Sexual minority individuals display heightened body image disturbance, which is associated with negative health outcomes. Structural stigmas are associated with negative health outcomes among sexual minority individuals, but the association between structural stigmas and body image is not understood. Using a linear regression approach, we examined how U.S. state-level structural racism and structural sexual minority stigma were associated with body image-related outcomes including eating pathology, appearance and/or performance-enhancing drug (APED) misuse, and dysmorphic concern. Participants were 942 cisgender sexual minority individuals ages 18–30, with approximately equal representation among non-Hispanic/Latinx White, Black, Asian, and Hispanic/Latinx individuals. There was not a significant main effect of state-level structural sexual minority stigma on body image-related outcomes. In states with higher structural racism, Hispanic/Latinx participants endorsed higher APED misuse, and this interaction was not significant among non-Hispanic/Latinx White individuals. This pattern was not found among Black or Asian participants, nor was it replicated for dysmorphic concern or eating pathology. Findings suggest that reducing exposure to structural racism could reduce APED misuse among Hispanic/Latinx individuals.

中文翻译：

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检查性少数个体中结构性耻辱与身体形象相关结果的关联

性少数个体表现出严重的身体形象障碍，这与负面的健康结果相关。结构性耻辱与性少数群体的负面健康结果相关，但结构性耻辱与身体形象之间的关联尚不清楚。使用线性回归方法，我们研究了美国州级结构性种族主义和结构性性少数群体耻辱与身体形象相关结果的关系，包括饮食病理学、外观和/或性能增强药物 (APED) 滥用以及畸形关注。参与者是 942 名 18-30 岁的顺性别性少数群体，其中非西班牙裔/拉丁裔白人、黑人、亚洲人和西班牙裔/拉丁裔个体的代表性大致相等。国家层面的结构性性少数群体耻辱对身体形象相关结果没有显着的主效应。在结构性种族主义较高的州，西班牙裔/拉丁裔参与者认可较高的 APED 滥用率，而这种相互作用在非西班牙裔/拉丁裔白人中并不显着。在黑人或亚洲参与者中没有发现这种模式，也没有因畸形关注或饮食病理学而复制。研究结果表明，减少结构性种族主义的暴露可以减少西班牙裔/拉丁裔个人对 APED 的滥用。