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The Role of Family Rejection of Gender Expression on Minority Stress and Mental Health of Sexual and Gender Minority Adolescents

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Abstract

Introduction

Sexual and gender minority youth (SGMY) often report more experiences of rejection from their family environment which is typically linked with negative implications for their overall well-being. A factor frequently associated with increased rates of psychological distress and rejection from others is that of possessing a nonconforming gender expression. Family rejection is often categorized under the umbrella of minority stress theory; however, initial conceptualizations of minority stress theory did not account for other factors such as gender expression and cisnormativity and how these impact SGMY especially within the realm of family rejection.

Methods

In April of 2020, 150 adolescents who identified as a sexual or gender minority were recruited via Qualtrics Survey platform. Participants completed a series of self-report measures on demographics, minority stress, psychological distress, and their family environment’s views of gender identity and expression.

Results

We observed significant correlations connecting family rejection of gender expression to anxiety and depression and minority stressors. Moreover, family rejection of gender expression accounted for additional variance in anxiety but not depression. Neither family rejection nor support of gender expression moderated the relationships between minority stress with anxiety or depression.

Conclusions

These findings suggest that gender expression plays a role in experiences of family rejection and overall minority stress.

Policy Implications

Results illustrate implications for extending our thinking of family support beyond the binary categories of acceptance and rejection of queer identity. This can assist in informing policy on best practices for creating supportive environments for SGMY to help alleviate distress caused by lack of family support.

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Data Availability

The data that support the findings of this study are available from the corresponding author, Christopher Palmer, upon reasonable request.

Code Availability

Not applicable.

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Funding

This work was supported by Mammie Phipps Clark Diversity Research Grant 2020 (N-128617–01) through Psi Chi, The International Honor Society in Psychology.

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All authors were involved in the discussion, writing, and revision of the manuscript, and they gave the final approval of the version for submission.

Corresponding author

Correspondence to Christopher W. Palmer.

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The authors declare no competing interests.

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Palmer, C.W., Francis, S.E. The Role of Family Rejection of Gender Expression on Minority Stress and Mental Health of Sexual and Gender Minority Adolescents. Sex Res Soc Policy (2023). https://doi.org/10.1007/s13178-023-00881-5

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  • DOI: https://doi.org/10.1007/s13178-023-00881-5

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