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This finding reveals an apparent blind spot in HIV prevention. Rejection from gay and bisexual peers, Pachankis found in a follow-up study soon to be published in the Annals of Behavioral Medicine, was also associated with an increased likelihood that men would engage in sex that put them at risk for HIV. Such a status imbalance did not intensify feelings of rejection if the higher-status man was straight. When the participants experienced rejection from gay or bisexual men they perceived to be of superior status, because of a higher level of masculinity, attractiveness and income, this proved particularly stressful.
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The study culminated with a series of experiments in which gay and bisexual men participated in a chat room with other men. Pachankis’s research suggests factors such as physique, income and race can be major sources of anxieties These connections held even when the investigators controlled for traditional factors tied to the stress of being a stigmatized sexual minority as well as general life stress. Pachankis and his colleagues found that the stress gay and bisexual men reported experiencing related to their community’s preoccupation with sex, status and competition, as well as racism within their ranks, was associated with compromised mental health, especially for those lower on the gay-status totem pole. The five-year study is based on five psychological studies, including four meticulously designed experiments with nine cohorts of gay and bisexual men. Pachankis’s study is the most rigorous yet. Sources of stressĪ small handful of papers have laid the groundwork for exploring the deleterious effects of stressors within the gay community. Moreover, as the paper suggests, the pressure to keep up with the Joneses can be profoundly taxing in ways unique to this segment of the population. Pachankis’s paper represents the field of psychology catching up with something that to many has long been painfully self-evident: gay men can be awfully hard on each other. The article’s popularity among gay and bisexual men was a testament to a hunger for narratives that validate persistent feelings of unease about gay culture. In 2017, the journalist Michael Hobbes bucked this trend in a deep dive for HuffPost into what he called an epidemic of gay loneliness. Past research into such mental health disparities, both academics said, has typically overlooked drags on mental health that may come from within sexual and gender minority subcultures. Travis Salway, an assistant professor of social epidemiology at Simon Fraser University in British Columbia, says the excessive suicide rate among sexual and gender minorities is “too large of a disparity for it to be explained, certainly by chance and probably by even one factor”. “But that argument feels not totally complete for many LGBTQ people,” says John Pachankis, an associate professor of public health and psychiatry at Yale and the lead author of the new study. Over the last two decades, an expanding body of scholarship has attributed these disparities to anti-LGBTQ stigma. LGBTQ people are more than twice as likely as heterosexuals to experience depression and anxiety and to misuse substances, which can all fuel HIV risk. Among transgender people, the gulf is even wider.
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Gay and lesbian people have a more than fourfold higher rate of suicide than the general population. Those are the striking and potentially controversial findings of a study published in January in the Journal of Personality and Social Psychology that may broaden appreciation of the unique stressors faced by gay and bisexual men.