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      Effects of Victimization on Mental Health and Substance Use Trajectories in Young Sexual Minority Men

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          Abstract

          Objective:

          Young sexual minority men (YSMM) experience more victimization and are at higher risk for mental health and substance use problems compared to heterosexual youth. We attempt to understand change over time in the experience of these constructs among YSMM.

          Method:

          Data were taken from a diverse community-based sample of YSMM (N=450, baseline mean age 18.93) surveyed every six months for 2.5 years. Multilevel modeling was used to model within-person change in victimization, internalizing symptoms, externalizing symptoms, alcohol frequency, marijuana use, and illicit drug use. We tested the indirect effect of concurrent and time-lagged victimization on the association between age and mental health and substance use.

          Results:

          Victimization, internalizing symptoms, and externalizing symptoms decreased over time. Concurrent victimization was associated with higher internalizing symptoms, externalizing symptoms, alcohol use, marijuana use, and illicit drug use. Analysis of indirect effects suggested that the association between victimization and mental health and substance use outcomes decreased as participants transitioned from adolescence into adulthood.

          Conclusions:

          This study found that the reduction in victimization that YSMM experience as they grow older is associated with a reduction in negative mental health and substance use outcomes. Prevention efforts to limit victimization exposure may reduce health disparities for YSMM.

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          Author and article information

          Journal
          8910645
          20550
          Dev Psychopathol
          Dev. Psychopathol.
          Development and psychopathology
          0954-5794
          1469-2198
          24 August 2019
          October 2019
          01 October 2020
          : 31
          : 4
          : 1423-1437
          Affiliations
          Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL; Northwestern University Institute for Sexual and Gender Minority Health and Wellbeing, Chicago, IL
          Author notes
          Corresponding author: Brian Mustanski, PhD, Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 625 North Michigan Avenue, Suite 2700, Chicago, IL 60611 brian@ 123456northwestern.edu , 312-503-3666, fax 312-503-4800
          Article
          PMC6717048 PMC6717048 6717048 nihpa1043526
          10.1017/S0954579418001013
          6717048
          30585567
          498b8041-391f-4225-91b5-ebfcb667f5da
          History
          Categories
          Article

          Internalized Stigma,Mental Health,Substance Use,Gay,Victimization

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