■研究表明,微攻击会对边缘化社会群体成员的心理健康产生不利影响。
■本系统评价的目的是评估女同性恋者的微攻击暴露及其对心理健康的相关影响,同性恋,双性恋,变性人,Intersex,和酷儿(LGBTIQ)的人。
■Medline,Scopus,PsycINFO,CINAHL,和EMBASE一直搜索到2023年1月。确定了报告对LGBTIQ人群的微侵害暴露数据的研究。基于比值比(OR)和标准平均差(SMD)以及95%置信区间(95%CI),对微攻击暴露率以及微攻击与心理健康结果之间的关联进行了荟萃分析。通过具有随机效应的逆方差模型进行估计。
■审查过程导致了17项研究的选择,总共涉及9036名LGBTIQ人,其中6827人被认定为顺性者,和492个异性恋者,被包括在定量合成中。总的来说,LGBTIQ人群显示出微攻击的风险增加(SMD:0.89;95%CI[0.28,1.50]),变性人的风险最高(OR:10.0;95%CI[3.08,32.4])。微攻击与抑郁风险相关(SMD:0.21;95%CI[0.05,0.37]),焦虑(SMD:0.29;95%CI[0.17,0.40]),自杀未遂(OR:1.13;95%CI[1.08,1.18]),酗酒(OR:1.32;95%CI[1.13,1.54]),但不是自杀意念(OR:1.56;95%CI[0.64,3.81])和大麻滥用(OR:1.44;95%CI[0.82,2.55])。证据的质量受到研究数量少的限制。
■与顺性/异性恋同龄人相比,LGBTIQ人群遭受微侵害的风险更高,这可能会导致心理健康的后果。这些证据可能有助于提高公众对LGBTIQ心理健康需求的认识,并建议采取支持性策略和预防性干预措施(例如,支持性计划和消除污名化的努力)作为量身定制的医疗保健计划的一部分,旨在减少该人群的精神病发病率。
UNASSIGNED: Research suggests that
microaggressions detrimentally impact the mental health of members of marginalized social groups.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.