View in EDS HTML Full Text PDF Full Text

Assessing sexual and gender identity interaction with the relationship between caregiving and adverse mental health outcomes.

Saved in:
Bibliographic Details
Title: Assessing sexual and gender identity interaction with the relationship between caregiving and adverse mental health outcomes.
Authors: Wilson II, G. Thomas (AUTHOR), Gimm, Gilbert (AUTHOR), Turpin, Rodman (AUTHOR)
Source: Journal of Mental Health. Apr2026, Vol. 35 Issue 2, p174-185. 12p.
Subjects: Mental illness risk factors, Mental depression risk factors, Risk assessment, Psychology of gay people, Cross-sectional method, Gender identity, Research funding, Mental health, Sexual orientation identity, Sex distribution, Transgender people, Kruskal-Wallis Test, Multiple regression analysis, Chi-squared test, Descriptive statistics, Burden of care, Cisgender people, Statistics, Sexual minorities, Psychology of caregivers, Confidence intervals, Bisexual people, Data analysis software, Mental depression, Psychosocial factors, Adults
Geographic Terms: Arizona, Hawaii, Idaho, Louisiana, United States
Abstract: Background: Caregivers often report high stress levels, which may be associated with adverse mental health. Less is known about adult sexual and gender minority (SGM) caregivers' experienced stress and/or mental health considering they are likely at increased vulnerability to these outcomes due to social stigma, familial estrangement, and discrimination. Aims: We tested relationships between caregiving and adverse mental health and if these associations were modified by SGM identity. Methods: Using 2023 national BRFSS data (n = 32,151) we examined relationships between caregiving and two outcomes: depression and 14+ days with poor mental health, testing effect modification by SGM identity. Regression analyses, using both SGM and caregiving cross-categories and interaction term models were also conducted. Results: Compared to heterosexual non-caregivers, both caregiving and SGM status were associated with greater depression and having 14+ days of poor mental health, with the highest prevalence of depression among transgender caregivers (aPR = 4.05, CI 3.03–5.00), transgender non-caregivers (aPR = 2.80, CI 2.24–3.25), and cisgender gay caregivers (aPR = 2.52, CI 2.01–2.93). Transgender and cisgender gay and bisexual caregivers also had the highest days with poor mental health. Additionally, interaction term models identified effect modification. Conclusions: Disproportionate adverse mental health outcomes exist among caregivers, modified by SGM status. Longitudinal research is needed to understand these mechanisms and related outcomes including substance use and suicidality. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 192584937
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Assessing sexual and gender identity interaction with the relationship between caregiving and adverse mental health outcomes.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Wilson+II%2C+G%2E+Thomas%22">Wilson II, G. Thomas</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gimm%2C+Gilbert%22">Gimm, Gilbert</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Turpin%2C+Rodman%22">Turpin, Rodman</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Journal+of+Mental+Health%22">Journal of Mental Health</searchLink>. Apr2026, Vol. 35 Issue 2, p174-185. 12p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Mental+illness+risk+factors%22">Mental illness risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression+risk+factors%22">Mental depression risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+gay+people%22">Psychology of gay people</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+identity%22">Gender identity</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+orientation+identity%22">Sexual orientation identity</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Transgender+people%22">Transgender people</searchLink><br /><searchLink fieldCode="DE" term="%22Kruskal-Wallis+Test%22">Kruskal-Wallis Test</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Burden+of+care%22">Burden of care</searchLink><br /><searchLink fieldCode="DE" term="%22Cisgender+people%22">Cisgender people</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+minorities%22">Sexual minorities</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+caregivers%22">Psychology of caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Bisexual+people%22">Bisexual people</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Arizona%22">Arizona</searchLink><br /><searchLink fieldCode="DE" term="%22Hawaii%22">Hawaii</searchLink><br /><searchLink fieldCode="DE" term="%22Idaho%22">Idaho</searchLink><br /><searchLink fieldCode="DE" term="%22Louisiana%22">Louisiana</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Caregivers often report high stress levels, which may be associated with adverse mental health. Less is known about adult sexual and gender minority (SGM) caregivers' experienced stress and/or mental health considering they are likely at increased vulnerability to these outcomes due to social stigma, familial estrangement, and discrimination. Aims: We tested relationships between caregiving and adverse mental health and if these associations were modified by SGM identity. Methods: Using 2023 national BRFSS data (n = 32,151) we examined relationships between caregiving and two outcomes: depression and 14+ days with poor mental health, testing effect modification by SGM identity. Regression analyses, using both SGM and caregiving cross-categories and interaction term models were also conducted. Results: Compared to heterosexual non-caregivers, both caregiving and SGM status were associated with greater depression and having 14+ days of poor mental health, with the highest prevalence of depression among transgender caregivers (aPR = 4.05, CI 3.03–5.00), transgender non-caregivers (aPR = 2.80, CI 2.24–3.25), and cisgender gay caregivers (aPR = 2.52, CI 2.01–2.93). Transgender and cisgender gay and bisexual caregivers also had the highest days with poor mental health. Additionally, interaction term models identified effect modification. Conclusions: Disproportionate adverse mental health outcomes exist among caregivers, modified by SGM status. Longitudinal research is needed to understand these mechanisms and related outcomes including substance use and suicidality. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=192584937
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09638237.2025.2585198
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 174
    Subjects:
      – SubjectFull: Mental illness risk factors
        Type: general
      – SubjectFull: Mental depression risk factors
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Psychology of gay people
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Gender identity
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Sexual orientation identity
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Transgender people
        Type: general
      – SubjectFull: Kruskal-Wallis Test
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Burden of care
        Type: general
      – SubjectFull: Cisgender people
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Sexual minorities
        Type: general
      – SubjectFull: Psychology of caregivers
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Bisexual people
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Adults
        Type: general
      – SubjectFull: Arizona
        Type: general
      – SubjectFull: Hawaii
        Type: general
      – SubjectFull: Idaho
        Type: general
      – SubjectFull: Louisiana
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Assessing sexual and gender identity interaction with the relationship between caregiving and adverse mental health outcomes.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Wilson II, G. Thomas
      – PersonEntity:
          Name:
            NameFull: Gimm, Gilbert
      – PersonEntity:
          Name:
            NameFull: Turpin, Rodman
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 04
              Text: Apr2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 09638237
          Numbering:
            – Type: volume
              Value: 35
            – Type: issue
              Value: 2
          Titles:
            – TitleFull: Journal of Mental Health
              Type: main
ResultId 1