OBJECTIVES People of color with minoritized sexual identities (e.g., lesbian, gay, bisexual, queer) experience identity-based challenges from outside and within their communities. Through the integrative lens of minority stress theory and intersectionality, the present study examined identity conflict, also known as conflicts in allegiances-the perceived incongruence between one's sexual and ethnic identities-as a statistical mediator of the association between intersectional discrimination (heterosexist discrimination experienced within the Latinx community and ethnic discrimination experienced within the lesbian, gay, bisexual, transgender, and queer [LGBTQ +] community) and mental health outcomes (depression and anxiety). METHOD A cross-sectional sample of 452 Latinx sexual minoritized adults living in the United States participated in the study. The PROCESS macro (Model 4; Hayes, 2018) was used to test the hypothesis that heterosexist discrimination experienced within the Latinx community and ethnic discrimination experienced within the LGBTQ + community are associated with depression and anxiety indirectly through identity conflict. In each mediation model, outness to family was included as a covariate, along with participant age, education, generation status, and language preference. RESULTS Approximately 37% of participants had clinically significant depression scores and 54% had clinically significant anxiety scores. As expected, experiences of intersectional discrimination (i.e., Latinx heterosexist discrimination and LGBTQ + ethnic discrimination) were indirectly associated with depression and anxiety through higher levels of identity conflict. CONCLUSIONS Findings increase awareness of unique psychosocial factors that may underlie mental health inequities affecting Latinx adults with minoritized sexual identities. Such knowledge can facilitate the development of culturally responsive interventions that best support this diverse population by addressing intersectional minority stressors. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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O te peinas, o te haces rolos：拉丁裔性少数成年人中的交叉歧视、身份冲突和心理健康。

目标 性身份少数的有色人种（例如，女同性恋、男同性恋、双性恋、酷儿）经历着来自社区内外的基于身份的挑战。通过少数群体压力理论和交叉性的综合视角，本研究考察了身份冲突，也称为效忠冲突，即一个人的性别和种族身份之间的感知不一致，作为交叉歧视（内部经历的异性恋歧视）之间关联的统计中介。拉丁裔社区和女同性恋、男同性恋、双性恋、跨性别者和酷儿 [LGBTQ +] 社区中经历的种族歧视）以及心理健康结果（抑郁和焦虑）。方法 居住在美国的 452 名拉丁裔性少数成年人的横断面样本参与了这项研究。PROCESS 宏（模型 4；Hayes，2018）用于检验以下假设：拉丁裔社区内经历的异性恋歧视和 LGBTQ + 社区内经历的种族歧视通过身份冲突间接与抑郁和焦虑相关。在每个中介模型中，家庭的外在性以及参与者的年龄、教育程度、代际地位和语言偏好都被纳入作为协变量。结果 大约 37% 的参与者有临床显着的抑郁评分，54% 的参与者有临床显着的焦虑评分。正如预期的那样，交叉歧视的经历（即拉丁裔异性恋歧视和 LGBTQ + 种族歧视）通过较高水平的身份冲突与抑郁和焦虑间接相关。结论 研究结果提高了人们对独特心理社会因素的认识，这些因素可能是影响性别认同少数的拉丁裔成年人心理健康不平等的原因。这些知识可以促进文化响应干预措施的发展，通过解决跨群体的少数压力源来最好地支持这个多样化的人群。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。