Sexual orientation and mental health among Spanish college students

Main Article Content

Estefanía Ruíz Palomino
Rafael Ballester Arnal
Mª Dolores Gil Llario
Cristina Giménez García
Juan Enrique Nebot García

Abstract

Sexual minorities have a worse perception of their mental health status and look for more psychological treatment. Studies show that they have a higher prevalence of psychological problems, mainly anxiety, depression, suicidal ideation or substance abuse. The aim of the study is to analyze the relationship between different parameters of mental health and sexual orientation. A Lifestyle and Health Questionnaire (Giménez-García and Ballester-Arnal, 2017) was administered to 600 students from the Universitat Jaume I of Castellón. The 67.5% of the participants identified themselves as exclusively heterosexual (75.3% of males and 59.7% of females) and 32.5% of them as not exclusively heterosexual (24.7% of males and 40.3% females). The results show that there is a statistically significant relationship between sexual orientation and self-perceived mental health status (Chi2 = 19.018; p =.001; V: 0.178), selfreported psychological problems (Chi2 = 11.392; p = .001; OR: 3.194) and anxiety (Chi2 = 12.917; p =.005; V:0.147). Non-exclusively heterosexual people consider worse their mental health status, have reported more psychological problems and feel more anxious. According to gender, statistically significant relationships appear in self-perceived mental health status (Chi2 = 17.860; p = .001; V: 0.244) and self-reported psychological problems (Chi2 = 9.520; p = .002; OR: 5.886) in males, and in perceived anxiety in females (Chi2 = 13.091; p = .004; V: .210). In both cases, the non-exclusively heterosexual group obtain worst results. People with a non-heterosexual orientation are a group at psychosocial risk, perhaps due to the psychological distress associated with experiencing stressful life experiences and discrimination associated with homophobia and biphobia. Implications for the universities are discussed.

Downloads

Download data is not yet available.

Article Details

How to Cite
Ruíz Palomino, E., Ballester Arnal, R., Gil Llario, M. D., Giménez García, C., & Nebot García, J. E. (2020). Sexual orientation and mental health among Spanish college students. International Journal of Developmental and Educational Psychology. Revista INFAD De Psicología., 1(1), 199–206. https://doi.org/10.17060/ijodaep.2020.n1.v1.1776
Section
Articles
Author Biographies

Estefanía Ruíz Palomino, Grupo Salusex. Departamento de Psicología Básica, Clínica y Psicobiología Universidad Jaume I de Castellón

Grupo Salusex. Departamento de Psicología Básica, Clínica y Psicobiología
Universidad Jaume I de Castellón

Rafael Ballester Arnal, Grupo Salusex. Departamento de Psicología Básica, Clínica y Psicobiología Universidad Jaume I de Castellón

Grupo Salusex. Departamento de Psicología Básica, Clínica y Psicobiología
Universidad Jaume I de Castellón

Mª Dolores Gil Llario, Grupo Salusex. Departamento de Psicología Evolutiva y de la Educación Universidad de Valencia

Grupo Salusex. Departamento de Psicología Evolutiva y de la Educación
Universidad de Valencia

Cristina Giménez García, Grupo Salusex. Departamento de Psicología Básica, Clínica y Psicobiología Universidad Jaume I de Castellón

Grupo Salusex. Departamento de Psicología Básica, Clínica y Psicobiología
Universidad Jaume I de Castellón

Juan Enrique Nebot García, Grupo Salusex. Departamento de Psicología Básica, Clínica y Psicobiología Universidad Jaume I de Castellón

Grupo Salusex. Departamento de Psicología Básica, Clínica y Psicobiología
Universidad Jaume I de Castellón

References

Ayhan, C. H. B., Bilgin, H., Uluman, O. T., Sukut, O., Yilmaz, S., & Buzlu, S. (2020). A systematic review of the discrimination against sexual and gender minority in health care settings. International Journal of Health Services, 50(1), 44-61.

Baams, L., De Luca, S. M., & Brownson, C. (2018). Use of mental health services among college students by sexual orientation. LGBT Health, 5(7), 421-430.

Balsam, K.F., Rothblum, E.D., & Beauchaine, T.P. (2005). Victimization over the life span: a comparison of lesbian, gay, bisexual, and heterosexual siblings. Journal of Consulting and Clinical Psychology, 73, 477-487.

