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The Impact of Emotional Symptoms and Family Support on the Association Between Homophobic Bullying and Sedative/Hypnotic Use among Gay and Bisexual Men in Taiwan: A Moderated Mediation Model

Author

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  • Dian-Jeng Li

    (Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, 100 Tzyou 1st Road, Kaohsiung 80708, Taiwan
    Department of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, 130, Kaisyuan 2nd Road, Lingya District., Kaohsiung City 80276, Taiwan)

  • Yu-Ping Chang

    (School of Nursing, The State University of New York, University at Buffalo, 12 Capen Hall, Buffalo, New York, NY 14260-1660, USA)

  • Yi-Lung Chen

    (Department of Healthcare Administration, Asia University, 500, Liufeng Road Wufeng District, Taichung 41354, Taiwan
    Department of Psychology, Asia University, 500, Liufeng Road Wufeng District, Taichung 41354, Taiwan)

  • Cheng-Fang Yen

    (Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, 100 Tzyou 1st Road, Kaohsiung 80708, Taiwan
    Department of Psychiatry, Kaohsiung Medical University Hospital, 100 Tzyou 1st Road, Kaohsiung 80708, Taiwan)

Abstract

Sedative/hypnotic use and homophobic bullying have become a big mental health concern for gay and bisexual men. However, few studies have investigated the mediators and moderators of the association between them. The current study aimed to build a conceptual model to estimate the mediating effect of emotional symptoms and the moderating effect of family support on this association among gay and bisexual men in Taiwan. A total of 500 gay or bisexual men were recruited for the study. Their history of homophobic bullying, their experience of sedative/hypnotic use, their perceived family support, and their current emotional symptoms were evaluated using self-reporting questionnaires. A moderated mediation model was developed to test the mediating effect of emotional symptoms and the moderating effect of family support. A higher level of homophobic bullying was significantly associated with sedative/hypnotic use among gay and bisexual men and this was mediated by a higher severity of emotional symptoms. A moderating effect of family support was identified, wherein the mediating effect of emotional symptoms was weaker when there was a higher level of perceived family support, thus revealing the protective effect of family support. The significant impact of emotional symptoms and family support on the association between homophobic bullying and sedative/hypnotic use was identified. Timely interventions for emotional symptoms and the enhancement of family support are crucial for gay and bisexual men.

Suggested Citation

  • Dian-Jeng Li & Yu-Ping Chang & Yi-Lung Chen & Cheng-Fang Yen, 2020. "The Impact of Emotional Symptoms and Family Support on the Association Between Homophobic Bullying and Sedative/Hypnotic Use among Gay and Bisexual Men in Taiwan: A Moderated Mediation Model," IJERPH, MDPI, vol. 17(11), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:3870-:d:364723
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    References listed on IDEAS

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    1. Dian-Jeng Li & Shiou-Lan Chen & Cheng-Fang Yen, 2019. "Multi-Dimensional Factors Associated with Illegal Substance Use Among Gay and Bisexual Men in Taiwan," IJERPH, MDPI, vol. 16(22), pages 1-13, November.
    2. Dian-Jeng Li & Shiou-Lan Chen & Yu-Ping Chang & Cheng-Fang Yen, 2020. "Factors Affecting Painkillers, Sedatives/Hypnotics, Nicotine, and Unhealthy Alcohol Use Among Gay and Bisexual Men in Taiwan," IJERPH, MDPI, vol. 17(3), pages 1-13, January.
    3. Seil, K.S. & Desai, M.M. & Smith, M.V., 2014. "Sexual orientation, adult connectedness, substance use, and mental health outcomes among adolescents: Findings From the 2009 New York city youth risk behavior survey," American Journal of Public Health, American Public Health Association, vol. 104(10), pages 1950-1956.
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    1. Huang-Chi Lin & Yu-Ping Chang & Yi-Lung Chen & Cheng-Fang Yen, 2022. "Relationships of Homophobic Bullying Victimization during Childhood with Borderline Personality Disorder Symptoms in Early Adulthood among Gay and Bisexual Men: Mediating Effect of Depressive Symptoms," IJERPH, MDPI, vol. 19(8), pages 1-15, April.
    2. Nai-Ying Ko & Wei-Hsin Lu & Yi-Lung Chen & Dian-Jeng Li & Yu-Ping Chang & Peng-Wei Wang & Cheng-Fang Yen, 2020. "Cognitive, Affective, and Behavioral Constructs of COVID-19 Health Beliefs: A Comparison Between Sexual Minority and Heterosexual Individuals in Taiwan," IJERPH, MDPI, vol. 17(12), pages 1-10, June.

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