| Autor: |
Brooks BD; Department of Psychology, Loyola University Chicago, Chicago, IL, USA.; Department of Medicine, University of Chicago, Chicago, IL, USA., Job SA; Department of Population Health Sciences, University of Central Florida, Orlando, FL, USA., Kaniuka AR; Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA., Kolb R; Department of Psychology, Loyola University Chicago, Chicago, IL, USA., Unda Charvel P; Department of Psychology, Loyola University Chicago, Chicago, IL, USA., Araújo F; Department of Psychiatry and Behavioral Neurosciences, University of Chicago, Chicago, IL, USA. |
| Abstrakt: |
Background: Sexual and gender minority (SGM) individuals are at increased risk for an array of chronic illness due to minority stress. Up to 70% of SGM individuals report healthcare discrimination, which may cause additional challenges for SGM people living with chronic illness including avoiding necessary healthcare. The extant literature highlights how healthcare discrimination is associated with depressive symptoms and treatment nonadherence. However, there is limited evidence on the underlying mechanisms between healthcare discrimination and treatment adherence among SGM people living with chronic illness. Methods: Among a sample of SGM individuals living with chronic illness ( n = 149) recruited from social media, the current study examined the mediating roles of anticipated discrimination and depressive symptoms on the relation between healthcare discrimination and treatment adherence in a serial mediation model.Results: We found that healthcare discrimination was associated with greater anticipated discrimination, increased depressive symptoms, and, in turn, poorer treatment adherence. Conclusion: These findings highlight the association between minority stress and both depressive symptoms and treatment adherence among SGM individuals living with chronic illness. Addressing institutional discrimination and the consequences of minority stress may improve treatment adherence among SGM individuals living with chronic illness. |
