Abstract Prior research has documented the ways in which financial hardships negatively impact health, particularly mental health. However, this association between financial hardships and mental health outcomes has rarely been examined in sexual minorities. The purpose of this study was to examine associations between financial hardships and mental health burdens among a sample of gay, bisexual and other men who have sex with men (MSM) in Paris, France. Participants (n = 580) completed a cross-sectional survey advertised on a geosocial networking application. Participants responded to measures of mental health, financial hardship, and socio-demographics. Modified Poisson models were used to estimate risk ratios (RRs) and 95% confidence intervals (CI) for the associations between financial hardship and the following outcomes: 1) depressive symptoms, 2) anxiety symptoms, and 3) psychological distress. After adjusting for socio-demographics, high financial hardships were associated with depressive symptoms (aRR: 1.48, 95% CI: 1.04, 2.11) and psychological distress (aRR: 1.56, 95% CI: 1.09, 2.23). Analyses also demonstrated that stress acts as a mediating variable. These preliminary results suggest that future interventions to reduce financial hardships may have positive effects on the mental health of such a population.

中文翻译：

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同性恋、双性恋和其他男男性行为者面临较高的经济困难和心理健康负担

摘要 先前的研究已经记录了经济困难对健康（尤其是心理健康）产生负面影响的方式。然而，经济困难与心理健康结果之间的这种联系很少在性少数群体中得到研究。本研究的目的是调查法国巴黎同性恋、双性恋和其他男男性行为者 (MSM) 样本中经济困难与心理健康负担之间的关系。参与者 (n = 580) 完成了地理社交网络应用程序上广告的横断面调查。参与者对心理健康、经济困难和社会人口统计等指标做出了回应。使用改良泊松模型来估计经济困难与以下结果之间关联的风险比 (RR) 和 95% 置信区间 (CI)：1) 抑郁症状，2) 焦虑症状，3) 心理困扰。调整社会人口统计数据后，严重的经济困难与抑郁症状（aRR：1.48，95％CI：1.04，2.11）和心理困扰（aRR：1.56，95％CI：1.09，2.23）相关。分析还表明，压力充当中介变量。这些初步结果表明，未来减少经济困难的干预措施可能会对此类人群的心理健康产生积极影响。