Bouris, A., & Hill, B. J. (2017). Out on campus: Meeting the mental health needs of sexual and gender minority college students. Journal of Adolescent Health, 61(3), 271-272

Bränström, R. (2017). Minority stress factors as mediators of sexual orientation disparities in mental health treatment: a longitudinal population-based study. Journal of Epidemiology and Community Health, 71(5), 446-452.

Cochran, S. D., Björkenstam, C., & Mays, V. M. (2017). Sexual orientation differences in functional limitations, disability, and mental health services use: Results from the 2013–2014 National Health Interview Survey. Journal of Consulting and Clinical Psychology, 85(12), 1111.

Dunbar, M. S., Sontag-Padilla, L., Ramchand, R., Seelam, R., & Stein, B. D. (2017). Mental health service utilization among lesbian, gay, bisexual, and questioning or queer college students. Journal of Adolescent Health, 61(3), 294-301.

Gabinete de Coordinación y Estudios. (2018). Informe sobre incidentes relacionados con los delitos de odio en España. Madrid: Secretaría de Estado de Seguridad, Ministerio del Interior. Recuperado de http://www.mitramiss.gob.es/oberaxe/ficheros/documentos/Informe2018DelitosOdio.pdf

Hatzenbuehler, M.L. & Pachankis, J.E. (2016) Stigma and minority stress as social determinants of health among lesbian, gay, bisexual, and transgender youth: research evidence and clinical implications. Pediatric Clinics of North America, 63, 985-997.

Katz-Wise, S. L., Rosario, M., Calzo, J. P., Scherer, E. A., Sarda, V., & Austin, S. B. (2017). Associations of timing of sexual orientation developmental milestones and other sexual minority stressors with internalizing mental health symptoms among sexual minority young adults. Archives of Sexual Behavior, 46(5), 1441-1452.

Kerridge, B. T., Pickering, R. P., Saha, T. D., Ruan, W. J., Chou, S. P., Zhang, H., … Hasin, D. S. (2017). Prevalence, sociodemographic correlates and DSM-5 substance use disorders and other psychiatric disorers among sexual minorities in the United States. Drug and Alcohol Dependence, 170, 82-92.

King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8(1), 70.

Kinsey, A., Pomeroy, W., & Martin, C. (1948). Sexual behavior in the human male. Philadelphia: Saunders Company.

Kinsey, A., Pomeroy, W., Martin, C., & Gebhard, P. H. (1953). Sexual behavior in the human female. Indiana University Press.

Krueger, E. A., & Upchurch, D. M. (2019). Aresociodemographic, lifestyle,and psychosocial characteristics associated with sexual orientation group differences in mental health disparities? Results from a national population-based study. Social Psychiatry and Psychiatric Epidemiology, 54(6), 755-770.

la Roi, C., Meyer, I. H., & Frost, D. M. (2019). Differences in sexual identity dimensions between bisexual and other sexual minority individuals: Implications for minority stress and mental health. American Journal ofOrthopsychiatry, 89(1), 40-51.

Marshal, M. P., Dietz, L. J., Friedman, M. S., Stall, R., Smith, H. A., McGinley, J., ... & Brent, D. A. (2011). Suicidality and depression disparities between sexual minority and heterosexual youth: A meta-analytic review. Journal of Adolescent Health, 49(2), 115-123.

Platt, L. F., Wolf, J. K., & Scheitle, C. P. (2018). Patterns of mental health care utilization among sexual orientation minority groups. Journal of Homosexuality, 65(2), 135-153.

Plöderl, M. & Tremblay, P. (2015). Mental health of sexual minorities. A systematic review. International Review of Psychiatry, 27, 367-385.

Riggle, E. D. B., Rostosky, S. S., Black, W. W., & Rosenkrantz, D. E. (2017). Outness, concealment, and authenticity: Associations with LGB individuals’ psychological distress and well-being. Psychology of Sexual Orientation and Gender Diversity, 4, 54–62.

Shenkman, G., Stein, Y., & Bos, H. (2019). The mediating role of attachment avoidance in the association between sexual orientation and mental health. Journal of Homosexuality, 20, 1-15.

Wilson, C., & Cariola, L. A. (2019). LGBTQI+ youth and mental health: a systematic review of qualitative research. Adolescent Research Review, 1-25.