ArticlePloS one2026
Navigating resilience: Mental health self-care among middle-aged and older LGBTQ+ adults in Thailand.
Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionThis study explores how middle-aged and older LGBTQ+ adults in Thailand engage in mental health self-care within complex social and cultural environments. While global research has largely reflected Western perspectives, little is known about how self-care is practiced in non-Western, Buddhist, and collectivist contexts. This study situates mental health self-care as both an individual and socially embedded process shaped by cultural beliefs, kinship norms, and structural inequalities.
methodsA qualitative study was conducted with 30 LGBTQ+ participants aged 50-68 from Thailand, using thematic analysis. Semi-structured, in-depth interviews were carried out online and analyzed within a thematic framework to identify recurring patterns and culturally grounded meanings.
resultsTwo overarching themes emerged: (1) Socio-cultural backgrounds shaping mental health self-care, which included Family and Childhood Memories, Community Environment, Cultural Beliefs and Mental Health, and Intimacy and Romantic Experience; and (2) Lived Experiences of Mental Health Self-Care, encompassing strategies for Coping with Stigma and Discrimination, Barriers to Mental Health Services, Cultivating Joy, Pride, and Self-Reliance, Community Contribution and Advocacy, Physical Health as Mental Anchor, and Self-Education on Mental Health. Self-care was intertwined with Buddhist ethics, caregiving norms, and digital peer support, reflecting both adaptation and quiet resistance within Thai society.
conclusionMental health self-care among older LGBTQ+ Thais represents a culturally informed resilience that bridges individual agency and collective well-being. The findings highlight the importance of integrating social determinants of health and cultural context into inclusive mental health policies and community-based interventions for aging LGBTQ+ populations.
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