{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T11:46:31Z","timestamp":1782215191886,"version":"3.54.5"},"reference-count":83,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"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":[[2026,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>This study explored how minority stress and social safety jointly shape mental health among Taiwanese sexual minority men (SMM) through the identification of psychosocial profiles and their associations with depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Between April and May 2023, 415 Taiwanese SMM completed an online cross-sectional survey. Latent profile analysis (LPA) identified groups based on minority stress (sexuality-related discrimination, acceptance concerns, internalized homonegativity) and social safety (identity affirmation, family support, community connectedness) indicators. Multinomial logistic regression examined sociodemographic correlates of profile membership, and linear and binary logistic regressions assessed associations with depressive symptom severity (DSS) and major depressive disorder (MDD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      LPA identified three distinct profiles: \u201cModerate Minority Stress\u2013Low Social Safety\u201d (MMS\u2013LSS;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 201, 48.4%); \u201cLow Minority Stress\u2013High Social Safety\u201d (LMS\u2013HSS;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 182, 43.9%); and \u201cHigh Minority Stress\u2013Moderate Social Safety\u201d (HMS\u2013MSS;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 32, 7.7%). Individuals identifying as heterosexual men who have sex with men, pansexual, asexual, queer, or questioning had greater odds of belonging to the MMS\u2013LSS (odds ratio [OR] = 5.00, 95% confidence interval [CI] = 1.42\u201317.63) and HMS\u2013MSS (OR = 10.35, 95% CI = 2.32\u201346.13) profiles, relative to the LMS\u2013HSS profile. Compared with individuals in the LMS\u2013HSS profile, residence in the Central, Eastern, or Outer Island regions was associated with higher odds of HMS\u2013MSS profile membership (OR = 3.58, 95% CI = 1.46\u20138.83). After adjusting for covariates, membership in the MMS\u2013LSS (\u03b2 = 0.16, 95% CI = 0.06\u20130.25; adjusted OR [aOR] = 1.87, 95% CI = 1.06\u20133.35) and HMS\u2013MSS (\u03b2 = 0.11, 95% CI = 0.01\u20130.20; aOR = 2.98, 95% CI = 1.13\u20137.69) profiles, relative to the LMS\u2013HSS profile, was associated with greater DSS and higher odds of MDD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These findings revealed diverse experiences of minority stress and social safety among Taiwanese SMM and their implications for depression, supporting culturally responsive interventions.<\/jats:p>\n                  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