Evidence map›Paper›PMID 34228052›Full record

ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2022

Minority Stress, Structural Stigma, and Physical Health Among Sexual and Gender Minority Individuals: Examining the Relative Strength of the Relationships.

Annesa Flentje, Kristen D Clark, Ethan Cicero, Matthew R Capriotti, Micah E Lubensky, John Sauceda, Torsten B Neilands, Mitchell R Lunn, Juno Obedin-Maliver

Open access · bronzeAbstract read
In one paragraph

Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 2 pooled it
13.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.

  1. Pooled it
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  7. Self-rated health and inflammation: Associations among partnered sexual minority and heterosexual adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Annesa FlentjeDepartment of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USA.ORCID 0000-0002-1964-4151
Kristen D ClarkDepartment of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USA.
Ethan CiceroNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Matthew R CapriottiDepartment of Psychology, San Jose State University, San Jose, CA, USA.
Micah E LubenskyDepartment of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USA.
John SaucedaDivision of Prevention Science, University of California, San Francisco, Center for AIDS Prevention Studies (CAPS), UCSF Prevention Research Center, San Francisco, CA, USA.ORCID 0000-0003-1975-3080
Torsten B NeilandsDivision of Prevention Science, University of California, San Francisco, Center for AIDS Prevention Studies (CAPS), UCSF Prevention Research Center, San Francisco, CA, USA.
Mitchell R LunnThe PRIDE Study/PRIDEnet, Stanford University School of Medicine, Palo Alto, CA, USA.
Juno Obedin-MaliverThe PRIDE Study/PRIDEnet, Stanford University School of Medicine, Palo Alto, CA, USA.
University of California, San Francisco · USPride Foundation · USEmory University · USSan Jose State University · US

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
UCSF-Kaiser Urological Epidemiology Research Career Development ProgramK12DK111028 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, ALISON · 2016 to 2025
$5.3M
Biobehavioral Research Training Program in Symptom ScienceT32NR016920 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MIASKOWSKI, CHRISTINE A., WEISS, SANDRA JEAN · 2017 to 2021
$2.4M
Gene expression outcomes in interventions for substance using HIV+ minority menK23DA039800 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FLENTJE, ANNESA · 2015 to 2019
$1.0M
An adaptive treatment intervention for depression and engagement in HIV care among Latinos living with HIVK01MH113475 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SAUCEDA, JOHN ANDREW · 2017 to 2020
$787k
The Relationship of Stressors in Health Care to Emotional and Physical Symptoms Experienced by Marginalized PeopleF31NR019000 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CLARK, KRISTEN DREW · 2019 to 2021
$68k
NIDA NIH HHS K23 DA039800NIDDK NIH HHS K12 DK111028NIMH NIH HHS K01 MH113475NIMH NIH HHS P30 MH062246NINR NIH HHS F31 NR019000NINR NIH HHS T32 NR016920
6 · The paper itself

Abstract

backgroundSexual and gender minority (SGM; i.e., non-heterosexual and transgender or gender-expansive, respectively) people experience physical health disparities attributed to greater exposure to minority stress (experiences of discrimination or victimization, anticipation of discrimination or victimization, concealment of SGM status, and internalization of stigma) and structural stigma. PURPOSE: To examine which components of minority stress and structural stigma have the strongest relationships with physical health among SGM people.

methodsParticipants (5,299 SGM people, 1,902 gender minority individuals) were from The Population Research in Identity and Disparities for Equality (PRIDE) Study. Dominance analyses estimated effect sizes showing how important each component of minority stress and structural stigma was to physical health outcomes.

resultsAmong cisgender sexual minority women, transmasculine individuals, American Indian or Alaskan Native SGM individuals, Asian SGM individuals, and White SGM individuals a safe current environment for SGM people had the strongest relationship with physical health. For gender-expansive individuals and Black, African American, or African SGM individuals, the safety of the environment for SGM people in which they were raised had the strongest relationship with physical health. Among transfeminine individuals, victimization experiences had the strongest relationship with physical health. Among Hispanic, Latino, or Spanish individuals, accepting current environments had the strongest relationship with physical health. Among cisgender sexual minority men prejudice/discrimination experiences had the strongest relationship with physical health.

conclusionSafe community environments had the strongest relationships with physical health among most groups of SGM people. Increasing safety and buffering the effects of unsafe communities are important for SGM health.

Indexed as

BullyingCrime VictimsSexual and Gender MinoritiesFemaleGender IdentityHumansMaleSexual BehaviorSocial StigmaCommunity safetyMinority stressPhysical healthSexual and gender minorityStructural stigmaTransgender

Identifiers

PMID34228052
PMCPMC9242547
OpenAlexW3178340337

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.