, R., & Follingstad, D. (2010). Violence and women’s mental health: the impact of physical, sexual, and psychological aggression. Annual Review of Clinical Psychology, 6, 607–628.CrossRefPubMed Jordan, C. E., Campbell, R., & Follingstad, D. (2010). Violence and women’s mental health: the impact of physical, sexual, and psychological aggression. Annual Review of Clinical Psychology, 6, 607–628.CrossRefPubMed
6.
go back to reference Leiner, A., et al. (2008). Intimate partner violence, psychological distress, and suicidality: A path model using data from african american women seeking care in an urban emergency department. Journal of Family Violence, 23(6), 473–481.CrossRef Leiner, A., et al. (2008). Intimate partner violence, psychological distress, and suicidality: A path model using data from african american women seeking care in an urban emergency department. Journal of Family Violence, 23(6), 473–481.CrossRef
7.
go back to reference Buller, A. M., et al. (2014). Associations between intimate partner violence and health among men who have sex with men: A systematic review and meta-analysis. PLoS Medicine, 11(3), e1001609.CrossRefPubMedPubMedCentral Buller, A. M., et al. (2014). Associations between intimate partner violence and health among men who have sex with men: A systematic review and meta-analysis. PLoS Medicine, 11(3), e1001609.CrossRefPubMedPubMedCentral
8.
go back to reference King, M., et al. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8(1), 70.CrossRefPubMedPubMedCentral King, M., et al. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8(1), 70.CrossRefPubMedPubMedCentral
9.
go back to reference Newcomb, M. E., & Mustanski, B. (2010). Internalized homophobia and internalizing mental health problems: A meta-analytic review. Clinical Psychology Review, 30(8), 1019–1029.CrossRefPubMed Newcomb, M. E., & Mustanski, B. (2010). Internalized homophobia and internalizing mental health problems: A meta-analytic review. Clinical Psychology Review, 30(8), 1019–1029.CrossRefPubMed
10.
go back to reference Fredriksen-Goldsen, K. I., et al. (2010). Disparities in health-related quality of life: A comparison of lesbians and bisexual women. American Journal of Public Health, 100(11), 2255–2261.CrossRefPubMedPubMedCentral Fredriksen-Goldsen, K. I., et al. (2010). Disparities in health-related quality of life: A comparison of lesbians and bisexual women. American Journal of Public Health, 100(11), 2255–2261.CrossRefPubMedPubMedCentral
11.
go back to reference Haas, A. P., et al. (2010). Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: review and recommendations. Journal of Homosexuality, 58(1), 10–51.CrossRef Haas, A. P., et al. (2010). Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: review and recommendations. Journal of Homosexuality, 58(1), 10–51.CrossRef
12.
go back to reference Sandfort, T. M., et al. (2001). Same-sex sexual behavior and psychiatric disorders: Findings from the netherlands mental health survey and incidence study (nemesis). Archives of General Psychiatry, 58(1), 85–91.CrossRefPubMed Sandfort, T. M., et al. (2001). Same-sex sexual behavior and psychiatric disorders: Findings from the netherlands mental health survey and incidence study (nemesis). Archives of General Psychiatry, 58(1), 85–91.CrossRefPubMed
13.
go back to reference Cochran, S. D., & Mays, V. M. (2007). Physical health complaints among lesbians, gay men, and bisexual and homosexually experienced heterosexual individuals: Results from the California Quality of Life Survey. American Journal of Public Health, 97(11), 2048–2055.CrossRefPubMedPubMedCentral Cochran, S. D., & Mays, V. M. (2007). Physical health complaints among lesbians, gay men, and bisexual and homosexually experienced heterosexual individuals: Results from the California Quality of Life Survey. American Journal of Public Health, 97(11), 2048–2055.CrossRefPubMedPubMedCentral
14.
go back to reference Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697.CrossRefPubMedPubMedCentral Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697.CrossRefPubMedPubMedCentral
15.
go back to reference Hequembourg, A. L., & Dearing, R. L. (2013). Exploring shame, guilt, and risky substance use among sexual minority men and women. Journal of Homosexuality, 60(4), 615–638.CrossRefPubMedPubMedCentral Hequembourg, A. L., & Dearing, R. L. (2013). Exploring shame, guilt, and risky substance use among sexual minority men and women. Journal of Homosexuality, 60(4), 615–638.CrossRefPubMedPubMedCentral
16.
