In the Asia-Pacific region, individual sexual stigma contributes to elevated rates of depression among sexual minority men. Less well understood is the role of socio-structural sexual stigma despite evidence that social context influences the experience of stigma. We use data from the United Nations Multi-country Study on Men and Violence to conduct a multilevel test of associations between individual- and cluster unit–level indicators of sexual stigma and depressive symptoms among sexual minority men (n = 562). In the full model, individual-level sexual stigma is not associated with depressive symptoms, although there is significant variation in the association between individual stigma and depressive symptoms across clusters. Contrary to expectation, at the community level, homophobic injunctive norms are negatively associated with depressive symptoms. We discuss the implications for policies, programs, and future research to improve mental health among sexual minority men in the region.

中文翻译：

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社会结构语境重要吗？在四个亚太国家/地区对性少数歧视和抑郁症状进行的多级测试。

在亚太地区，个人的性污名导致性少数男子中抑郁的发生率升高。尽管有证据表明社会背景会影响耻辱的经历，但社会结构性污名的作用却鲜为人知。我们使用来自联合国男子与暴力多国研究的数据，对性少数男子中性耻辱和抑郁症状的个人和集群单位水平指标（n = 562）之间的关联进行了多层次测试。在完整模型中，个体水平的性耻辱与抑郁症状无关，尽管个体耻辱与抑郁症状之间的关联存在显着差异。与社区一级的期望相反，同性恋禁令与抑郁症状呈负相关。我们讨论了对改善该地区性少数男性心理健康的政策，计划和未来研究的意义。