OBJECTIVE People of color who are also sexual and gender minorities (SGM) experience forms of enacted stigma based on both their racial/ethnic identity and their SGM status. We set out to test the effects of enacted stigma specific to race/ethnicity and SGM identity on mental health and substance use problems among female assigned at birth (FAB) SGM of color. METHOD Data come from a community-based sample of FAB SGM who also identified as racial/ethnic minorities (N = 352). The effects of racial discrimination, SGM victimization, and sexual orientation microaggressions on depression symptoms, anxiety symptoms, alcohol-related problems, and marijuana-related problems were tested using linear regression and negative binomial models. RESULTS Enacted stigma based on both race/ethnicity and SGM status were significant predictors of mental health outcomes and alcohol-related problems within the same model, which suggested that both uniquely contributed to poorer health. There was little support for interactive effects between the multiple forms of enacted stigma. Marijuana-related problems were best explained by enacted stigma based on race/ethnicity only. CONCLUSIONS Racially diverse FAB SGM are at unique risk of experiencing multiple forms of discrimination and aggression based on their minority identities that each contribute negatively to their wellbeing. Consideration of the multiple forms of enacted stigma they face is necessary for understanding health disparities in these populations. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

---

性别/性别和种族歧视法对成年性少数族裔女性的心理健康和物质使用的影响。

目标也是性和性别少数群体（SGM）的有色人种根据其种族/族裔身份和其SGM身份而经历成文的污名形式。我们着手测试针对种族/民族和SGM身份而制定的污名对有色女性SGM出生时女性心理健康和物质使用问题的影响。方法数据来自以社区为基础的FAB SGM样本，该样本也被确定为种族/少数民族（N = 352）。使用线性回归和负二项式模型测试了种族歧视，SGM受害和性取向微攻击对抑郁症状，焦虑症状，酒精相关问题和大麻相关问题的影响。结果在同一模型中，基于种族/族裔和SGM状态制定的污名是心理健康结局和与酒精有关的问题的重要预测指标，这表明两者都是造成健康状况恶化的独特原因。所制定的污名的多种形式之间的交互作用几乎没有得到支持。大麻相关的问题最好通过仅基于种族/民族的成文污名来解释。结论不同种族的FAB SGM处于独特的风险中，因为他们的少数群体身份会给他们的福祉带来负面影响，因此会遭受多种形式的歧视和侵略。考虑到他们面对的多种形式的成见耻辱，对于理解这些人群的健康差异是必要的。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。