go back to reference Schrimshaw, E. W., et al. (2013). Disclosure and concealment of sexual orientation and the mental health of non-gay-identified, behaviorally-bisexual men. Journal of Consulting and Clinical Psychology, 81(1), 141–153.CrossRefPubMed Schrimshaw, E. W., et al. (2013). Disclosure and concealment of sexual orientation and the mental health of non-gay-identified, behaviorally-bisexual men. Journal of Consulting and Clinical Psychology, 81(1), 141–153.CrossRefPubMed
17.
go back to reference Shilo, G., & Savaya, R. (2011). Effects of family and friend support on LGB youths’ mental health and sexual orientation milestones. Family Relations, 60(3), 318–330.CrossRef Shilo, G., & Savaya, R. (2011). Effects of family and friend support on LGB youths’ mental health and sexual orientation milestones. Family Relations, 60(3), 318–330.CrossRef
18.
go back to reference Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people building a foundation for better understanding. Washington, DC: National Academy of Sciences. Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people building a foundation for better understanding. Washington, DC: National Academy of Sciences.
19.
go back to reference Finneran, C., & Stephenson, R. (2013). Intimate partner violence among men who have sex with men: A systematic review. Trauma, Violence, & Abuse, 14(2), 168–185.CrossRef Finneran, C., & Stephenson, R. (2013). Intimate partner violence among men who have sex with men: A systematic review. Trauma, Violence, & Abuse, 14(2), 168–185.CrossRef
20.
go back to reference Mak, W. W., Chong, E. S., & Kwong, M. M. (2010). Prevalence of same-sex intimate partner violence in Hong Kong. Public Health, 124(3), 149–152.CrossRefPubMed Mak, W. W., Chong, E. S., & Kwong, M. M. (2010). Prevalence of same-sex intimate partner violence in Hong Kong. Public Health, 124(3), 149–152.CrossRefPubMed
21.
go back to reference Gillum, T. L., & DiFulvio, G. T. (2014). Examining dating violence and its mental health consequences among sexual minority youth. In D. Peterson & V. R. Panfil (Eds.), Handbook of LGBT communities, crime and justice (pp. 431–448). New York, NY: Springer.CrossRef Gillum, T. L., & DiFulvio, G. T. (2014). Examining dating violence and its mental health consequences among sexual minority youth. In D. Peterson & V. R. Panfil (Eds.), Handbook of LGBT communities, crime and justice (pp. 431–448). New York, NY: Springer.CrossRef
22.
go back to reference King, M., et al. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8, 70.CrossRefPubMedPubMedCentral King, M., et al. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8, 70.CrossRefPubMedPubMedCentral
23.
go back to reference Wong, C. Y., & So, C. K. T. (2003). Personality, psychosocial variables, and life satisfaction of Chinese gay men in Hong Kong. Journal of Happiness Studies, 4(3), 285–293.CrossRef Wong, C. Y., & So, C. K. T. (2003). Personality, psychosocial variables, and life satisfaction of Chinese gay men in Hong Kong. Journal of Happiness Studies, 4(3), 285–293.CrossRef
24.
go back to reference Shek, D. T. L. (2006). Chinese family research: Puzzles, progress, paradigms, and policy implications. Journal of Family Issues, 27(3), 275–284.CrossRef Shek, D. T. L. (2006). Chinese family research: Puzzles, progress, paradigms, and policy implications. Journal of Family Issues, 27(3), 275–284.CrossRef
25.
go back to reference Liu, H., et al. (2011). Chinese culture, homosexuality stigma, social support and condom use: A path analytic model. Stigma research and action, 1(1), 27–35.CrossRefPubMedPubMedCentral Liu, H., et al. (2011). Chinese culture, homosexuality stigma, social support and condom use: A path analytic model. Stigma research and action, 1(1), 27–35.CrossRefPubMedPubMedCentral
26.
go back to reference Liu, J., & Choi, K. (2006). Experiences of social discrimination among men who have sex with men in Shanghai. China. AIDS and Behavior, 10(1), 25–33.CrossRef Liu, J., & Choi, K. (2006). Experiences of social discrimination among men who have sex with men in Shanghai. China. AIDS and Behavior, 10(1), 25–33.CrossRef
27.
