A Study of the Relationship between Men Who Have Sex with Men Stigma and Depression: A Moderated Mediation Model
(1) Background: Men who have sex with men (MSM) have a high prevalence of depression due to stigma. However, whether resilience and social support play a moderating role in the effects of stigma on depression remains to be tested. This study constructed a moderated mediation model to explore the med...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/21/2849 |
| _version_ | 1797631893485649920 |
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| author | Tianyi Zhou Qiao Chen Xiaoni Zhong |
| author_facet | Tianyi Zhou Qiao Chen Xiaoni Zhong |
| author_sort | Tianyi Zhou |
| collection | DOAJ |
| description | (1) Background: Men who have sex with men (MSM) have a high prevalence of depression due to stigma. However, whether resilience and social support play a moderating role in the effects of stigma on depression remains to be tested. This study constructed a moderated mediation model to explore the mediating role of perceived stigma in the relationship between enacted stigma and depression and whether this relationship is moderated by social support. (2) Methods: MSM were recruited during November–December 2022 using a non-probability sampling method, and a total of 1091 participants were included. Enacted stigma, perceived stigma, resilience, social support, and depressive symptoms were measured. Mediation and moderated mediation models were used to analyze the relationships between these variables. (3) Results: Moderated mediation analyses show that enacted stigma indirectly affects depression through perceived stigma (β = 0.315, 95% confidence interval = 0.221 to 0.421). Social support had a positive moderating effect between enacted stigma and depressive symptoms (β = 0.194, <i>p</i> < 0.001) and a negative moderating effect between perceived stigma and depressive symptoms (β = −0.188, <i>p</i> < 0.001). (4) Resilience and perceived stigma mediated the relationship between enacted stigma and depression, and the relationship between enacted stigma, perceived stigma, and depression was moderated by social support. Reducing stigma while increasing social support has the potential to alleviate depressive symptoms among Chinese MSM. |
| first_indexed | 2024-03-11T11:30:09Z |
| format | Article |
| id | doaj.art-e03cab5b24f9491b86e30b71188ddfc1 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T11:30:09Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-e03cab5b24f9491b86e30b71188ddfc12023-11-10T15:03:47ZengMDPI AGHealthcare2227-90322023-10-011121284910.3390/healthcare11212849A Study of the Relationship between Men Who Have Sex with Men Stigma and Depression: A Moderated Mediation ModelTianyi Zhou0Qiao Chen1Xiaoni Zhong2School of Public Health, Chongqing Medical University, Chongqing 400016, ChinaSchool of Public Health, Chongqing Medical University, Chongqing 400016, ChinaSchool of Public Health, Chongqing Medical University, Chongqing 400016, China(1) Background: Men who have sex with men (MSM) have a high prevalence of depression due to stigma. However, whether resilience and social support play a moderating role in the effects of stigma on depression remains to be tested. This study constructed a moderated mediation model to explore the mediating role of perceived stigma in the relationship between enacted stigma and depression and whether this relationship is moderated by social support. (2) Methods: MSM were recruited during November–December 2022 using a non-probability sampling method, and a total of 1091 participants were included. Enacted stigma, perceived stigma, resilience, social support, and depressive symptoms were measured. Mediation and moderated mediation models were used to analyze the relationships between these variables. (3) Results: Moderated mediation analyses show that enacted stigma indirectly affects depression through perceived stigma (β = 0.315, 95% confidence interval = 0.221 to 0.421). Social support had a positive moderating effect between enacted stigma and depressive symptoms (β = 0.194, <i>p</i> < 0.001) and a negative moderating effect between perceived stigma and depressive symptoms (β = −0.188, <i>p</i> < 0.001). (4) Resilience and perceived stigma mediated the relationship between enacted stigma and depression, and the relationship between enacted stigma, perceived stigma, and depression was moderated by social support. Reducing stigma while increasing social support has the potential to alleviate depressive symptoms among Chinese MSM.https://www.mdpi.com/2227-9032/11/21/2849men who have sex with mensocial supportmoderated mediation modelsdepressionenacted stigmaperceived stigma |
| spellingShingle | Tianyi Zhou Qiao Chen Xiaoni Zhong A Study of the Relationship between Men Who Have Sex with Men Stigma and Depression: A Moderated Mediation Model Healthcare men who have sex with men social support moderated mediation models depression enacted stigma perceived stigma |
| title | A Study of the Relationship between Men Who Have Sex with Men Stigma and Depression: A Moderated Mediation Model |
| title_full | A Study of the Relationship between Men Who Have Sex with Men Stigma and Depression: A Moderated Mediation Model |
| title_fullStr | A Study of the Relationship between Men Who Have Sex with Men Stigma and Depression: A Moderated Mediation Model |
| title_full_unstemmed | A Study of the Relationship between Men Who Have Sex with Men Stigma and Depression: A Moderated Mediation Model |
| title_short | A Study of the Relationship between Men Who Have Sex with Men Stigma and Depression: A Moderated Mediation Model |
| title_sort | study of the relationship between men who have sex with men stigma and depression a moderated mediation model |
| topic | men who have sex with men social support moderated mediation models depression enacted stigma perceived stigma |
| url | https://www.mdpi.com/2227-9032/11/21/2849 |
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