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 manifestationsStigma and Anxiety and Depressive Symptoms in Parents of Sexual and Gender Minority Youth
Clark K, Argiros A, Dougherty L, Pachankis J. Stigma and Anxiety and Depressive Symptoms in Parents of Sexual and Gender Minority Youth. Journal Of Family Psychology 2024, 38: 201-211. PMID: 38227468, PMCID: PMC10922310, DOI: 10.1037/fam0001183.Peer-Reviewed Original ResearchConceptsSGM youthVicarious stigmaStigma experiencesDepressive symptomsPatient-Reported Outcomes Measurement Information System short formsSelf-reported anxietyAssessed parents' experiencesSymptoms of anxietyConsequences of stigmaChild mental healthMental health difficultiesCross-sectional studySGM childrenGender minoritiesSGM peopleStigma measuresExperience stigmaYouths' parentsHealth difficultiesMental healthAnxietyInvestigate associationsSGMStigmaEmotional consequencesStructural 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
Mental Health Provider Training to Improve LGBTQ Competence and Reduce Implicit and Explicit Bias: A Randomized Controlled Trial of Online and In-Person Delivery
Lelutiu-Weinberger C, Clark K, Pachankis J. Mental Health Provider Training to Improve LGBTQ Competence and Reduce Implicit and Explicit Bias: A Randomized Controlled Trial of Online and In-Person Delivery. Psychology Of Sexual Orientation And Gender Diversity 2023, 10: 589-599. PMID: 38239562, PMCID: PMC10794005, DOI: 10.1037/sgd0000560.Peer-Reviewed Original ResearchExplicit biasMental health trainingMental health providersLGBTQ clientsHealth trainingAffirmative careSupervision sessionsBenefits of supervisionHealth providersMental health careTwo-day trainingFuture researchQueer individualsParticipantsStrong stigmaTrainingOnline modalityCompetenceSupervisionCisgender femalesPersonsStigmaBiasOnline supervisionPractice intentionsIncorporating 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. countiesStigmaContextResearchGayWhat 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 interventionsStigmaThe Role of Shame in the Sexual-Orientation Disparity in Mental Health: A Prospective Population-Based Study of Multimodal Emotional Reactions to Stigma
Pachankis J, Hatzenbuehler M, Klein D, Bränström R. The Role of Shame in the Sexual-Orientation Disparity in Mental Health: A Prospective Population-Based Study of Multimodal Emotional Reactions to Stigma. Clinical Psychological Science 2023, 12: 486-504. PMID: 38938414, PMCID: PMC11210704, DOI: 10.1177/21677026231177714.Peer-Reviewed Original ResearchStigma theoryMental healthRole of shameIndirect effectsSexual minoritiesSexual orientation disparitiesMental health sequelaeSocial anxietyAdverse mental healthEmotional reactionsMental health disparitiesRelated constructsInterpersonal stigmaInternalized stigmaShameSuicidal thoughtsYoung adultsProspective populationHeterosexual young adultsRepresentative cohortTreatment targetsLater experienceStigmaEmotionsAnxietyHypervigilance: An Understudied Mediator of the Longitudinal Relationship Between Stigma and Internalizing Psychopathology Among Sexual-Minority Young Adults
Hollinsaid N, Pachankis J, Bränström R, Hatzenbuehler M. Hypervigilance: An Understudied Mediator of the Longitudinal Relationship Between Stigma and Internalizing Psychopathology Among Sexual-Minority Young Adults. Clinical Psychological Science 2023, 11: 954-973. DOI: 10.1177/21677026231159050.Peer-Reviewed Original ResearchRejection sensitivitySexual minority young adultsInternalizing psychopathologySexual minority mental healthYoung adultsSexual minoritiesSymptoms 2 yearsTransdiagnostic mechanismsPsychological mechanismsPsychological interventionsStigma-related experiencesDistinct constructsHypervigilanceLongitudinal relationshipRuminationMental healthProspective associationsPsychopathologyConstructsStigmaAdultsDiscriminationInterventionImplicationsMinority
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 indicatorsThe buckle of the Bible Belt: Sexual minority emerging adults’ minority stress in South Central Appalachia
Mann A, Williams S, Job S, Pachankis J, Chaudoir S. The buckle of the Bible Belt: Sexual minority emerging adults’ minority stress in South Central Appalachia. Journal Of Gay & Lesbian Mental Health 2022, 27: 439-457. PMID: 38156197, PMCID: PMC10752621, DOI: 10.1080/19359705.2022.2064953.Peer-Reviewed Original ResearchSupervision 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
Does Stigma Moderate the Efficacy of Mental- and Behavioral-Health Interventions? Examining Individual and Contextual Sources of Treatment-Effect Heterogeneity
Hatzenbuehler M, Pachankis J. Does Stigma Moderate the Efficacy of Mental- and Behavioral-Health Interventions? Examining Individual and Contextual Sources of Treatment-Effect Heterogeneity. Current Directions In Psychological Science 2021, 30: 476-484. DOI: 10.1177/09637214211043884.Peer-Reviewed Original ResearchStructural 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 implicationsHealthMinoritySurveyImplicationsMinority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration
Harvey TD, Keene DE, Pachankis JE. Minority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration. Social Science & Medicine 2021, 272: 113735. PMID: 33561571, DOI: 10.1016/j.socscimed.2021.113735.Peer-Reviewed Original ResearchConceptsMinority stressBisexual menTerms of raceIdentity management techniquesUnique social stressorsPsychosocial health risksSuch incarcerationHegemonic masculinityDepth interviewsRisk of incarcerationUnited States male populationSexual expressionDominant themesIncarcerationReentry supportPublic health policyNew York CityQualitative studyHealth policyYork CityFirst placePsychosocial healthStigmaExperiencePsychosocial risks
2020
Internalized Sexual Minority Stigma is Associated With HIV Testing Behavior Among Chinese Men Who Have Sex With Men: A Cross-Sectional Study
Chi Y, Huang D, Pachankis J, Valimaki M, Shen Y, Li X. Internalized Sexual Minority Stigma is Associated With HIV Testing Behavior Among Chinese Men Who Have Sex With Men: A Cross-Sectional Study. Journal Of The Association Of Nurses In AIDS Care 2020, 32: 578-588. PMID: 35137720, DOI: 10.1097/jnc.0000000000000205.Peer-Reviewed Original ResearchLifecourse-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 arrayStudyStigmatization
2018
The Role of Gay-Related Stigma in HIV-Risk Behavior Among Sexual Minority Men in Europe
Leluţiu-Weinberger C, Rendina HJ, Mirandola M, Gios L, Folch C, Rafila A, Pachankis JE. The Role of Gay-Related Stigma in HIV-Risk Behavior Among Sexual Minority Men in Europe. AIDS And Behavior 2018, 23: 684-694. PMID: 30302655, PMCID: PMC6452636, DOI: 10.1007/s10461-018-2306-z.Peer-Reviewed Original ResearchConceptsSexual orientation stigmaSexual minority menOdds of sexMinority menSocial contextLast sexual encounterSexual encountersSexual orientation-related stigmaSexual minority stigmaHIV risk-related behaviorsCross-sectional survey sampleHIV-negative sexual minority menHIV contractionEastern EuropeEuropean countriesCasual partnersStructural interventionsHIV infectionStigmatized individualsHIV risk behaviorsCondomless sexStigmaSexual riskContextEurope