Microaggression toward LGBTIQ people and implications for mental health: A systematic review

Author:

Marchi Mattia12ORCID,Travascio Antonio1,Uberti Daniele1,De Micheli Edoardo1,Quartaroli Fabio1,Laquatra Giuseppe1,Grenzi Pietro1,Pingani Luca12ORCID,Ferrari Silvia12,Fiorillo Andrea3,Converti Manlio4,Pinna Federica5,Amaddeo Francesco6,Ventriglio Antonio7ORCID,Mirandola Massimo89ORCID,Galeazzi Gian M12

Affiliation:

1. Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy

2. Dipartimento ad Attività Integrata di Salute Mentale e Dipendenze Patologiche, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy

3. Department of Psychiatry, University of Campania “L. Vanvitelli”, Naples, Italy

4. ASL Napoli 2 Nord, Naples, Italy

5. Dipartimento di Scienze Mediche e Sanità Pubblica, Università degli Studi di Cagliari, Cagliari, Italy

6. Department of Neurosciences, Biomedicine and Movement, University of Verona, Verona, Italy

7. Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy

8. WHO Collaborating Centre for Sexual Health and Vulnerable Populations, Epidemiology Unit - Infectious Diseases Division, Department of Diagnostics and Public Health, University of Verona, Verona, Italy

9. School of Health Sciences, University of Brighton, Brighton, UK

Abstract

Background: Research suggests that microaggressions detrimentally impact the mental health of members of marginalized social groups. Aims: The aim of this systematic review was to assess the exposure to microaggressions and related implications on mental health of Lesbian, Gay, Bisexual, Transgender, Intersex, and Queer (LGBTIQ) people. Method: Medline, Scopus, PsycINFO, CINAHL, and EMBASE were searched until January 2023. Studies reporting data on the exposure to microaggressions toward LGBTIQ people were identified. Meta-analyses of rates of exposure to microaggression and of the association between microaggressions and mental health outcomes were based on odds ratio (OR) and standardized mean difference (SMD) with 95% confidence intervals (95% CI), estimated through inverse variance models with random effects. Results: The review process led to the selection of 17 studies, involving a total of 9036 LGBTIQ people, of which 6827 identifying as cisgenders, and 492 as heterosexuals, were included in the quantitative synthesis. Overall, LGBTIQ people showed an increased risk of microaggression (SMD: 0.89; 95% CI [0.28, 1.50]), with Transgender people having the highest risk ( OR: 10.0; 95% CI [3.08, 32.4]). Microaggression resulted associated with risk of depression (SMD: 0.21; 95% CI [0.05, 0.37]), anxiety (SMD: 0.29; 95% CI [0.17, 0.40]), suicide attempts ( OR: 1.13; 95% CI [1.08, 1.18]), alcohol abuse ( OR: 1.32; 95% CI [1.13, 1.54]), but not to suicidal ideation ( OR: 1.56; 95% CI [0.64, 3.81]) and cannabis abuse ( OR: 1.44; 95% CI [0.82, 2.55]). The quality of the evidence was limited by the small number of studies. Conclusions: LGBTIQ people are at higher risk of microaggressions compared with their cisgender/heterosexual peers, which may lead to mental health consequences. This evidence may contribute to public awareness of LGBTIQ mental health needs and suggest supportive strategies as well as preventive interventions (e.g., supportive programs and destigmatizing efforts) as parts of tailored health-care planning aimed to reduce psychiatric morbidity in this population.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3