go back to reference Wong, F. Y., et al. (2009). STIs and HIV among Men having sex with men in China: A ticking time bomb? AIDS Education and Prevention, 21(5), 430–446.CrossRefPubMed Wong, F. Y., et al. (2009). STIs and HIV among Men having sex with men in China: A ticking time bomb? AIDS Education and Prevention, 21(5), 430–446.CrossRefPubMed
28.
go back to reference Brown, J. B., et al. (2000). Application of the Woman Abuse Screening Tool (WAST) and WAST-short in the family practice setting. Journal of Family Practice, 49(10), 896–903.PubMed Brown, J. B., et al. (2000). Application of the Woman Abuse Screening Tool (WAST) and WAST-short in the family practice setting. Journal of Family Practice, 49(10), 896–903.PubMed
29.
go back to reference Wong, J. Y. H., et al. (2016). Woman Abuse Screening Tool (WAST) is valid for screening and assessing dating violence in Chinese young adults. Journal of Interpersonal Violence (Under review). Wong, J. Y. H., et al. (2016). Woman Abuse Screening Tool (WAST) is valid for screening and assessing dating violence in Chinese young adults. Journal of Interpersonal Violence (Under review).
30.
go back to reference Skevington, S. M., et al. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of Life Research, 13(2), 299–310.CrossRefPubMed Skevington, S. M., et al. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of Life Research, 13(2), 299–310.CrossRefPubMed
31.
go back to reference Yao, G., & Wu, C. H. (2009). Similarities and differences among the Taiwan, China, and Hong-Kong versions of the WHOQOL questionnaire. Social Indicators Research, 91(1), 79–98.CrossRef Yao, G., & Wu, C. H. (2009). Similarities and differences among the Taiwan, China, and Hong-Kong versions of the WHOQOL questionnaire. Social Indicators Research, 91(1), 79–98.CrossRef
32.
go back to reference Gholami, A., et al. (2013). Application of WHOQOL-BREF in measuring quality of life in health-care staff. International Journal of Preventive Medicine, 4(7), 809–817.PubMedPubMedCentral Gholami, A., et al. (2013). Application of WHOQOL-BREF in measuring quality of life in health-care staff. International Journal of Preventive Medicine, 4(7), 809–817.PubMedPubMedCentral
33.
go back to reference Harper, A., & Power, M. (1999). WHOQOL user manual. Edinburgh: World Health Organization. Harper, A., & Power, M. (1999). WHOQOL user manual. Edinburgh: World Health Organization.
34.
go back to reference Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.CrossRefPubMed Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.CrossRefPubMed
35.
go back to reference Leung, C. M., et al. (1993). Evaluation of the Chinese version of the Hospital Anxiety and Depression Scale. A cross-cultural perspective. International Journal of Psychosomatics, 40(1–4), 29–34.PubMed Leung, C. M., et al. (1993). Evaluation of the Chinese version of the Hospital Anxiety and Depression Scale. A cross-cultural perspective. International Journal of Psychosomatics, 40(1–4), 29–34.PubMed
36.
go back to reference Felitti, V. J., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258.CrossRefPubMed Felitti, V. J., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258.CrossRefPubMed
37.
go back to reference Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods, 40(3), 879–891.CrossRefPubMed Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods, 40(3), 879–891.CrossRefPubMed
38.
go back to reference Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.CrossRef Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.CrossRef
39.
go back to reference Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In S. Leinhart (Ed.), Sociological methodology. San Francisco: Jossey-Bass. Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In S. Leinhart (Ed.), Sociological methodology. San Francisco: Jossey-Bass.
40.
go back to reference Yu, Y., Xiao, S., & Liu, K. Q. (2013). Dating violence among gay men in China. Journal of Interpersonal Violence, 28(12), 2491–2504.CrossRefPubMed Yu, Y., Xiao, S., & Liu, K. Q. (2013). Dating violence among gay men in China. Journal of Interpersonal Violence, 28(12), 2491–2504.CrossRefPubMed
41.
go back to reference Goldberg, N. G., & Meyer, I. H. (2013). Sexual orientation disparities in history of intimate partner violence: Results from the California Health Interview Survey. Journal of Interpersonal Violence, 28(5), 1109–1118.CrossRefPubMed Goldberg, N. G., & Meyer, I. H. (2013). Sexual orientation disparities in history of intimate partner violence: Results from the California Health Interview Survey. Journal of Interpersonal Violence, 28(5), 1109–1118.CrossRefPubMed
42.
