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Grounded in the Minority Stress Model, this paper explores associations of proximal and distal minority stressors with three types of negative mental health outcomes among young HIV\u2010negative GBMSM (<jats:italic>n<\/jats:italic>\u2009=\u200963) between the ages of 19\u201334 who participated in a pilot trial of a sexual health intervention. Using the PHQ\u20109, GAD\u20107, and PC\u2010PTSD\u20105 screening measures, levels of clinically significant symptoms were reported as follows: 15.8% depressive symptoms, 12.7% anxiety symptoms, 31.7% posttraumatic stress symptoms. Results from stepwise linear regression analyses suggest that GBMSM\u2010related stigma (distal stressor) was the strongest correlate for all three mental health outcomes, and concealment motivation (proximal stressor) was an additional significant correlate only in the depressive symptoms model. These findings should be viewed with caution and seen as initial observations given the small sample which limits our interpretations of the findings. Structural\u2010level interventions are needed to decrease GBMSM's exposure to intersectional stigma and discrimination, such as decriminalization of same\u2010sex sexual activity, as well as individual and group\u2010level interventions that assist GBMSM with improving their adaptive coping strategies.<\/jats:p>","DOI":"10.1002\/ajcp.12767","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T05:14:48Z","timestamp":1730783688000},"page":"249-261","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Proximal and distal minority stressors and mental health among young gay and bisexual men and other men who have sex with men (GBMSM) in Kisumu, Kenya"],"prefix":"10.1002","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1011-1751","authenticated-orcid":false,"given":"Gary W.","family":"Harper","sequence":"first","affiliation":[{"name":"Department of Health Behavior and Health Equity University of Michigan School of Public Health Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenglin","family":"Hong","sequence":"additional","affiliation":[{"name":"School of Social Work University of Connecticut Hartford Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan C.","family":"Jauregui","sequence":"additional","affiliation":[{"name":"Department of Social Welfare UCLA Luskin School of Public Affairs Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elijah Ochieng","family":"Odhiambo","sequence":"additional","affiliation":[{"name":"Salina Youth Initiative Kisumu, Kisumu County Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Jadwin\u2010Cakmak","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Health Equity University of Michigan School of Public Health Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kennedy","family":"Olango","sequence":"additional","affiliation":[{"name":"Men Against AIDS Youth Group (MAAYGO) Kisumu, Kisumu County Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Rivet Amico","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Health Equity University of Michigan School of Public Health Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather M.","family":"Tucker","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Health Equity University of Michigan School of Public Health Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myla","family":"Lyons","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Health Equity University of Michigan School of Public Health Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson","family":"Odero","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Community Health Maseno University School of Medicine Kisumu, Kisumu County Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan M.","family":"Graham","sequence":"additional","affiliation":[{"name":"Departments of Global Health, Medicine, and Epidemiology University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2020.1788726"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.15520\/jassh53418"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25122"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-078794"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2020.1739729"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.18.1.20226"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.16.4.18748"},{"key":"e_1_2_5_9_1","volume-title":"Education for critical consciousness","author":"Freire P.","year":"1974"},{"key":"e_1_2_5_10_1","volume-title":"Education as the Practice of Freedom","author":"Freire P.","year":"1976"},{"key":"e_1_2_5_11_1","volume-title":"Pedagogy of the oppressed","author":"Freire P.","year":"2000"},{"key":"e_1_2_5_12_1","unstructured":"Ghoshal N. &Tabengwa M. 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