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Structural stigma and the health and wellbeing of Australian LGB populations: Exploiting geographic variation in the results of the 2017 same-sex marriage plebiscite

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  • Perales, Francisco
  • Todd, Abram

Abstract

Lesbian, gay, or bisexual (LGB) people experience poorer life outcomes than heterosexual people, with ongoing debates about the aetiology of these differences. Minority stress theory draws attention to the importance of structural stigma, which concerns hostile social environments for sexual minorities that constrain their opportunity structures. Yet few studies have operationalised structural stigma and tested its influence, with most focusing on the US context; even fewer studies examine the underlying mechanisms.

Suggested Citation

  • Perales, Francisco & Todd, Abram, 2018. "Structural stigma and the health and wellbeing of Australian LGB populations: Exploiting geographic variation in the results of the 2017 same-sex marriage plebiscite," Social Science & Medicine, Elsevier, vol. 208(C), pages 190-199.
    • Handle: RePEc:eee:socmed:v:208:y:2018:i:c:p:190-199
    DOI: 10.1016/j.socscimed.2018.05.015
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    2. Karinna Saxby & Mike Stephens, 2024. "Medicare and Priority Populations: Structural and Place‐based Considerations for Aboriginal and Torres Strait Islander Peoples and LGBTIQ+ Australians," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 57(2), pages 149-159, June.
    3. Sean Urwin & Thomas Mason & William Whittaker, 2021. "Do different means of recording sexual orientation affect its relationship with health and wellbeing?," Health Economics, John Wiley & Sons, Ltd., vol. 30(12), pages 3106-3122, December.
    4. Jennifer R. Pharr & Lung-Chang Chien & Maxim Gakh & Jason D. Flatt & Krystal Kittle & Emylia Terry, 2022. "Moderating Effect of Community and Individual Resilience on Structural Stigma and Suicidal Ideation among Sexual and Gender Minority Adults in the United States," IJERPH, MDPI, vol. 19(21), pages 1-13, November.
    5. Deni Mazrekaj & Mirjam M. Fischer & Henny M. W. Bos, 2022. "Behavioral Outcomes of Children with Same-Sex Parents in The Netherlands," IJERPH, MDPI, vol. 19(10), pages 1-12, May.
    6. Peter Butterworth & Carmel Poyser & Aino Suomi, 2021. "Mental Health," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 54(4), pages 530-541, December.
    7. Karinna Saxby, 2022. "Australia's LGBTIQ Research Data Landscape," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 55(2), pages 290-308, June.
    8. Song, Haoming, 2025. "Structural stigma and mental health among lesbian, gay, and bisexual adults: Policy protection and cultural acceptance," Social Science & Medicine, Elsevier, vol. 373(C).
    9. Grossman, Daniel & Khalil, Umair & Ray, Arijit, 2019. "Terrorism and early childhood health outcomes: Evidence from Pakistan," Social Science & Medicine, Elsevier, vol. 237(C), pages 1-1.
    10. Saxby, Karinna & de New, Sonja C. & Petrie, Dennis, 2020. "Structural stigma and sexual orientation disparities in healthcare use: Evidence from Australian Census-linked-administrative data," Social Science & Medicine, Elsevier, vol. 255(C).
    11. Yang, Xueyan & Wang, Sasa & Eklund, Lisa, 2020. "Reacting to social discrimination? Men's individual and social risk behaviors in the context of a male marriage squeeze in rural China," Social Science & Medicine, Elsevier, vol. 246(C).
    12. I-Hsuan Lin & Nai-Ying Ko & Yu-Te Huang & Mu-Hong Chen & Wei-Hsin Lu & Cheng-Fang Yen, 2019. "Effect of Same-Sex Marriage Referendums on the Suicidal Ideation Rate among Nonheterosexual People in Taiwan," IJERPH, MDPI, vol. 16(18), pages 1-11, September.
    13. Sun, Shufang & Budge, Stephanie & Shen, Wenxuan & Xu, Ge & Liu, Muqing & Feng, Siqi, 2020. "Minority stress and health: A grounded theory exploration among men who have sex with men in China and implications for health research and interventions," Social Science & Medicine, Elsevier, vol. 252(C).
    14. Abbamonte, J.M. & Ramlagan, S. & Lee, T.K. & Cristofari, N.V. & Weiss, S.M. & Peltzer, K. & Sifunda, S. & Jones, D.L., 2020. "Stigma interdependence among pregnant HIV-infected couples in a cluster randomized controlled trial from rural South Africa," Social Science & Medicine, Elsevier, vol. 253(C).

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