Exploring Discrimination and Mental Health Disparities Faced By Black Sexual Minority Women Using a Minority Stress Framework

Black sexual minority women are triply marginalized due to their race, gender, and sexual orientation. We compared three dimensions of discrimination-frequency (regularity of occurrences), scope (number of types of discriminatory acts experienced), and number of bases (number of social statuses to which discrimination was attributed)-and self-reported mental health (depressive symptoms, psychological well-being, and social well-being) between 64 Black sexual minority women and each of two groups sharing two of three marginalized statuses: (a) 67 White sexual minority women and (b) 67 Black sexual minority men. 

Black sexual minority women reported greater discrimination frequency, scope, and number of bases and poorer psychological and social well-being than White sexual minority women and more discrimination bases, a higher level of depressive symptoms, and poorer social well-being than Black sexual minority men. We then tested and contrasted dimensions of discrimination as mediators between social status (race or gender) and mental health outcomes. Discrimination frequency and scope mediated the association between race and mental health, with a stronger effect via frequency among sexual minority women. Number of discrimination bases mediated the association between gender and mental health among Black sexual minorities. 

Future research and clinical practice would benefit from considering Black sexual minority women's mental health in a multidimensional minority stress context.

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By:  Calabrese SK1, Meyer IH2, Overstreet NM3, Haile R4, Hansen NB5.

• 1Yale School of Public Health/Center for Interdisciplinary Research on AIDS, Yale University, New Haven, CT, USA.
• 2The Williams Institute UCLA School of Law, University of California, Los Angeles, CA, USA.
• 3Department of Psychology, Clark University, Worcester, MA, USA.
• 4Public Health Department, State University of New York at Old Westbury, Old Westbury, NY, USA.
• 5Department of Health Promotion and Behavior, University of Georgia, Athens, GA, USA. 

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