{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:11:41Z","timestamp":1777921901692,"version":"3.51.4"},"reference-count":72,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["LGBT Health"],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Latino sexual minority men (LSMM) may experience oppression based on their ethnicity, sexual orientation, and migratory status, yet scientific literature is only beginning to explore the intersection of these experiences. This study examined mental health (MH) in relation to LSMM's experiences of intersectional oppression and affirmation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We conducted a secondary analysis of baseline data from a cohort study examining LSMM's (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009290) health care engagement in Miami, FL, from February to September 2020. Latent class analysis (LCA) identified classes based on self-reported multiple identity discrimination (e.g., race, ethnicity, and skin color), sexual orientation stigma\/affirmation, and migration-related stress. Logistic and linear regressions examined associations between class membership and anxious, depressive, post-traumatic stress, somatic symptoms, and overall MH burden.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The LCA revealed a three-class solution: (1) affirmed LSMM (73.8%), (2) LSMM with intersectional oppression (21.7%), and (3) LSMM with immigration stress (4.5%). The three classes varied in terms of multiple identity discrimination, sexual orientation stigma\/affirmation, and migration-related stress. Compared with Class 1, Class 2 had greater conditional probabilities of reporting clinically significant depressive (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.033) and post-traumatic stress symptoms (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.031), and at least one MH concern (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.018). Greater depressive symptoms (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.007), post-traumatic stress symptoms (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.049), somatic symptoms (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.024), and clinically significant MH concerns (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.018) were found among Class 2 than among Class 1.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Findings identified three groups of LSMM based on their experiences of intersectional oppression and affirmation. Discrimination at the intersection of multiple identities, sexual orientation stigma\/affirmation, and migration-related stress were associated with LSMM's MH outcomes, particularly among immigrants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lgbt.2022.0212","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T10:31:30Z","timestamp":1689762690000},"page":"629-638","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["The Relationship Between Intersectional Oppression and Affirmation and Latino Sexual Minority Men's Mental Health"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5826-3589","authenticated-orcid":false,"given":"Daniel","family":"Mayo","sequence":"first","affiliation":[{"name":"College of Public Health, National Taiwan University, Taipei, Taiwan."},{"name":"Department of Psychology, University of Miami, Coral Gables, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2827-5463","authenticated-orcid":false,"given":"Alyssa","family":"Lozano","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences and University of Miami, Miami, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renessa S.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Miami, Miami, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven A.","family":"Safren","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Miami, Coral Gables, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2290-9904","authenticated-orcid":false,"given":"Audrey","family":"Harkness","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,12,4]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2021.306238"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1037\/0022-0167.55.1.19"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-008-9360-y"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/00915521211002898"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10826-016-0528-0"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0011000009335263"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/napa.12001"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1037\/cdp0000077"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/074355489272003"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2019.11.013"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-018-0838-y"},{"key":"e_1_3_6_13_2","doi-asserted-by":"crossref","unstructured":"Yamanis TJ del R\u00edo-Gonz\u00e1lez AM Rapoport L et al. 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