Dating violence, quality of life and mental health in sexual minority populations: a path analysis

Janet Yuen Ha Wong, Edmond Pui Hang Choi, Hay Ming Lo, Wendy Wong, Jasmine Hin Man Chio, Anna Wai Man Choi, Daniel Yee Tak Fong

Research output: Journal article publicationJournal articleAcademic researchpeer-review

9 Citations (Scopus)

Abstract

Purpose: Theories explaining the impact of intimate partner violence (IPV) on mental health have focused on heterosexual relationships. It is unclear whether mental health disparities between heterosexual and sexual minority people are due to IPV or factors related to sexual orientation. The present study aimed to investigate pathways of how sexual orientation influenced quality of life and mental health. Methods: The present cross-sectional study was conducted in 1076 young adults in a university population (934 heterosexual and 142 sexual minority groups). Structural equation modelling was used to examine the pathways of sexual orientation, dating violence, sexual orientation concealment, quality of life and mental health (perceived stress, anxiety and depression). Results: After adjusting for sociodemographic factors, quality of life in sexual minority people was poorer [estimate −2.82, 95 % confidence interval (CI) −4.77 to −0.86, p = 0.005], and stress (estimate 2.77, 95 % CI 1.64–3.92, p < 0.0001), anxiety (estimate 1.84, 95 % CI 1.13–2.56, p < 0.0001) and depression levels (estimate 0.62, 95 % CI 0.05–1.2, p < 0.0001) were higher than in heterosexual people. Dating violence and sexual orientation concealment were mediators, with the models showing a good fit. Conclusion: Our study has progressed investigation of the link between sexual orientation and quality of life and mental health in the Chinese context. It has helped identify health disparities between heterosexual and sexual minority people and determined specific factors affecting their quality of life and mental health.
Original languageEnglish
Pages (from-to)959-968
Number of pages10
JournalQuality of Life Research
Volume26
Issue number4
DOIs
Publication statusPublished - 1 Apr 2017

Keywords

  • Chinese
  • Dating violence
  • Mental health
  • Quality of life
  • Sexual minority

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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