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Priyoth Kittiteerasack

Thammasat University, Thailand

Title: Using minority-related factors to understand levels of stress among lesbian, gay, bisexual and transgender populations in Thailand

Abstract

Stress is a common health issue leading to adverse health outcomes. Considerable global research has confirmed that LGBTs (Lesbian, Gay, Bisexual, or Transgender) are a high-risk group for stress. However, little is known in Thailand. The purpose was to examine the stress levels and its predictors among Thai LGBT populations. Guided by the Minority Stress Model (MSM), members of stigmatized groups experience minority-related factors increasing exposure to unique and chronic stress. Standardized measures related to MSM (discrimination, victimization, openness, and internalized homophobia) were selected and translated into the Thai language using forward/backward translation techniques (Cronbach’s alpha > 0.8, CVI = 1). This cross-sectional study was a collaboration between several nationwide LGBT organizations. A diverse sample of LGBT adults was recruited using convenience and snowball samplings and applying online and in-person formats. The data were analyzed by bivariate and multivariate analyses. The mean age of participants (N = 411) was 29.5 years old (S.D. = 7.4). The majority reported being male (90.5%), homosexual (79.3%), and cisgender (76.6%). The stress mean score was 5.48 (SD = 3.42), with most of mild and moderate levels of stress (42.6%, 33.6%). Minority-related stress was common. Thai LGBT participants tended to report low experiences of discrimination (M = 1.90, S.D. = 2.69) and victimization (M = .60, S.D. .51), some had high levels of openness (M = 4.67, S.D. = 1.72) and internalized homophobia level (M = 2.40, S.D. = 1.06). Multivariate analysis reported stress levels were associated with multiple minority-related factors, including discrimination (OR = .077, p ? .05, R2 = .151), victimization (OR = 1.127, p > .05, R2 = .151), and internalized homophobia (OR = .331, p ? .05, R2 = .151). Results have implications for nurses to create effective intervention to prevent and reduce stress levels among Thai LGBT populations

Biography

Dr. Kittiteerasack is a mental health and psychiatric nurse and assistant professor at the Faculty of Nursing, Thammasat University, Thailand. His research focuses on mental health disparities among LGBT individuals.