Association among emotional and behavioural problems, sexual minority status and suicidal behaviours in adolescents: a cross-sectional study from Guangdong Province in China

Minority Stress in Emotion Suppression and Mental Distress Among Sexual and Gender Minorities: A Systematic Review

Background:

The existing structural framework of defining gender and sexuality based on heteronormative ideology led to the succession of the notions of stigma, prejudice, and hate towards the sexual and gender minority population. The presence of strong scientific evidence for the negative consequences of discriminatory and violent events has directed the association with mental and emotional distress. This study aims to comprehend the role of minority stress in emotional regulation and suppression among the sexual minority population globally using systematic review of literature through elaborate Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines.

Summary:

The analyses of the sorted literature premised on the PRISMA guidelines revealed that minority stress mediates the emotion regulation processes among the individuals who witness continuous episodes of discrimination and violence leading to emotional dysregulation and emotion suppression. Studies also reported the dominance of various health-risk behaviors such as alcohol addiction, drug abuse, and other forms of intoxication among sexual minority individuals. Increased instances of anxiety, stress, depression, and suicidal ideations were prominent in the findings of the empirical research suggesting an intricate role of minority stress in advancing the faulty emotion suppression and mental health concerns among the sexual and gender minority population.

Key message:

Minority stressors among sexual and gender minority individuals mediate emotion suppression and mental distress.

The process of contemporary gay identity development in China: The influence of internet use

Background

Adolescence and emerging adulthood are critical periods for an individual's sexual identity development. The internet has become a primary avenue for gay identity exploration. The purpose of this study was to examine the role of the internet in Chinese young gay male's sexual identity development.

Methods

Qualitative interviews were conducted with 37 gay males aged 16 to 29. Data were analyzed using grounded theory methods.

Results

Three categories of identity development in relation to use of the internet were identified: (1) Gay identity confirming, which includes verifying same-sex attraction and connecting the attraction feeling to gay identity through consumption of pornography, Tanbi (boy's love) materials, and searching for information online. (2) Gay identity practicing, includes interacting with the gay community to gain understandings of gay subcultures and make close gay friends, engaging in same-sex sexual and romantic relationship development through online group and interpersonal interactions. The internet practice impact on an individual's cognition and behavior by presenting same-sex sexual contact is normal and common, facilitating longing for a romantic relationship, and facilitating relationship development; and (3) Gay identity coping, includes increasing self-acceptance of gay identity, gaining a sense of belonging in the gay community, increasing autonomy in sexual and romantic relationship development, and growing consideration of coming out to parents. Young gay males' coping efficacy was gained through the lessons learned from identity practice.

Conclusion

The findings indicate that an individual's internet practice facilitates gay identity confirmation, enriches identity practice, and promotes the transition from self-identification to identity disclosure and integration. Internet practice also threatens to young gay males' sexual risk behavior, emotional hurts from failed romantic relationships. Interventions including sexual identity education and healthy internet use strategies need to be developed tailored to the developmental characteristics.