go back to reference Luo, F., Stone, D. M., & Tharp, A. T. (2014). Physical dating violence victimization among sexual minority youth. American Journal of Public Health, 104(10), e66–e73.CrossRefPubMedPubMedCentral Luo, F., Stone, D. M., & Tharp, A. T. (2014). Physical dating violence victimization among sexual minority youth. American Journal of Public Health, 104(10), e66–e73.CrossRefPubMedPubMedCentral
43.
go back to reference Straus, M. A. (2008). Dominance and symmetry in partner violence by male and female university students in 32 nations. Children and Youth Services Review, 30(3), 252–275.CrossRef Straus, M. A. (2008). Dominance and symmetry in partner violence by male and female university students in 32 nations. Children and Youth Services Review, 30(3), 252–275.CrossRef
45.
go back to reference Wang, X., & Petula, S. Y. H. (2007). My Sassy Girl: A qualitative study of women’s aggression in dating relationships in Beijing. Journal of Interpersonal Violence, 22(5), 623–638.CrossRefPubMed Wang, X., & Petula, S. Y. H. (2007). My Sassy Girl: A qualitative study of women’s aggression in dating relationships in Beijing. Journal of Interpersonal Violence, 22(5), 623–638.CrossRefPubMed
46.
go back to reference Gillum, T. L., & DiFulvio, G. (2012). “There’s so much at stake”: Sexual minority youth discuss dating violence. Violence Against Women, 18(7), 725–745.CrossRefPubMed Gillum, T. L., & DiFulvio, G. (2012). “There’s so much at stake”: Sexual minority youth discuss dating violence. Violence Against Women, 18(7), 725–745.CrossRefPubMed
47.
go back to reference Messinger, A. (2014). Marking 35 years of research on same-sex intimate partner violence: Lessons and new directions. In D. Peterson & V. R. Panfil (Eds.), Handbook of LGBT communities, crime, and justice (pp. 65–85). New York: Springer.CrossRef Messinger, A. (2014). Marking 35 years of research on same-sex intimate partner violence: Lessons and new directions. In D. Peterson & V. R. Panfil (Eds.), Handbook of LGBT communities, crime, and justice (pp. 65–85). New York: Springer.CrossRef
48.
go back to reference Calton, J. M., Cattaneo L. B., & Gebhard, K. T. (2015). Barriers to help seeking for lesbian, gay, bisexual, transgender, and queer survivors of intimate partner violence. Trauma, Violence, & Abuse. doi:10.1177/1524838015585318. Calton, J. M., Cattaneo L. B., & Gebhard, K. T. (2015). Barriers to help seeking for lesbian, gay, bisexual, transgender, and queer survivors of intimate partner violence. Trauma, Violence, & Abuse. doi:10.​1177/​1524838015585318​.
49.
go back to reference Hu, X., Wang, Y., & Wu, C.-H. (2013). Acceptance concern and life satisfaction for Chinese LGBs: The mediating role of self-concealment. Social Indicators Research, 114(2), 687–701.CrossRef Hu, X., Wang, Y., & Wu, C.-H. (2013). Acceptance concern and life satisfaction for Chinese LGBs: The mediating role of self-concealment. Social Indicators Research, 114(2), 687–701.CrossRef
50.
go back to reference Coleman, E. (1982). Developmental stages of the coming out process. Journal of Homosexuality, 7(2–3), 31–43.CrossRef Coleman, E. (1982). Developmental stages of the coming out process. Journal of Homosexuality, 7(2–3), 31–43.CrossRef
51.
go back to reference Family Planning Association of Hong Kong. (2011). Youth sexuality study 2011. Hong Kong: Family Planning Association of Hong Kong. Family Planning Association of Hong Kong. (2011). Youth sexuality study 2011. Hong Kong: Family Planning Association of Hong Kong.
Metagegevens
Titel
Dating violence, quality of life and mental health in sexual minority populations: a path analysis
Auteurs
Janet Yuen-Ha Wong
Edmond Pui-Hang Choi
Herman Hay-Ming Lo
Wendy Wong
Jasmine Hin-Man Chio
Anna Wai-Man Choi
Daniel Yee-Tak Fong
Publicatiedatum
27-09-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1415-2

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