Evidence map›Paper›PMID 34742262›Full record

ArticleBMC public health2021

Mental health, potential minority stressors and resilience: evidence from a cross-sectional survey of gay, bisexual and other men who have sex with men within the Celtic nations.

Arlene McGarty, Lisa McDaid, Paul Flowers, Julie Riddell, John Pachankis, Jamie Frankis

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Moving Beyond "Risky Behavior": A Qualitative Interview Study Exploring Geosocial Networking App Use by Sexual Minority Men and Women in the UK and USA.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. The Relationship between Minority Stress and Depressive Symptoms in the LGBTQA Population from Poland.European journal of investigation in health, psychology and education · 2023
    Article
  9. Article
  10. Article
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

6 authors at 6 institutions in 3 countries.

Arlene McGartyInstitute of Health & Wellbeing, University of Glasgow, 1st floor Admin Building, Gartnavel Royal Hospital, 1055 Great Western Road, G12 0XH, Glasgow, Scotland, UK. Arlene.McGarty@glasgow.ac.uk.ORCID 0000-0003-4937-0574
Lisa McDaidInstitute for Social Science Research, The University of Queensland, Long Pocket Precinct, 80 Meiers Rd, Indooroopilly, Brisbane, QLD 4068, Australia.
Paul FlowersSchool of Psychological Sciences & Health, University of Strathclyde, 40 George Street, G1 1QE, Glasgow, UK.
Julie RiddellMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Top Floor, 200 Renfield Street, G2 3AX, Glasgow, Scotland, UK.
John PachankisYale School of Public Health, 60 College St, New Haven, CT, USA.
Jamie FrankisSchool of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road G4 0BA, Glasgow, Scotland, UK.
Gartnavel General Hospital · GBGlasgow Caledonian University · GBMRC/CSO Social and Public Health Sciences Unit · GBThe University of Queensland · AUUniversity of Strathclyde · GBYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Chief Scientist Office SPHSU11Chief Scientist Office SPHSU12Chief Scientist Office SPHSU18Medical Research Council MC_UU_00022/3Medical Research Council MC_UU_12017/11Medical Research Council MC_UU_12017/12NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundGay, bisexual and other men who have sex with men (GBMSM) are at a greater risk of mental health problems, such as anxiety and depression, than heterosexual adults. Numerous factors and stressors have been reported to impact men's mental health, although it has been suggested that resilience could have a protective effect. The aim of this study is to explore mental health, minority stressors, and resilience among a large online cross-sectional survey of GBMSM in the Celtic nations.

methodsData for this cross-sectional study were collected from the Social Media, GBMSM and Sexual and Holistic Health (SMMASH2) self-report online survey. Participants (n = 3077) were recruited via gay sociosexual media in Scotland, Wales, Northern Ireland, and the Republic of Ireland. Binary logistic regression analyses were conducted to identify factors that increased the odds of moderate-to-severe anxiety and depression. Potentially relevant variables (p < 0.05) were carried forward in hierarchal logistic regression analyses.

resultsThe prevalence of moderate-to-severe anxiety and depression was 19.9 and 14.4%, respectively. Having a disability (OR = 1.73) and having financial worries sometimes/all of the time (OR = 1.93) increased the odds of having moderate-to-severe depression and anxiety, respectively. No minority stressors were associated with depression, whereas experiencing any form of relationship abuse in the last 12 months significantly increased the odds of anxiety (OR = 1.50). Resilience, namely a sense of coherence, had a protective effect and significantly reduced the odds of moderate-to-severe depression (OR = 0.85) and anxiety (OR = 0.89).

conclusionsDisability and financial worries were associated with increased depression and anxiety, respectively, while resilience had a protective effect for GBMSM in the SMMASH2 study. Future research is needed to better understand the role of resilience and the challenges and stresses of everyday life and intersecting health problems. Future research is also needed that incorporates the perspectives of those most affected by mental ill-health to co-develop effective solutions that respond to their contextual surroundings.

Indexed as

Homosexuality, MaleSexual and Gender MinoritiesBisexualityCross-Sectional StudiesHumansMaleMental HealthAnxietyDepressionMental healthMen who have sex with menMinority stressorsResilience

Identifiers

PMID34742262
PMCPMC8572060
OpenAlexW3208248660

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.