Showing papers by "Eli Coleman published in 2013"
TL;DR: The findings support the minority stress model and suggest that prevention needs to confront social structures, norms, and attitudes that produce minority stress for gender-variant people and enhance peer support; and improve access to mental health and social services that affirm transgender identity and promote resilience.
Abstract: Objectives. We assessed the association between minority stress, mental health, and potential ameliorating factors in a large, community-based, geographically diverse sample of the US transgender population.Methods. In 2003, we recruited through the Internet a sample of 1093 male-to-female and female-to-male transgender persons, stratified by gender. Participants completed an online survey that included standardized measures of mental health. Guided by the minority stress model, we evaluated associations between stigma and mental health and tested whether indicators of resilience (family support, peer support, identity pride) moderated these associations.Results. Respondents had a high prevalence of clinical depression (44.1%), anxiety (33.2%), and somatization (27.5%). Social stigma was positively associated with psychological distress. Peer support (from other transgender people) moderated this relationship. We found few differences by gender identity.Conclusions. Our findings support the minority stres...
1,141 citations
University of Minnesota1, University of Arkansas for Medical Sciences2, Morehouse School of Medicine3, University of California, Davis4, Albert Einstein College of Medicine5, American Medical Association6, University of British Columbia7, University of Virginia Health System8, Brigham and Women's Hospital9, University of North Carolina at Chapel Hill10, Tulane University11
TL;DR: Findings presented at a summit demonstrate that the United States and Canada have high rates of poor sexual health outcomes and that sexual health education in medical schools is variable and in some settings diminished.
121 citations
TL;DR: This review of measures of homophobia published in the academic literature from 1970 to 2012 is reviewed to make the process of instrument selection more efficient by allowing researchers to easily locate, evaluate, and choose the proper measure based on their research question and population of interest.
Abstract: Scientific interest in the measurement of homophobia and internalized homophobia has grown over the past 30 years, and new instruments and terms have emerged. To help researchers with the challengi...
82 citations
TL;DR: In this paper, the authors found that compulsive sexual behavior (CSB) can be characterized by disruptions of certain executive functions, impulsivity, and difficulties with emotional regulation, and a model is proposed of how CSB leads to HIV sexual risk behavior.
Abstract: The extant literature indicates a robust association between compulsive sexual behavior (CSB) and HIV sexual risk. Our research has found that CSB influences multiple measures of HIV sexual risk and that the association between CSB and HIV sexual risk behavior is consistent across multiple populations, including men who have sex with men and African-American women. Further, we have found that CSB can be characterized by disruptions of certain executive functions, impulsivity, and difficulties with emotional regulation. These factors are described within the context of HIV prevention and a model is proposed of how CSB leads to HIV sexual risk behavior.
29 citations
01 Jan 2013
TL;DR: In this paper, the authors assessed the association between minority stress, mental health, and potential ameliorating factors in a large, community-based, geographically diverse sample of the US transgender population.
Abstract: Objectives. We assessed the association between minority stress, mental health, and potential ameliorating factors in a large, community-based, geographically diverse sample of the US transgender population. Methods. In 2003, we recruited through the Internet a sample of 1093 maleto-female and female-to-male transgender persons, stratified by gender. Participants completed an online survey that included standardized measures of mental health. Guided by the minority stress model, we evaluated associations between stigma and mental health and tested whether indicators of resilience (family support, peer support, identity pride) moderated these associations. Results. Respondents had a high prevalence of clinical depression (44.1%), anxiety (33.2%), and somatization (27.5%). Social stigma was positively associated with psychological distress. Peer support (from other transgender people) moderated this relationship. We found few differences by gender identity. Conclusions. Our findings support the minority stress model. Prevention needs to confront social structures, norms, and attitudes that produce minority stress for gender-variant people; enhance peer support; and improve access to mental health and social services that affirm transgender identity and promote resilience. (Am J Public Health. 2013;103:943‐951. doi:10.2105/AJPH.2013.301241)