Assessing sexual and gender identity interaction with the relationship between caregiving and adverse mental health outcomes.
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| Title: | Assessing sexual and gender identity interaction with the relationship between caregiving and adverse mental health outcomes. |
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| 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] |
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| Database: | Psychology and Behavioral Sciences Collection |
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